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ALISHAJO

ALISHAJO

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ALISHAJO's Latest Activity

  1. ALISHAJO

    fluid therapy with DKA?

  2. ALISHAJO

    Any Recent JACHO visits

    This sounds great!! Do you have info on where I can find out more about this to give the info to my manager?? Even a web site would be great......How long have you used it and do the nurses like it? Do you feel the charting more complete or less? How does it stand up in a court case? Is it hard to orientate your nurses to it? Let me know!!!! This is great!!!!!I really appreciate it!!!!:)
  3. ALISHAJO

    Need advice about an MD harrassing staff..

    EMaas, I understand even if Wildtime didn't !!! I think that there is some of this going on at almost all facilities, from either sex. When working with him, STAY PROFESSIONAL IN ATTITUDE AND WITH YOUR WORK!! When he starts in again ( which he will!!), start with "This conversation/action is inappropriate and I do not feel comfortable with it." and go back to gathering what information that you needed in the first place. You need to stay calm, cool, collected and IN CHARGE OF THE SITUATION. DO NOT BE INTIMIDATED!! If he continues again, I would repeat the above statement and inform him that you will be notifying whomever is in the chain of command (name the whole list if need be) and your lawyer (pick anyone from a phone directory ) verbally and in writing if this continues. Do not get angry, stay calm!! If he will not let it go, then immediately go to your chain of command or call and demand that he/she come to your department STAT and be persistent!! It should have been brought up at a staff meeting at some point anyway (not naming him specificly but about attitudes and sexual harrassment in the workplace). Personally I tend to be cool and very professional around people like this that make me feel uncomfortable. I am being paid to do a job, not be harrassed. BE ASSERTIVE GIRL!!!!
  4. ALISHAJO

    latex allergies in ambulatory care

    SPEAKING AS A RN WHO HAS LATEX ALLERGIES, ALL I CAN SAY IS SHAME ON YOU FOR YOUR STATEMENT ABOUT THE COST!!! ALSO WHAT ABOUT YOUR PATIENTS......HATE TO TELL YOU BUT LATEX ALLERGIES ARE BECOMING VERY FREQUENT AND LIFE THREATENING!!!! I HAD TO BATTLE WITH MY HOSPITAL OVER THIS SEVERAL YEARS AGO...I WROTE UP INCIDENT REPORT AFTER INCIDENT REPORT WHICH THE DIRECTOR OD NURSING HID FROM THE QA PEOPLE.....I NOW HAVE ASTHMA ATTACKS AND HIVES WITH ANY LATEX PRODUCTS, INCLUDING THE GLOVES THAT OTHER PEOPLE USE SINCE IT GETS INTO THE AIR WHEN THEY FLIP THEIR GLOVES AROUND. YOU HAVE TO OFFER AN ALTERNATIVE FOR YOUR PEOPLE...I BELIEVE THIS IS OSHA BASED. NOT TO MENTION THAT YOU COULD GET SUED.....JUST MY INPUT...I CAN ASSURE YOU THAT I LOOK OVER CLINICS AND AREAS THAT I AM IN CLOSELY NOW TO PREVENT A PROBLEM FROM HAPPENING!!!! IN MY OPINION LATEX WAS ONE OF THE WORST THINGS MADE!!!! ONE PRODUCT THAT WE DO USE IS NITRILE GLOVES OR NEOPRENE GLOVES WHICH DO WORK QUITE WELL.
  5. ALISHAJO

    Documenting

    How does your ERs document about cultural beliefs that influence health care?...in particular religious and/or spiritual beliefs? What type of questions do you ask? For most of our patients this is not a priority!!!! Anyone who can help me out..... ( Can you guess that these are JCAHO questions?) Thanks for any input.:)
  6. ALISHAJO

    Nurse Tracking Devices: Whats Your Opinion?

    "the unit clerks really appreciate being able to find you for a drs call or family looking for you. " .....I guess my question is how does this help the NURSE? If I am busy with a patient, then that patient becomes my priority!!! The phone idea for each of the staff actually sounds like an excellant idea and is one that we have talked about at our facility for sometime....That way when I need Resp stat or for the House Supervisor to get something for me from one of the other departments, there is no delay while we are waiting for the pager to send the message out or to even find out that the pager tower is down (that is always fun!!!!) "Also, if a pt c/o "havent seen any staff for hours" you have proof how often some one did go into the room. " I am impressed!!! You mean that your QA department actually believes you!!!! The comment that I got from ours was.." the patients say that the doctor and nurse can document anything that they want but that is not what he/she (patient) is being told. THEREFORE, THE PATIENT IS ALWAYS RIGHT! Sometimes your proof is not enough....In my first year of working as an RN on a Med/Surg floor on nights, the family of one of my dying patients complained to administration that I had not been in the room all night long to check on her. So I got wrote up for it. My question to them was how could I have been getting those hourly urine outputs then, since you have to go in and empty the urine bag every hour to obtain them. My arms don't reach all the way to the second bed from the hallway and my eyesight is not up there with Superman that I can see thru curtains and the bed and the patient. I did not feel that I needed to wake the family to obtain this. My Supervisor's suggestion: Kick the chair legs under the visitors chairs each time that I went in the room the next night. "It allows me to know ahead of time what my pt wants and to meet their needs quicker. " Can you explain how it does this?
  7. ALISHAJO

    Nurse Tracking Devices: Whats Your Opinion?

