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CVOR/General Surgery
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morelostthanfound specializes in CVOR/General Surgery.

morelostthanfound's Latest Activity

  1. morelostthanfound

    Weekend Call rant

    Thank you for the response. What you describe is actually the staffing model that I have seen used at other hospitals. The problem at my current hospital however, is that weekends aren't routinely staffed and 'on call' staff are called in repeatedly for minor cases. Also, being unit charge while answering nonstop calls, coordinating multiple added surgeries and calling in additional OR and PACU staff, COVID donner/doffers, runners...at the same time as circulating in a room approaches the impossible and compromises patient care and safety.
  2. morelostthanfound

    Weekend Call rant

    I just wanted to fume a bit about weekend call at my hospital as I am to the point that I am ready to look elsewhere. I feel that weekends and off hours should be reserved for true, emergency surgeries-I.e. 'life or limb' so as not to over-tax the call team(s). However, Saturdays and Sundays are routinely a constant stream of toe amputations, BKA/AKAs, I&Ds, laminectomies...... I get the appendiceal perforations, common bile duct obstructions, testicular torsions... but anymore, weekends are just another working day without the resources. Also, when working on call, the expectation is that nurses carry and answer the charge phone. This creates a serious compromise in patient care with numerous, numerous interruptions while circulating -many calls from the outside with no secretary or anyone to screen. Not answering the calls is not an option either because often a surgeon will be wanting to schedule a surgery and will be plenty angry after trying 3-4 times unsuccessfully to get through. Thoughts??
  3. morelostthanfound

    What are they teaching?

    I have been an RN for almost 30 years and worked in numerous states and practice settings. I, and I'm sure many other bedside nurses, have never been aided in their job duties by their knowledge of APA or their research literacy. Sorry, this is real world bedside nursing (not academia), where there is barely enough time to finish assigned care, let alone perform a deep dive literary search on a practice issue. The academics have done a true disservice by not properly preparing graduate nurses for the rigors and true demands of the job.
  4. morelostthanfound

    What are they teaching?

    This^^^ APA-a complete waste of time for most bedside nurses not wishing to pursue further education. If only the time spent learning this nonsense was instead devoted to subjects that would actually enhance existing clinical knowledge/skills-ie: advanced pharmacology, higher level anatomy and physiology, healthcare delivery systems......
  5. morelostthanfound

    What are they teaching?

    In bedside nursing (in which the majority of graduate and resident nurses will initially work) NO ONE cares about formal care plans or APA citations. Care plans, and all of the other needless, redundant documentation, don't inform nursing care and are nothing more than a series of check boxes set up by the 'pencil pushers' to justify reimbursement. My contention is that these foci in nursing programs come at the expense of teaching students additional truly needed additional knowledge and clinical skills.
  6. morelostthanfound

    What are they teaching?

    I've maintained this same sentiment for a long, long time and strongly feel that academia is completely out of step with nursing practice and set many graduates up for failure. In acute care settings (and I've worked in many), no one cares one iota-notta, none, nil, about a nurse's ability to write a NANDA approved diagnosis or cite references correctly. I have a Diploma of Professional Nursing and a BSN from a highly reputable university and found the curriculum a complete fluff that has been of zero benefit to me in my clinical practice.
  7. morelostthanfound

    Quality of life and part-time

    I know this has probably been discussed before, but has anyone gone from full-time to part-time and then picked up a side gig at another facility. I'm strongly considering this very option and haven't even ruled out taking a lower paying non-nursing job-something like one day a week. I'm reaching maximum burn out and think this may be a viable option. Please give me your thoughts
  8. morelostthanfound

    malpractice insurance IL

    I spent many, many years working as an RN in Illinois hospitals and always carried professional liability insurance. Yes, not carrying personal malpractice is a common suggestion among Risk Management departments, but I personally wouldn't be without it. If a hospital had to chose between paying out a multimillion dollar lawsuit or insulating themselves by throwing a nurse(s) under the bus on a minor technicality, it wouldn't be a difficult decision for them.
  9. morelostthanfound

    Part-time scenario for burnout

    I have been an RN for almost 29 years and am experiencing extreme burnout. Even working 3-12s (and call), I just don't think I can continue on like this until retirement age. I have been thinking of maybe cutting back to 2-12s/week and either picking up another 8 or 12 every other week or so at this facility or perhaps at another hospital. Somehow, (maybe it's just perception) this flexible schedule seems much more palatable than my current grind and I wouldn't be 'locked in' to the third day. Any thoughts, ideas would be most welcome
  10. morelostthanfound

    Semi-retirement plan & questions

    I have been an RN, BSN (General Surgery/CVOR) for almost 29 years and am now looking toward the future and possibly, semi-retirement. I traveled as an RN in '17 and 18', then settled back into a perm job but am thinking of traveling again. My questions are: If I were to do say, two 13-week assignments a year with three (or six) months in between, would the gap time (time away from clinical specialty and hospitals) be an impediment in securing my next contract? More specifically, would a potential employer look unfavorably at this? Also, is it possible to stretch out COBRA medical coverage for 90 days post-contract and then only retroactively pay if services were needed? I haven't yet seen any type of independent medical plan that is even remotely affordable for a married couple so I'm trying to 'think outside of the box'. Have a good day everyone and thanks for any advice/suggestions

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