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I have never worked in an ER where this would be possible. Your admitted patient has a bed and there is not a compelling reason why they are still in the ER? You haven't called report yet? Fine -...

And you learn how to describe the plastic bag of dope without calling it "a Ziploc bag of dope". :sour:

Current US culture, the regulatory environment (CMS and JCAHO) and the healthcare industry itself have created an expectation of the absence of pain or other inconvenient symptomatology.

Wow, clearing the board ... If I could just clear the waiting room I'd probably break down in tears.

Feel better now?

If you have no experience doing injections in infants but have accepted this assignment ... have you communicated this to your agency and asked for some inservice/education?

I do not work in home health so there may be intracacies I'm unaware of but in a very basic sense ... the nursing notes are part of the patient's medical record, which belongs to the agency providing...

Agree with some comments above ... an "excellent" preceptor is not one who just successfuly trains & acclimates other nurses with whom s/he establishes a natural rapport, but someone who demonstrates...

Yes, I think the doc's concern was appropriate. And I disagree that it is likely that she had maintained a HR in the 200s for 48 hours ... even a young person is unlikely to tolerate that rate for...

A patient in respiratory distress which is not improving after administration of O2 certainly warrants a rapid response call. And after two pages -- to any physician or anyone -- it's time to go up...

Two other nurses (numbers 2 & 5) are also in business attire, although they are only pictured in a profile shot. Honestly, if I were going to get my picture taken for something job-related, I'm not...

It's up to you to judge where the line is between *realism* and *cynicism*.

Then the LA Times apparently missed the whole point of the release of Medicare data which was national news -- the variation in charges for the same/comparable services among different hospitals,...

We got two different lunches, one from management and one from the ED docs/residents. We also got some thoughtful food gifts from different EMS services.

I work with physicians whose undergraduate degrees include biology, biochemistry ... and anthropology and French translation. Med school admission requirements are generally 2 semesters each of bio,...

No, it is not yet 2020. But did you consider that a hospital may be pursuing Magnet status before then, or that if they already are Magnet, they're probably motivated to maintain that accreditation?...

They're not saying that for any personal gain. The requirements for a hospital to obtain and maintain Magnet status are here (it is a lot of reading but I assume you have an interest in the topic):...

Are you not using the "1T" value in the GCS scoring for patients who are intubated/have an artificial airway in place? And you can ask the EMS providers who are giving report on the patient...

I clicked on the updated link, and still get a page telling me that subscription/log in is required. I agree that the employment shift is a result of evolving technology and workplace norms -...

Overview of BLS Wage Data by Area and Occupation Data on wages by occupation / geographic area.

I also work at a tertiary care hospital with patients from a 4-state region. By the time those who have arrived unconscious or critically ill/injured are in a condition to make phone calls,...

Unfortunately, subscription to WSJ is required to read the article. I initially assumed the headline referred to "midlevel" providers -- NPs and PAs -- but after seeing the subhead I suspect that it...

This: And this: This too: And last but not least ... this, too:

While that is indeed an unsafe nurse-patient ratio, there is also liability in not having a triage-trained nurse at the front door to immediately triage a patient. I hesitate to ask ... how long...

Really not an area for "debate", as surely your hospital has policies in place to cover this (not uncommon) situation, based on your state laws.