worked hard and long 2,064 Views
Joined: Apr 11, '11;
Posts: 39 (46% Liked)
; Likes: 51
Keep scope around neck, if lent out stay by their side. Have name engraved in it.
I thought a code response in an office was a call to 911.
Dear that guy My suggestion was that orders were reviewed and continued or canceled at the same time the doc and rn viewed order entry together. Kinda like you can talk and surf on I phone. Not that recording need to take place but the doc can view ALL orders BY other physicians and d/c with the doc electronic signature. WE ALL know docs grumble about the other docs orders but DO THEY EVER TALK TO EACH OTHER - NO they put us in between! i hope you empathize with your pt about every orifice since that is what you do!!!!!
Im confused! Is mickey a relative of this GREAT LADY then why doesnt he do the grunt work. Afterall she is a "GREAT LADY" he should be honored to do it. Was there a job description written out? was it agreed upon and signed by both parties! or were details sprung upon the health worker at the last minute and they were expected to do it because this great lady has a sense of entitlement.
I have seen Docs share pt info on their PDA's, Radiologists have images sent to their home when they are on call (so they dont have to come in) There has to be technology out their to benefit nurses. To the first reply I believe the problem arose out a "FRUGAL INSERVICE" which the docs BLEW OFF. And to the second reply why is abuse acceptable? If the role were reverse and the RN dissed the doc you know there would be hell to pay. If a radiologist can and does view images at home why cant the Doc use a dedicated computer where the Doc can view orders on computers at home or PDA while Rn/ PhD at hospital review orders together and Doc d/c or renew orders with his electronic signature OR texted orders entered via Doc while phone conversation takes place. This will probably not happen because nurses are worthless. A nation wide strike might show Docs how much RN,s really do.
Stethescope, penlight (docs always ask to use it), alcohol pads, 2x2gauze,2x2clear (IV trouble shooting) tape, laminated cheat card with frequently used phone no of other departments, scissors, forceps, 1-2 saline flushes kept sterile. Multipurpose pen- red & black ink and pencil (my purpose only). plastic tape measure (cleaned after every use) One hospital did not have keys attached to O2 tank after an emergency needing one i carried one in pocket. laminated cheat sheet for 500/1000cc fluid per hour as well as piggyback volumes for things like gent dilantin etc. In My clipboard which is 1-2 inches deep I keep info about drugs freq used, little gems handed out from drug companies like reference card for proper placement of EKG and other useful guides the hospital provided during orientation. On top of clip board was computerized pt info with cover paper for pt privacy. Yes pockets may be a little full but my feet thanked me at the end of my shift.
Blakemore tube is a multiport type NGT to place pressure on KNOWN actively bleeding esophogeal varices. A simple NGT that can come in various sizes is used to decompress the stomach with LOW intermitant suction to evacuate and evaluate stomach contents. The bleed may be in one of the three areas of the stomach. Is it better that the patient vomit creating increase intrathoracic pressure repeatedly possibly creating more bleeding.
Adjectives are everything! This person who says pillipino nurses are more compassionate and caring just MAYBE they are more subserviant! They will probably never question a doctor or supervisors. Where does that leave the patient when a exhausted doc misspeaks or miswrites an order. I have worked with a range of phillipino staff some who worked as a Dr could not pass boards here and work as an RN. They are abusive, lazy and grandiose with other staff, However when supervisors and DRs are around it is a 180 turn around. I have heard them lye to pts and other staff without remorse. They are not team players. This all started with NAFTA which not only allowed for free trade but which addressed certain professions as well. ANA and INA did not care then they will not care now.
IF THESE HOSPITALS HAVE SO MUCH MONEY TO LOBBY FOR FOREIGN NURSES WHY CANT THEY PAY A DECENT WAGE AND BENEFITS!!! It is all about POWER and MONEY.
Looks like your admissions unit needs better leadership, and reorganization. Pts should never go to admitting unit then to ICU. How then does a person meet the criteria for an ICU bed. 1 -2 nurses from the admitting unit should be free to go from unit to unit helping those admissions who SHOULD NOT go to the admitting unit. IE ICU/CCU or pt needing traction on ortho floors who should not be moved unecessarily. staff should go to the ED to start paperwork. When not admiting pts those nurses can help floor nurses with IV starts and drsg changes. Everybody is happy, OT cost are lower, staff goes home to family.
In the mid 1990's a physician made a derogatory comment about a frequent flyer pt. I suggested he have a nurse in his office just for the purpose of educating his pt's. He laughed at me.
This is why I have always recommended a new grad start on a medical or surgical floor rather than ER or critical care.
As "charge nurse" for an extra dollar an hour we still carried a 2 pt load in the ICU/CCU. Our house supervisor had 1 year of a regular pediatrics floor background (not nicu or picu) then went into various supervisory positions. My gut told me she did not understand a thing I gave to her in report. But I would give her the benefit of the doubt. Sure enough I quickly found out she did not understand even the drips we were running or anything about the diagnosis's we cared for. As charge I took the 3 pts one night because one was to transfer, (walkie talkie) we had several very unstable pts that night. She -the pt, was helped up to transfer and coded. Part of the charge duty was to make sure pts properly assigned for staff skill level, help in learning opportunities. As well as giving verbal report no less than five times during the course of my 8 hour shift. House physician included.
P.S. We all learned quickly how to use the house supervisor to our advantage.
It looks like the old 4 food groups (taught when I was in grade school along with the dinosaurs) with a slight twist. Just like fashions they are always reinvented a generation or two later.
Is this a nursing homework or nursing boards question??? Isn't school out? If you are currently working in a unit they have titration sheets to use. No time for math class when a patient is crashing!!
NURSING IS THE MOST DIVERSE JOB around even within a hospital building itself. In the OB ward you get to usher in new life. Gerentology you get to comfort old life. In ER you get to save a life. Oncology makes you contemplate life. If Pathophys and A & P are strong areas that is what is really needed for any critical care unit. Get some experience on the floor then transfer to a critical care unit where thinking on your feet is needed.CCU/ICU nurses garner more respect from docs than any other unit. Independent thinking is a must. If you like it stay if not that can be a steppingstone to other jobs. Specialty bed companies Like Hillrom have nurses travel to hospitals to inservice their product. Pacemaker companies need nurses to check or "interrogate" pacemaker defibrillators when their is a defib episode or perceived malfunction. Trips to hospitals and Docs offices are the most common visit site. Siemans, Hewlitt Packard needs people to inservice staff in a facility that has just purchased their equipment. As do other manufacturers. American heart Association employes nurses. Insurance companies employ nurse to travel and audit charts. The ultimate might be a nurse on a cruise ship. They are mini floating cities with their own unique problems. Since many employes are of foreign nations you might get to see some diseases nurses in american hospitals do not. Im sure they have well stocked and well equipt infirmaries ( if not please someone correct me). There is such a diversity of thing to be done but basic skills are needed then the rest is a journey of learning.
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