SleepynurseRN 1,907 Views
Joined: Feb 26, '11;
Posts: 36 (58% Liked)
; Likes: 74
I don't know about you guys but we can never find all of the glucometers when it's time for controls check.
If families knew what we know about where hospital pillows are placed and the grossness that saturates those things families would NEVER ask for one of our pillows.
Well I remember 12 hour shifts where I used to live in the south: Work three 12's off 6 days back for 3 shifts. That was the sweetest!
Now in government, we work 6 12's and one 8 hour shifts. ( full time is 80 hours instead of 72) Usually I have at least 3 days off in between shifts but sometimes we get screwed.
Maybe you should try asking in the APN forum where the NP's post. Good Luck
Our pay scale is posted on the unit and the union office has a copy too. I actually received a copy when I interviewed.
Veins are generally 2-3 millimeters below the surface, arteries more in the 3-6mm range, cath length makes no diifference.
What disturbs me is that, no, nurses are not taught how to perform venipuncture or art access, overall. Repeatedly this is referred to as a "lower level" skill, learned OJT.
At this point, the "proof-test" is to put a towel nearby, and disconnect the hub. Venous will ooze, art will spurt.
Ooops..I meant catheter length, not guage size. My bad. Thanks for pointing that out.
If you work nights it's gonna be harder to lose the weight but you can do it. Here are a few things that have helped me shed a little weight.
1) Do not ever go to bed after eating a meal. I try and eat an apple or almonds/cranberries on the way home from work, shower and get in the bed.
2) You have to make time to excercise. I struggle with this all the time. I can say I did really good when I was training for a marathon: It forced me to run/jog/walk every off day. You know the whole have a goal thing. Im currently training again.
3) Really watch what you eat. The older I get, the harder it becomes for me to lose weight. I really have to monitor what I put in my mouth and at what time.
4) No pop/soda, excessive juices. Drink lots of water( flavor with limes, splash of cranberry juice for flavor, etc Also, watch the amount of creamer you put in coffee.
Esme said it..I think we should start a weght loss forum. That way we can support each other! Good luck though.
Now.. this is "not hysteria"? But extending the visa period will increase the number of foreign nurses here annually because "once they are here they immediately begin the process for citizenship... or marry a natural citizen". Are you f'ing kidding me? Seriously to god.
1. Please educate yourself about the citizenship application process.. one needs to be present in the US and working for FIVE YEARS if applying for citizenship based on employment-related visa. Three years if based on marriage. In no case is it possible to "immediately begin the process for citizenship".
2. Do you really think foreign nurses are just itching to "marry a natural citizen"? Can I assure you that after being here for 4 years and dating several "natural citizens", you couldn't pay me to marry one of em.
The citizenship process I stated came directly from a non US born RN I work with. So I agree, maybe I shouldn't have taken her words or experience for expert. Maybe I shouldn't have taken the other nurses I work with who are non US born RN's experiences into consideration either. Sorry if I misquoted the official INS guidleines for citizenship.
My original post was to shine light on a bill that made it to the Senate which we should pay attention to. Im not saying that anyone should be kicked out the country nor do I share the opinions of some very nasty posts I have read here. I believe pockets are being lined( from what I've read..my opinion) and that facilities should hire US born nurses to fill job vacancies. There are several nursing schools here these hospitals could support and hundreds of students willing to work...most anywhere in order to feed their families and pay bills.
Have the ton of new grads applied to St Bernards and not received a response? If so, have the new grads notified their state representative in writing (either by letters or a petition) of their oppostion to hiring foreign nurses when domestic nurses are available?
I can't speak to the actions of the new grads that have applied for and not received a response. I can speak to the 10 newly minted nurses I've met personally or professionally who have applied there and were told that they were only hiring per diem RN's at the moment.
