360joules

360joules specializes in ER.

Latest Activity

1. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   >That's because demands placed on staff haven't been given by anyone that walked the > same walk. That is because we have come to a point where anything ANYONE else doesn't want to do gets dropped on nursing. We are now charting peak flows on a...

2. New to county jail nursing

   360joules replied to goldbug21's topic in Correctional

   Pick up a Paramedic textbook. Seriously. Nursing in the county jail encompasses all walks of life (from serial killer awaiting trail to honest businessman on a DUI bust) "fresh off the streets" with nothing but their story and your basic objective o...

3. Accepted my 3rd shift job offer today!

   360joules replied to GoECU's topic in Correctional

   Be respectful to everyone, inmates and staff, at all times. Never say anything about anyone (inmates or staff) you wouldn't say directly to their face (at least while inside the wire.) Don't be afraid to write someone up (after proper verbal warning...

4. I got fired.

   360joules replied to Blackheartednurse's topic in General Nursing

   It seems to me that this "preceptor" decided she didn't like you for whatever reason, and combined with a weak (lazy too) manager, you got unfairly thrown under the bus. Before being fired you should have been verbally-counseled a few times about the...

5. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   don't forget to complete the appropriate "blue man" and mandatory "md notification after business hours" checklists. if you don't remember which ones to complete, there is another checklist that will help you figure it out... i think you can find ...

6. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   except the original comment was about "business casual" nurses, who in my experience don't work evenings or nights or [god forbid!] a weekend. one nurse, at the start of this thread, chastised me and explained she was on her lunch hour (vs. my 30 min...

7. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   The "hourly rounding" and "I have time" scripts are the handiwork of the Studer Group, a consulting firm who (using studies they [Quint Studer] paid for) sells hospital management on using their system to increase Press-Gainey scores. If this silli...

8. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   Ooooooh! Do I get a lollipop too? Lollipop = happy nurse!

9. You are part of the problem with healthcare today if...

   360joules replied to 360joules's topic in General Nursing

   prior to entering nursing, i worked as a paramedic. i rose to the level of director of operations of a regional office for a large ambulance service. part of my job description was i had to be a licensed paramedic with appropriate acls, pals, etc. to...

10. You are part of the problem with healthcare today if...

    360joules replied to 360joules's topic in General Nursing

    If the "leadership" at *my* facility was to be abducted by aliens, it could possibly go unnoticed for several weeks. The only time we see them is during mandatory meetings, or when we get scolded because "the Press-Gainey scores are down last month, ...

11. how can we fix healthcare if ppl keep abusing the system?

    360joules replied to johnnyDoGood's topic in General Nursing

    Unfortunately, as long as a simple office visit with an x-ray or a blood test can cost the equivilent of a month's wages for the uninsured [CASH UP FRONT PLEASE], or visiting a "public" facility requires a 2-3 month wait, people will use the ER as a ...

12. You are part of the problem with healthcare today if...

    360joules replied to 360joules's topic in General Nursing

    my apologies to the school nurse... the post refers to hospital-based healthcare, as that is my forte. public health, md office nurses, and the like can all disregard. the bottom line of the post is this: the ratio of "chiefs" to "indians" is way o...

13. You are part of the problem with healthcare today if...

    360joules replied to 360joules's topic in General Nursing

    i find it telling that everybody that has jumped on me about my satire automatically assumes i'm only talking about nurses or the nursing heirarchy. why does the hospital support an army of billing people, dutifully filling out forms, locked in morta...

14. You are part of the problem with healthcare today if...

    360joules replied to 360joules's topic in General Nursing

    God Bless You. Where do I send my resume? What kind of unit do you manage?

15. You are part of the problem with healthcare today if...

    360joules replied to 360joules's topic in General Nursing

    I dunno... The venomous reactions from you "business casual" folks (at 2:00pm on a Monday) suggests there may be a little more than a grain of truth to my satire, and it makes you uncomfortable. Maybe some of the other "education-phobic clinical nin...