Guest 1152923

This is me! My parents were career nurses and my father worked at the same hospital 44 years. I just can't imagine and if this were me, I would have fallen on my sword a long time ago! Some people like myself are just inherently restless or unsett...

If it was a post surgical heart or lung patient, it could have resulted in a pneumo/hemothorax or mediastinum by not allowing a negative pressure in the thorax or the re-expansion of the lungs. If this were the case, the patient would likely have al...

That's certainly a lot to unpack and though I'm not in a leadership position and can't relate on every level, I can offer some common sense answers. First of all, it's good that you've got some insight into the situation because acknowledgement of a...

Haha, Davy, you're cracking me up again!

Yes, with the exception of anesthesia, no other areas of nursing really appeal to me. In my opinion, for a masters prepared nurse, the money isn't there and doesn't favor a clear benefit over cost for me anyway. I would choose engineering as an alt...

No shame here Hoosier_RN. After nursing for 30 years, this is where I'm at and I would be elated if tomorrow, I didn't have to 'nurse' any more. Keep my pay the same (or a little less perhaps) and I will gladly put in my AirPods and go about emptyi...

Gobbledygook; language that is meaningless; ie gibberish, jibber-jabber I'm a person that prefers plain speak. Health care, probably like many other industries, is absolutely rife with it (gobbledygook) and it only seems to serve as a distractio...

Davey, now that's funny! Shoot, if they keep my pay the same, I'll do Environmental Service all day long!

However, all hospitals are required to have a Joint Commission (or one of the 'Big Five') certification to receive Medicare and/or Medicaid reimbursement. In that light, their recommendations become critically important for the financial solvency of...

Sadly, yes it is. This is especially true of the Joint Commission. Their BS mission statement; "The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating healt...

If the hospital is faced with potentially paying out a multi-million dollar lawsuit or throwing you under the bus for a real or bogus technicality-ie breach of policy, their decision will be an easy one! Take Wuzzie's advice

$67/hr Seattle area (union hospital). 30 years as an RN

Davey, I’ve never heard that quote but absolutely love it!! Thank you for sharing

Sad! Just like cannon fodder soldiers, administrators turn a blind eye knowing there will be collateral damage (deaths and permanent disability) due to unsafe practices such as this. While a new nurse who, due to inexperience, may make a fatal erro...

The Joint Commission is indeed a scam and akin to the much coveted, prestigious (insert eye roll), JD Powers, "Best in ______ Class" award. Haha! Pretty much just pay the money, patronize the auditors and you'll be rewarded with the accreditation. ...

dareese, thank you for your thought-provoking article. While I agree with most of your ideas, I and many other nurses, take exception to the notion of a "nursing shortage". There is always attrition in any profession but as a career RN, I don't bel...

I've predicted for a long time that conditions for acute care nurses will continue to deteriorate until hospitals are almost entirely staffed with travel nurses. My experience is that we're almost at this tipping point. New nurses always hire on as...

My advice (I'm also a male nurse); be a gray rock. Show up when you're supposed to, do your job to the best of your ability, help others, and then go home. The more that you can be blend into the background and be middle of the road, the easier yo...

I'm used to no requirements for per diem (working as much or as little as one desires) or current hospital, which requires 3 shifts/5 week schedule but no obligation for holidays or weekends

Good question! Not sure, I'm not a cardiologist but would guess anticoagulation is dependent upon its relative size, morphology (bacterial vegetation vs emboli), mobility, and location.

The Eustachian Valve is a cardiac remnant of the fetal circulation located in the right atrium of the heart. It is usually a benign finding but may occasionally be associated with emboli, thrombi, tumors, vegetations, and may also make interventiona...

The latest CDC guideline further reducing the quarantine time for health care workers is illustrative of this. Personally, I'm very curious if this guideline was really in response to evolving science or political pressure from outside influences? ...

Unfortunately, I am just now reading this thread ^^^BRILLIANT!^^^

Somehow, I would be shocked if the country's biggest hospital system conglomerates, ie; HCA Healthcare, CommonSpirit Health, Universal Health Services...weren't behind this latest CDC guideline. This really is despicable and proves the point that if...

hhern, 'doodie' is perfectly acceptable if you just add in some descriptive adjectives and throw in a little defensive charting..."Pt. had a very large, well formed, odiferous, brown doodie. Dr Stool notified; no orders received at this time. Teach ...