snuggles49 3,965 Views
Joined: May 2, '08;
Posts: 83 (23% Liked)
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Or maybe she's sleeping with him i mean come on letting a DR take cuts she has to be doing something with him other then being polite. I mean who's polite these days and look how mad she got you for being polite so lets get nasty thoughts on why she did it. I mean heck standing in line for what a whole 3 to 4 minute's longer. Yeah i would be mad as well who does she think she is. I would find that teacher and tell her the next time she wants to give her lover cuts do it on her own freaking time.
My point is if your really going to rant about something choose your battles wiser. Standing in line didn't hurt that much and her being polite just because he was a DR doesn't mean anything. I have let flight crews go a head of me not because they are better or stronger or have a more important job then me.
It's Because We Are On The Same Freaking Team and being polite just makes our job and the world go around a little better and they might return the favor back to you. Did your food get cold? Where you late getting back to the floor? If i was to rant about something it wouldn't be about some DR getting cut's Now don't you agree? These are my thoughts use them as you wish.. Choose your battles you'll go further
Question - have nurses always been as negative as they are on these boards? Is nursing in "real life" as negative as these boards are? I'm a student and looking for honest answers, not trying to offend anyone.
I think that in nursing, as with everything else in life, you can be as negative as you choose to be.
But, "real life" nursing is not for the faint of heart. It is such a tough, demanding field, not only physically but mentally as well. Because of this, it is very easy to get burned out, and therefore develop a negative attitude.
Things continue to get harder for nurses. Patients in facilities are much sicker than they used to be. Nurse to patient ratios keep getting worse. Nurses are given more responsibilities and tons more paperwork to complete. On top of all of this, patients and their families are getting very demanding in terms of their expectations. Meaning, they expect their hospital stay to be similar to a hotel stay. And they know that those infamous "surveys" mean the world to the higher-ups. To top it off, management often frowns upon nurses staying late to finish up whatever needs to be done. Yet the oncoming shift frowns upon anything being left for them to do.
In answer to your question, I think that nurses are probably more negative than they used to be. But things have changed drastically, and not for the better. Luckily, we have places like Allnurses to vent our frustrations nowadays. Imagine how much worse things would be otherwise?
Nursing is still an extremely rewarding career, regardless. If it weren't, we'd all be nuts to continue with it... LOL
I don't think nurses in general are negative, I do think that some of what is posted can be though. This is a great avenue for advice, comments or just a safe way to rant ( which we all need to do sometimes). Do I think there are some aspects of nursing that are negative, sure but for the most part it is a career I love....just like anything else, you have to take the good with the bad. Good luck in school.
Hi, I need some advice for a friend of mine. She has just found out from a nurse recruiter that her last two managers marked her as "ineligible for rehire". In both cases, she did not expect this at all.
The recruiter (of the same large hospital) indicated that this applied only to these managers' respective units and did not preclude her from consideration for other positions in the hospital; however, she hasn't been able to even get an interview.
My question: Can potential employers ask whether someone is eligible for rehire (I think, yes, but I'm not sure). Also, this being the case, have any of you been in this position and been able to get your former managers to change this status? If so, how?
Thank you very much for any advice or insight.
One of the problems with nursing is that most nurses have no formal training in management, supervision, or how to combine them to be a good leader. Therefore, their reasoning processes involve a lot of trial and error learning, often contamination by friendship and cliques.
I would check out facilities policy first, however, a temporary hemodialysis cath. (femoral,IJ, or Subclavien) should be able to be pulled by an RN. The procedure is the same as for any other central line: HOB down, have patient take breath in and hold it and then pull line, apply pressure until hemostasis achieved. FYI: Rarely have I ever seen a temporary in the Subclavien....a tunneled dialysis permcath (with actually tunnels to the IJ usually) does exit the body where a typical subclavien placed cvc is customarilly seen, so use extra caution in such situations. A permcath must be removed by an MD.
Hospital setting... ok. I imagine each has its own policies.
I was thinking that only the MD/Surgeon was the one to remove these.... but don't hold me to it.
yes,i do agree,each institution/hospital settings have thier own policy,in the hospital where i do work,femoral temporary access can be remove by nurses but a jugular and subclavian removal is never a nursing job,doctors resposibility.
Suggest to refer to KDOQI guidelines.Kindly check www.kidney.org
Hope it will help.Thank you.
I work in a chronic clinic and we do remove temp dialysis caths. Procedure pretty much is same as hospital, placing head down, deep breaths, pressure to site. MD isnt present but only the RN can pull. I'm not real comfortable with the practice myself as no cardiac monitoring in place nor adequate emergency equipment short of cpr if needed. Fortunately we have never had an issue related to adverse complications. I'm old school openheart/ccu so chronic clinic practices amaze me sometimes in relation to patient safety. Chronics get way to tunnel visioned not seeing the entire picture most of time (jmo).
Never heard of HFAP before. Found their site on the net and it looks like JCAHO knock-off. They have info on their patient safety initiatives and problem areas like restraints, meds, physical environment, pt rights. Check out their site. That should give you more of what you are looking for. www.hfap.org and then you can show the org's pdf along with your revised compliance auditing tools.
[HTML]She appeared to want to so none of us fought her for it.[/HTML]
You said it best in this statment..... I think everyone is peeved because she was willing to take on the responsibilty temporarily and then realized that admin was not working on getting a replacment. So she gave them the ultimatum and won. If all the other managers had know that a raise or compensaion were on the table then there may have been a fight for the position....... You all let her take on the resposibilities when she was not getting compensated for them and no one had ill feelings, but then change your tune when you found out about the raise........ IMO I would not take on more responsibilites unless I was compensated for it.... but that is just me.
I do not agree that she is not held to the same standards as the other managers though in regards to the 24hour accountability that goes with the title. And also think It would be unfair it she recieved and additional increase in pay when the surveys are completed.
So ... let's see if I have this right ...
The ED manager volunteered to cover the management responsibilities for another unit (OB) while you and the other managers did not volunteer. You let her bear the extra burden herself because she seemed to want it and you did not.
After several months of taking on this extra responisibility herself with no extra compensation (and with little help from the other managers), she asked to be compensated for the extra work she was doing. The administrators said "yes" to her request for compensation for her extra work.
... and now you are all angry that she is getting compensated for having voluntarily taken on the extra responsibilities?
That's how it looks from the administration's point-of-view. They see that they had one manager who stepped up to the plate and piched in when needed while the rest of you did not. They decided to reward that person for her extra-effort. That's the way the world works.
I'm sorry that you missed an opportunity to show the administration that you could handle more responsibility and were willing to work extra to help out the institution when needed. You said that you thought the administration was trying to hire a manager: you were right: they were -- and the ED manager stepped up and said she wanted the job. The rest of you did not.
... and remember... Her workload is not just a reflection of the # of total employees. Having 2 departments will mean 2 budgets, 2 sets of physicians to work with, 2 clinical specialties, 2 sets of very different accreditation requirements, etc. It's harder to run 2 separate deparatements with different specialties than it is to run one larger department.
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