SHALIMAR

Hello fellow readers: I would like input on the number of sick day occurances that are allowed at your facility, our facility only allows 6 occurances and you get written up for going over, each additional occurance takes you closer to being fired. Also, does your facility compensate you for each level of certification achieved, ACLS, TNCC, ENPC? My understanding is the facility receives high insurance compensation if the nursing staff is certified. If this is so then shouldn't the nurse who acquired the education be compensated as well. Are these Union issues? I would appreciate your comments

I would appreciate advice on NGT placement. On a previous shift I placed and NGT tube without difficulty, varified by asculation at the epigastrum and had clear gastric return. The ER doc then requested lavage for blood, which I did, lavaging 250 ml NS and suctioning same amount, no blood. Later the Pt went to CT and it was revealed that the NGT was in the proximal esophagus. How could I have better varified placement?