Hi....back again! You know, there are many facets of either being a union supporter or not. My nursing school did not "teach" me to not support unions; nor am I the "good little girl" type portrayed in a couple of the recent posts. I'm willing to converse/debate the topic with anyone in my hospital; however, those that are vehement, aggressive or determined to "win" me over can simply give it a rest. Everyone is entitled to an opinion. (Democracy).
And, incidentally, some of us support ourselves and our child/children, with mortgages, car payments, and the like. Patients must be taken care of one way or the other; if I have certain feelings against striking, need to produce income, and can help out by being a resource to travellers, SO BE IT. Mutual respect and acceptance are key elements here.
Originally posted by Miss Mollie: ok, need a little help here: Pt is 62 yr old female post surgery in uncomp metabolic acidosis, extubated, 15 min later you hear stridor, then nothing upon auscultation of lungs. SaO2 is dropping, pt is agitated. What treatment is recommended? I have seen emergent trachs for this- recently I heard some Anesthesiologists talking about using sux and propofol etc... Now, I have this fun little case study and have no idea whats commonly done for a pt with severe laryngospasm. Can you help me out here?
Seems to me, that if a patient isn't moving any air, you need to establish an airway NOW. There are companies out there that make emergency cricothyrotomy kits, but in a hospital setting, why not just reintubate? If sux is to be utilized, then reintubation must be the reason for using it!
Yes, in our cardiac cath lab there is one cardiologist who will use Aramine, also in profound hypotension. Usually this in in a patient whose cardiac output is already compromised and we are further compromising the output by our procedures. I must say, the Aramine usually prevents a prolonged problem (which would usually require an intraaortic balloon pump insertion).
Well, what a question! Since I first oriented (in 1982), I think many changes have taken place.....unfortunately. I now work a specialty area, where a new nurse, whether fresh out of school or not, is indeed paired with an experienced RN for many days (if not weeks), to learn the routines. My best advice to you is: Speak up for yourself. If you're not ready to be on your own, SAY SO. If your preceptor is unwilling or unable to assist, go the the charge nurse, then to the manager, and to the director if necessary. If you are shortchanged in the orientation process, you are the one to flounder or be stressed out!
Personally, I am saddened that RN's have had to resort to unions and the union mentality. I am further saddenened by hospital administrations' actions to try to ward off unions; the lack of open communication, the hiring of independent firms to oust union presence, and the attempts to buy loyalty by providing free meals, buttons, etc. to RN's. I would and have crossed the picket line; I feel strongly about providing patient care in the environment I know best. Travelling nurses cannot possibly function as capably as the "natives". Crucial supplies being found, calling a code, just knowing a few basic phone numbers in a hospital all contribute to the quality of care. I also dislike union tactics....the same lack of communication except to the select few union representatives, the "meetings" done in restaurants with meals provided, the continual barrage of junk mail delivered to my home.
I see in-hospital relationships becoming tainted by union vs. non-union loyalties. Some of my fellow RN's and I endured taunts and gestures while trying to simply do our jobs. To be considered professionals and therefore obtain the benefits befitting professionals, I believe we need to ACT as professionals. Professional demeanor to me is not demonstrating on a sidewalk carrying a cardboard sign. I would far rather see organization of RN's within an institution, with the best and brightest meeting in earnest with administrators to discuss and resolve issues. Many would probably say I'm too idealist; I would rather be idealist than resigned; I would rather be idealist than a follower of the majority.
Hi....back again! You know, there are many facets of either being a union supporter or not. My nursing school did not "teach" me to not support unions; nor am I the "good little girl" type portrayed in a couple of the recent posts. I'm willing to converse/debate the topic with anyone in my hospital; however, those that are vehement, aggressive or determined to "win" me over can simply give it a rest. Everyone is entitled to an opinion. (Democracy).
And, incidentally, some of us support ourselves and our child/children, with mortgages, car payments, and the like. Patients must be taken care of one way or the other; if I have certain feelings against striking, need to produce income, and can help out by being a resource to travellers, SO BE IT. Mutual respect and acceptance are key elements here.
Yes, in our cardiac cath lab there is one cardiologist who will use Aramine, also in profound hypotension. Usually this in in a patient whose cardiac output is already compromised and we are further compromising the output by our procedures. I must say, the Aramine usually prevents a prolonged problem (which would usually require an intraaortic balloon pump insertion).
Well, what a question! Since I first oriented (in 1982), I think many changes have taken place.....unfortunately. I now work a specialty area, where a new nurse, whether fresh out of school or not, is indeed paired with an experienced RN for many days (if not weeks), to learn the routines. My best advice to you is: Speak up for yourself. If you're not ready to be on your own, SAY SO. If your preceptor is unwilling or unable to assist, go the the charge nurse, then to the manager, and to the director if necessary. If you are shortchanged in the orientation process, you are the one to flounder or be stressed out!
Good Luck.
Personally, I am saddened that RN's have had to resort to unions and the union mentality. I am further saddenened by hospital administrations' actions to try to ward off unions; the lack of open communication, the hiring of independent firms to oust union presence, and the attempts to buy loyalty by providing free meals, buttons, etc. to RN's. I would and have crossed the picket line; I feel strongly about providing patient care in the environment I know best. Travelling nurses cannot possibly function as capably as the "natives". Crucial supplies being found, calling a code, just knowing a few basic phone numbers in a hospital all contribute to the quality of care. I also dislike union tactics....the same lack of communication except to the select few union representatives, the "meetings" done in restaurants with meals provided, the continual barrage of junk mail delivered to my home.
I see in-hospital relationships becoming tainted by union vs. non-union loyalties. Some of my fellow RN's and I endured taunts and gestures while trying to simply do our jobs. To be considered professionals and therefore obtain the benefits befitting professionals, I believe we need to ACT as professionals. Professional demeanor to me is not demonstrating on a sidewalk carrying a cardboard sign. I would far rather see organization of RN's within an institution, with the best and brightest meeting in earnest with administrators to discuss and resolve issues. Many would probably say I'm too idealist; I would rather be idealist than resigned; I would rather be idealist than a follower of the majority.