mawlvn

I, too believe you would benefit from the growth experience of working in an ICU or stepdown unit. In radiology you really do fall back on what you know. Both knowledge and experience. It is rewarding for those who like autonomy in their practice. Th...

Our MDs are becoming increasingly cautious of ordering IV contrast on pts with marginally elevated creatinine levels. We are guided more often by the GFR. This is presenting problems with the consequence of infusing 500 to 1000cc of IV NS in an outpa...

Press Ganey is and has always been a tool for management to use how they choose. If you have a management where positive scores are useful to their overall goal this can be gleaned from the report, the opposite is also true. In the whole a Press Gan...

I advised a new to the unit nurse not to hang an itravenous infusion she had never given before and had no information on. This med was ordered "stat" by an attending physician and he did not appreciate the delay. This medication was used in the rena...

House for entertainment. Trauma, life in ER.

I would suggest you call M D Anderson Hospital in houston. They have a very large DI nursing department. Perhaps their Nursing director or education department can be of help to you.

Our outpatient DI department also has pre printed script signed by the radiologist that can be filled at our pharmacy. Add ons are only given IV benadryl pre and post.

After working 23.7 years ( their calculation) , I recieved very similar treatment from management. In leaving I was no longer of importance. To their credit the HR personel were very curious and offered a meeting and/or an immiediate transfer to anot...

There seems to be a problem with tasers and psych patients. There have been many incidents of death. I wonder if the medications have a potentiating affect of ithe taser. It is an issue that should be investigated. Tasers on the surface, are a better...

I've worked cardiac tele for many years. It is tough. In my hospital the nurse-patient ratio is 6:1 day and night. Which is difficult. We actually perform as an imu. We get post cath, simple inteventions, drips,step down patients from the ccu and med...

I work in a hospital setting and as an LVN I do take TO. I think the issue is accountability. If you take the order ,you write the order. If this person was aware enough to ask you to do the documentation, they were aware of their limitations. This s...

I agree there is no need to disclose your medical history to your fellow students or co-workers. Present yourself as a competent professional and go from there.

We are using emar with computers on wheels. We scan the pt. armband before giving meds.

I agree Med-Surg give you a solid foundation in skills and time management. I have found in the hospital I work in, new graduates who start in the icus are limited. When the are burned out or just want a change they find themselves in a position of o...

Not only are the "Real nurses", I tip my hat to them. There are not enough of them. I am always in a murky area when we recieve a psych for after a procedure.

I always address patiants formally. Evan when instructed by them to be less formal, I genrally forget.

The wife of a 30 y/o cva patient that waited until I came in after he died to give me a hug and rosary. I still have the rosary.

That was a tough lesson to learn. We all can sympathize with her situation. Though accessing the patient for a decrease or worsening of pain could very well have served as an in to quickly do an accessment . What we do is not always textbook, sometim...

I think it is just the nature of our job to be concernede after we leave. If it has been a very busy day there is that feeling of leaving something undone. We have to make a habit of finishing a task as sonn as possible and feeling satisfied with tha...

Wow, I work in a large teaching facility in Houston. It is understood, gernerally that students of all sorts will be intergrated in our daily routine. We do sometimes are impatient but I don't believe rude. I wonder if the nurses you have come in con...

I work in a large teaching facilty. Ours is a 42 bed tele/imu/med-surg overflow. We have 6:1 patient ratio. We need that set of eyes just to be safe. All rooms are private and tele is in a central location. Juggleing post cath, po-op, post-intubation...

Thank you for that eloquent reply.

It is a real dilema. When you try to use the tools provided by your BON ; ie safe habor, you are ridiculed for opening up your institution to investigation. Some of your own coworkers encourage this. I see a trend toward unsafe practices being accept...