HomeBound

HomeBound

ED, ICU, Prehospital

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  1. Patient discharged with elevated troponin levels?

    Just another little tidbit...if you drew the trop with a tourniquet---especially if you left it on "too long"---this can raise the trop level artificially. Saw this happen a gazillion times. If you draw from a peripheral IV, using a band....it's just...
  2. The Nursing School to Welfare Pipeline

    And I respect your point of view. I also congratulate you on your passing of the NCLEX. You are now a new grad, inexperienced, barely foot in the door Nurse. I do think that perhaps...you may want to withhold judgement about other nurses that have a...
  3. The Nursing School to Welfare Pipeline

    PARN something you might want to understand. It's something that I learned a long time ago on any online forum. Qui bono. Who would benefit from consistently denying factual information and attempt to steer conversations or ridicule people instead of...
  4. The Nursing School to Welfare Pipeline

    ...because you went to work and just did your job. You weren't on every committee imaginable, providing yet more work for your fellow employees. You didn't volunteer your own time to come in and rearrange bedside carts or finally organize that crapho...
  5. The Nursing School to Welfare Pipeline

    All someone has to do is win a lawsuit against a facility based on the fact that the toenails of a patient were not clipped and said patient scratched himself, and since the toilet bowl was not scrubbed twice that day the splashed water from the bowl...
  6. Virtual/Hallway patient

    Ok. Look. This isn't about "ratio". Although--you're assuming that the ED has this rule. Most states and facilities do not require this, and in the case of MA...the nurses actually hamstrung themselves. So much for looking out for fellow RNs. I digr...
  7. The Nursing School to Welfare Pipeline

    I never said that the VA is a racket. Be precise. I said NURSING is a racket. I loved working at the VA. I would have preferred as NOT a nurse. The VA is an entity---it's not just a collection of nurses. It's a concept and it works. The way that th...
  8. The Nursing School to Welfare Pipeline

    ? Aaaaaaaand.....if I actually revealed that here.....it's a target on my back, because I already say far too much about things that could pinpoint who I am and where I work. Suffice it to say....my original training was a 2 year degree. No require...
  9. The Future of Nursing Retention

    ALL. OF. THIS. ^^^^^ It's the unrealistic expectations and the ridiculous liability. I have to carry professional liability insurance? WHY? And there are no hard metrics in floor nursing. None. Not like in UR/UM or even other technical jobs in the ho...
  10. New Graduate, Only one interview, Should I Be Picky

    Yes.
  11. The Future of Nursing Retention

    "The RetuRN nurse does not have to twelve-hour shifts or work the weekends, some of the deterrents that kept them away. They can self-schedule in order to fit the job to their life schedule, creating a balanced work to life ratio." This is the proble...
  12. The Nursing School to Welfare Pipeline

    Of course it is. This isn't about patient care or skill. This is all about power. And money. It's why my eyes glazed over and I went on "autopilot" every time I had to write a paper kissing the arse of the nursing profession---great papers...full of ...
  13. The Nursing School to Welfare Pipeline

    Aaaaaaaand there's the proof that this isn't about skill, education, patient care or any of the "BSN" nonsense that's being peddled. Keep on keepin' on Sarola---if the facilities, schools, and administrators are continually permitted to use the cloak...
  14. The Nursing School to Welfare Pipeline

    THIS. When I placed all of my previous medical experience on my resume---the big name I worked for and all of the highly skilled and certified titles I held on my resume---right behind my return to school for nursing and my Level 1 ER years? CRICKETS...
  15. The Nursing School to Welfare Pipeline

    THIS is where the idea that "BSN nurses are better trained" came from... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3077115/ And, of course, co-opted upper nursing administration --you think they're above being in collusion with schools, employers ...
  16. The Nursing School to Welfare Pipeline

    I am going to have to chime in and agree with JenPripsu in some aspects---but I will disagree in others. If he/she had a job prior to graduation--that is not only possible, but it happens every day in some of the ADN programs in the south. Before any...
  17. Moving California. Insight on pay scale etc?

    What do facts have to do with hatred? The only hatred I see is a few backhanded comments about "libruls" and "imports" (read: immigrants?) I stated facts. You are being emotional. Three whole states? I lived in PA, OH, NY, MA, RI, VA, NC, HI, CA, O...
  18. Moving California. Insight on pay scale etc?

    And you are here....why? Please feel free to rebut with evidence ANY of the facts presented. Factual evidence...not opinions that come from one experience when you were 12 and had such a great time at the beach. It's amazing to me that this is a foru...
  19. Moving California. Insight on pay scale etc?

    And this advice is perfect for OP. He/she should take a good look at the grass underfoot in NC and figure out just what it is that's making this move seem tempting. I liked certain aspects of Ca, I really did. But the negatives were and are just so ...
  20. Tentative offer

    YAY!!!!!!!!!!!!! I am crossing my fingers for you!! If you get in---you will wonder why you ever worked anywhere else. The peace and serenity of never being afraid of getting canned over using too many glucostrips or because you're too old---is pric...
  21. Moving California. Insight on pay scale etc?

    Thank you for the clarification, Hppy. All I was trying to do was give this person a realistic idea of what awaits in California for the uninformed and unprepared. Which was me. I had lived there on a travel job in '06--in Monterey of all places---my...
  22. Moving California. Insight on pay scale etc?

    I love ya Hppy---but staying in a situation for the weather is....not a priority for most families these days. Just sayin. You didn't mention the wildfires or the quality of the air--the cost of the water and the lack thereof. You don't mention the ...
  23. Moving California. Insight on pay scale etc?

    Before you do anything, have a job before you go. It's the most saturated market in the US besides the PNW and Boston/NYC areas. The reason is that the shops are unionized and the pay is high. California is very expensive. The high paying jobs are th...
  24. Sent STUPID email "joke": what now?

    Sorry this happened. It's cringe worthy--I know. I did have a colleague or two from a major Level 1 send out "jokes" about then-president-elect-Barack Obama via hospital email. I received them, I didn't send them. Think all of the stereotypical and o...
  25. And The Reason Nurses Don't Get Fired

    2 yrs of experience Nurse made Charge of ginormous Level 1 trauma unit, would sit at Charge desk and paint her nails while taking report from EMS crews that were literally lined up out the door. She couldn't use her pen because her nails were wet. Al...