taj09

Latest Activity

1. ICU Nurse Fired For Refusing 3rd Patient

   taj09 replied to Nurse Beth's topic in General Nursing

   Julie, I'm sure you did what you had to do. I respect that you knew the limits of your ability to safely care for the people under your care. Unfortunately, it's going to continue to get worse. Come work in Texas where you have some recourse. Your s...

2. Problems with ER

   taj09 replied to ReggieN's topic in Safety

   It seems to me that your facility has the problem. Joint Commission states that facilities must implement a standardized approach to HAND-OFF communications. It is a National Patient Safety Goal. Ineffective hand off communication is recognized as a ...

3. What's REALLY with the hospitals using Magnet as a cover for wanting BSN only nurses?

   taj09 replied to foreverLaur's topic in ADN/BSN

   "If you could do the same job for more money, wouldn't you?" The pay scale for nurses in my facility is based on years of nursing service and not education level. They are asking for BSN prepared nurses without paying them more money. ADN's and Diplo...

4. HR Benefits and Holidays for Nurses

   taj09 posted a topic in Texas

   I work full time in a mid-sized hospital in Central Texas in a cath lab where we are off some holidays and on call others. Our hospital lists Holiday benefits and recognized holidays with pay as New Years Day, Memorial Day, Good Friday, Independence ...

5. APN in Cath Lab

   taj09 replied to livingthedream's topic in NP

   I'm sorry if my answer disappoints you, however, I can't imagine why any lab would advertise for a APN. A higher level of nursing care in the lab itself is not necessary because the MD is present and all decisions are physician driven. The job requir...

6. Cardioversion Sedation goes Beyond Moderate-Help

   taj09 replied to taj09's topic in Safety

   To JoPACU RN, "Suggest you get studies to prove this as what you do is no longer standard of practice." So my question is what is the current standard of practice out there on elective cardioversions and whos standards are being followed?

7. Cardioversion Sedation goes Beyond Moderate-Help

   taj09 replied to taj09's topic in Safety

   Yes, I forgot to mention- we aren't a teaching facility and don't have the luxury of anesthesia standby. I just want input on the Boards Position Statement and the response from Risk Management.

8. Cardioversion Sedation goes Beyond Moderate-Help

   taj09 posted a topic in Safety

   I need some sound advise from experienced nurses regarding IV Conscious Sedation in the setting of elective cardioversion. In our Texas cath lab we perform these with the cardiologist at the bedside. We are administering the med-usually midazolam and...

9. After 15 years - I may be one more nurse to add to the shortage

   taj09 replied to BrokenRNheart's topic in General Nursing

   h-e-l-l-o, h-e-l-l-o-, isn't anybody out there listening???? We need change, quickly or there won't be any of us left...........................

10. How does your unit handle low census?

    taj09 replied to daisybaby's topic in General Nursing

    I've heard that (in Texas) nurses working in hospitals are held under a different standard of Wage and Hour Law Rules. Can anyone out there please explain this to me? We also go home, mandatorily on call and have to use our personal leave (vacation t...