TheBeezy
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LOL. I think you misunderstood. I’ve been in healthcare a total of 17 years with the first 5 as an aide and the last 13 as an RN. ?
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LPN’s in our area MAX out at <$17 in the clinic. I’m unsure for in-hospital though. That’s less than I started as a new grad RN. I think it’s despicable! They should pay LPN’s significantly better, IMO.
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I would apologize for the perceived gruffness of your questions (if appropriate) and as PP said, forgive yourself. Everyone makes mistakes and everyone looses their cool from time to time. I always ask myself a few questions before I make a “negative” comment or even a perceived criticism. 1.) Is this my business? 2.) By voicing this am I part of the solution or part of the problem? 3.) Is this person capable of personal growth and introspection? 4.) Is it my role to point out their weaknesses? If after answering these questions I feel that I should voice my thoughts I always make sure I have one or more solutions ready to supply in addition to voicing the concern. Because without being prepared to solve the problem I find what I’m actually doing is just complaining. I hope this helps!
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I’m almost 37 and have been at the bedside for 17 years as an aide and 13 as an RN.
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I am just thinking over all the things I’ve heard over the years. And I believe it is because of the patients inability to remove the mask if they have an episode of emesis or obstruction of their airway to cough/clear their airway. BiPAP should be used for alert patients who are capable of following commands. If a patient cannot follow commands and/or protect their airway an ETT should be utilized instead of a BiPAP. Basically if you need restraints you probably don’t meet criteria for a BiPAP. As nurses, we should advocate for the least invasive measure possible, but a BiPAP and restrained patient=a patient who doesn’t need to be on a BiPAP but rather have an ETT and sedation. Again, this is my “guess” and conclusion based off things I’ve heard over the years. I vaguely remember being told no restraints with BiPAP and I apologize if this is incorrect.