    ELECTRONIC MONITORING???? ISN'T THAT WHAT THEY DO FOR CRIMINALS THAT ARE HOME BOUND???? How caring of your institution to want to put you right up there with the prison population!!!! I would be asking if they will also be putting these devises on administration, physicians and board members so that troubled patients and concerned family members can find them quickly to tattle on the staff!!!! looks like to me that administration is not standing behind their nursing staff!!!!! just my view of things;)
  8. ALISHAJO

    Patient flow in the ER

    Sailnaway: It sounds like you have your work cut out for you. Organization has to start somewhere. Why not a unit meeting and present possible triage rules and agree together on what is the policy? Then post the triage rules in your triage areas. Not everything falls into clearly into these rules....I am a firm believer in intuition and that is why you need someone with experience to do the triage/teach others....I have worked in the ER at a small hospital for 17 of my 18 years. I love ER but hate the improvements that keep happening!!! I'm not talking about medical advancements.....I mean administrations ideas of advancement/cost savings or improvement... we average 20-25 patients per day plus outpatients. We have 1 RN per shift (12 hour shifts) and 1 MD. The Rn is responsible for all the ambulance calls, triaging, answering the phones( which we are the operator also after 11 pm), caring for the patients plus advise phone calls. Most days the phones ring endlessly!!!!! :mad: My family doen not understand why I hate the phone so much when I am at home. On night shift, we are responsible for registering patients and being the operator after 11 pm and security since the only unlocked door is the one that leads to the ER.....When we need help, we have to beep someone like the house supervisor or maintance.....Sorry so long but it is so frustrating!!! I work hard to give my patients the best care possible and when my needed help arrives, I have to end up doing their job too!!!! Even the Doc's can tell because they will by pass the person who is their to assist and give the orders or ask the question of the ER RN......You need to take a stand about getting things organized there or things will not improve...Why work harder when you can work smarted for everyone!!!! Good Luck!!:)
  9. ALISHAJO

    ems courses for nurses

    In Illinois they are called Field RNs and have to pass tests just like the EMT-P and you basicly work on the same level as the Paramedic- You are limited by your regions accepted policies and protocols which include what meds that you can give. The EMT-P have to keep up to date with CEUs/year which the Hospital RNs are not currently required to do with the state. We do not have any Field RNs in our area currently. Any Field RNs out there to give us your point of view?????
  10. ALISHAJO

    "Nursing homes" giving nurses a bad rap

    RE: Nursing Home Patients....I work in an ER and I can tell you that Nursing Home patients are some of my most complicated and time consuming patients. What should be and usually is a simple problem for most of the population is LIFE THREATENING to them. They have trouble communicating what type of symptoms they are having....maybe I should have stopped with the fact that some have trouble communicating!!!! While these patients can be my most frustrating at times, they are also the ones who are most likely to thank me, hug me, kiss my hand, pat me on the back or just be appreciative in general (something that can NOT be said of a lot of the rest of the population). Personally, they do tend to try my patience level to the limit and that is why I like working in the ER where I have limited contact. The Nursing Home environment is as clean as the staff has the ability/time and personeel to keep it clean which can be said for any unit in a hospital or in a doctor's office. I know that there are many times that there is a nasty smell and noises coming from the ER, especially at Gastroenteritis times, with GI Bleeds, Overdoses.....etc. I do appreciate that there are gifted nurses who enjoy working in the Nursing Home environment and strive to make it the best that they can for the patients and their families that wish to be involved.
  11. ALISHAJO

    Any Recent JACHO visits

    WE ARE ALSO WORKING ON OUR JACHO SURVEY AND ONE OF THE QUESTIONS WAS RELATED TO HOW DO WE ASSESS FOR CULTURAL AND RELIGOUS PERSPECTIVES? NOW BASICLY WE ARE A SMALL COMMUNITY HOSPITAL THAT HAS VERY SMALL PERCENTAGE OF OUR ER POPULATION THAT IS NOT WHITE OR BLACK. NOT SURE HOW TO DOCUMENT THIS. THE OTHER QUESTION THAT CAME FROM ANOTHER SURVEY WAS ABOUT A "T FORM SYSTEM". WE HAVE NO IDEA WHAT THIS IS BY THIS NAME. CAN ANYONE GIVE US A HINT OR HELP WITH EITHER OF THESE ? WOULD REALLY APPRECIATE IT! THANKS!!! :)
  12. ALISHAJO

    which stethoscope is best

    I use a stethoscope from Prestige- sorry no model numbers on it. I got my first one by accident, picked it at a uniform shop and wouldn't go back to any other!!! Cost is ~ $25.00. The bell portion is a little heavier than most stethoscopes but not bad. It really helps out in a loud ER ( where I work) or the back of an ambulance!! It can be hard to keep track of, since our ER DR's like to run off with it....I'm currently on my third one. Good Luck...I'll be watching for any other advise- always willing to try a new product!!
  13. ALISHAJO

    which stethoscope is best

    I use a stethoscope from Prestige- sorry no model numbers on it. I got my first one by accident, picked it at a uniform shop and wouldn't go back to any other!!! Cost is ~ $25.00. The bell portion is a little heavier than most stethoscopes but not bad. It really helps out in a loud ER ( where I work) or the back of an ambulance!! It can be hard to keep track of, since our ER DR's like to run off with it....I'm currently on my third one. Good Luck...I'll be watching for any other advise- always willing to try a new product!!
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