NewYorkerGirl, BSN, RN 7,489 Views
Joined: Mar 15, '13;
Posts: 351 (34% Liked)
; Likes: 336
Joint Commission is coming down hard on verbal orders. They want them minimized and only used in extreme circumstances.
Pick TN: no income taxes. Visit NC on your off days.
It depends. In one hospital, I spent a lot of clincals in school in neuro and loved it. It was a lot of seizure/Parkinson's/neuro trauma injuries, etc. Very interesting.
At my current hospital, neuro is the dumping ground for any and all of the altered mental status patients: end-stage Alzheimer's (the hardest patients on earth if you ask me), alcoholics/drug addicts, Hyponatremia, etc. It is very, very challenging mentally and physically to care for these patients. Our patient ratio is the same as every other floor, but these patients demand you be highly vigilant and never let your guard down. I'm constantly re-starting IV's they've pulled out, shooting them up with Ativan, listening to them scream all night long, dealing with their falls, etc. I want to quit my job yesterday.
So, it depends on your hospital.
I don't feel guilty calling out because if the floor can't find someone to cover for me, they'll close the floor 6 patients earlier than they usually would. No biggie.
I have also heard great things about Lakeland Regional.
This is about as good of an idea as debtor's prison was. These people are obviously having financial trouble, so let's now make it impossible for them to pay back what they owe. Great idea.
So what you're saying in this article is... shy introverts stand no chance. Got it.
Why not teach the ones who are currently in healthcare how to STAY in healthcare?
I had a professor in nursing school who said working oncology nursing at a cancer center was slow-paced. I have no oncology experience, so I don't know personally.
Stupid. Hospitals in my area are offering double-pay and triple-pay on high census days. No contract. No rules.
What is it with the damn contracts these days? You can't just work and get paid anymore. There's always some cockamamie crap to deal with. Administrators must have too much time on their hands.
Also, learn WHO to call. I never bother calling Dr. IDontCare for pain medication. I will wait until that doc goes home and call the on-call provider.
So in retail it's called "being catty" or cattiness. In business, it's called "stepping on toes" and in nursing, it's called NETY. Oh yeah, in engineering which is what i previously did it's called the " Boys club." This type of behavior is in every.single.profession.
NewYorkerGirl, 2 minutes, unsportsmanlike conduct.
Seriously, the work of cna's is the basic foundation of nursing care.
Or programming a new 1L bag as "900" ml's, so it is alarming empty when there's another 150 ml's in there. Those bags are overfilled by over 50 ml's. I program my 1L bags for 1050ml.
I am frustrated with my hospital. We have a shortage of aides, and no wonder because they have a hard, backbreaking job for measly pay. As a result, sometimes when we nurses show up to work, we're made to work as aides. No notice, just here: you're an aide today.
This seems really unprofessional to me. I signed up to be a nurse. I never worked as an aide because I know how difficult that job is, and I don't want it. It's confusing to the patients to have two RN's running around. Thankfully, the other nurses haven't asked me to medicate a patient, because I'd have to say no since I didn't get a nursing report, nor did I look up the patients to a sufficient level to be able to take full-on nursing care for them nor did I assess them, but I can see how this could set up a problem in the future for a med error.
It just seems wrong on several levels. I guess this is what happens when you work in a hospital with no union. At least I still get my nursing pay, but I still feel that this is inappropriate.
Thoughts? Have you ever heard of this before?
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