I have only heard of 2 bedside med given arterially epi. ( Never done it..just heard about it as an offhand conversation) and normal saline. ALL meds are to be infused intravenously. Infusing medicine into an artery sends the medicine the OPPOSITE way.. into smaller arterial pathways and capillary beds where the agent becomes trapped and impedes circulation. Those trapped agents begin to block arterial circulation to the area resulting in impaired arterial flow, cyanosis, necrosis, and eventually (if not noticed in time) tissue death.
Arterial line placement typically requires a longer catheter gauge because they are located next to muscular tissue. Radial arteries are the more superficial; the further up the arm they travel, the deeper they become. Veins are more superficial requiring shorter guages. Also, arterial inserts are more painful. Did he complain of a lot of pain intra/post line insertion?
Chances are you accessed a really great venous site that hadn't been poked a lot. But because I know how you feel, you really should just call and talk to the nurse taking care of him so you can sleep.
"I'm not against it for the long-term. Look, in 10-20 years, we will have a major nursing crisis. The numbers just do not add up. You can't work forever as cancer, dementia, physical limitations, etc etc will force you to stop working when you hit your 60s, 70s, 80s. The greatest generation is dying off and the baby boomers are coming"
In the short-term, yeah, it's not that appropriate for right now. Actually Im thinking we wont have a nursing crisis if:
1) The economy turns around, nurses retire/move on to other areas and younger RN's/ new grads and student nurses step in and fill those slots.
2) We properly train/educate our nurses here instead of relying on foreign assistance.
Once those things have occured and we still need help...then fine..enlist foreign nurses to help us out.
Most people go with NSO..that's what I have. Good Luck!
I live 20 minutes away from St. Benard in Chicago. It is community based hospital and a lot of nurses who work in the VA system here came from St. Benard or Loretto. It's not the prettiest place to work but most foreign nurses treat it as a stepping stone to the VA hospitals in the area. There are a ton of new grads here who cannot find work and who would accept a job here in a heartbeat. With the right talent in place( and support from administration) they could really turn things around there.
"Then you should support the bill. It reduces the number of nurses who can get visas to 300 per year (from 500) per year for three years. The hysteria over this bill might be the biggest tempest in a teapot ever on allnurses.
Further, let's be honest folks, the vast majority of that 300 are going to be employed by LTC and assisted living facilities."
I honestly don't believe it's hysteria. Im concerned for the thousands of nurses coming out of school who can't find a job. As it stands, the bill reduces the number of nurses who can immigrate here but extends the amount of time they can stay. Thereby increasing the number of foreign nurses that are here on an annual basis. How? Because once they are here they immediately begin the process for citizenship( which can take up to 2 years) or marry a natural citizen.
Im not against foreign nurses working here. However, I do believe we can do a better job of placing American nurses in these jobs or educating local citizens so that THEY can fill those jobs. Why not have the local facilities( rural hospital/LTC...whomever) sponsor a student through nursing school instead of hiring an agency to locate foreign nurses and sponsor them? Why not contribute those funds to the local nursing school instead?
Introducing HR 1929, currently sitting in the Subcommittee on Immigration Policy and Enforcement. This bill caps visas at 20,000 annually and allows the spouse/children of determined healthcare workers to travel to the US. It imposes fees of $1500 to be paid by sponsoring facility those fees which go to a federal grant issued to applicable nursing schools to support nursing education. Link below. http://thomas.loc.gov/cgi-bin/bdquer...9:@@@L&summ2=m&#
HR 1933, currently in the Senate to be voted upon, lowers the annual cap for H1C visas from 500 to 300 and permits a 3 year extension so the nurse can stay here and continue to work.
It seems that the number of foreign nurses granted entry is capped at 500 per year as of today. However, Congress has ended the entry of foreign physical therapists under the H1B visa because they have determined that we don't need anymore PT's in this country.
Sooo, do the numbers of student nurses who have failed to find jobs count for anything?
I smell more cronyism. It seems that the biggest benefactors are immigration law firms and sponsoring agencies that want toincrease their profits.
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