steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Allowing more than RN on name badge?

    steelydanfan replied to MQ Edna's topic in General Nursing

    I think RN is sufficient for those who have an entrance level degree (be it ADN, DSN or BSN), but if someone takes the time and care to achieve a higher degree or national certification, why not alow...

  2. Male staff-Female Pt. - ECG

    steelydanfan replied to bill4745's topic in Emergency

    Even I as a female nurse feel the need to CAREFULLY explain where I am about to touch a female pt. when doing an EKG. I always say, "now I am going to push up on your breast to place the .." ..you get...

  3. ICU Charge Nurse with Assignment, What do you think??

    steelydanfan replied to MQ Edna's topic in General Nursing

    Our charge nurses are expected to work the desk, doing orders, telephones, etc. We don't have unit clerks or monitor techs. So, in order to be available to help and troubleshoot, plan staffing and...

  4. The Dreaded CCRN Exam

    steelydanfan posted a topic in CCU, Coronary, Cardiac

    Just took a refresher course for CCRN. I spent 24 hours with 20 people who all apparently work in much more acute hospitals than mine, They were all smiling and nodding when pancreatic...

  5. Bellevue ER, NYC

    steelydanfan replied to Dempather's topic in Emergency

    OMG, GRAB it if you have a chance of working there! Bellevue is located in one of the "dicier" parts of NYC; but I promise you, you will NOT regret training there! Bellevue is considered to be one of...

  6. med error?

    steelydanfan replied to RedZeppelinRN's topic in General Nursing

    The 3 checks also work for me. First, I take the MAR to the pyxis, and check each med and dose against the PYXIS report as I pull them. Discrepancies are investigated, and unfamiliar meds are looked...

  7. A few minutes meant difference between life-or-death...or something

    steelydanfan replied to Dinith88's topic in CCU, Coronary, Cardiac

    So, the pt. nods, and you agree that he probably did not know why he was nodding, but gets a consent for a trach ANYWAY. Isn't this fraudentlent consent? No matter the outcome (He could have died),...

  8. Professional Courtesy

    steelydanfan replied to nursetim's topic in General Nursing

    It all depends upon the hospital rules, and many of them have been dictated by the HIPPAA regulations. That being said, I have not worked or been a pt./family member in any PACU that does not allow...

  9. "I Come Into Work Sick! Why Can't You?"

    steelydanfan replied to Plagueis's topic in General Nursing

    Something everyone seems to have forgotten - We work with SICK people! We are at at least 5 times as likely to contract an illness as the general public due to our work environment. Some may say that...

  10. What punishment should this nurse get?

    steelydanfan replied to Daytonite's topic in General Nursing

    I would also like to know where her team members were for the 2 hours. An ICU is not that big that a nurse won't be missed. Everyone who works nights knows how hard it is around 4-5 am. This could...

  11. Useless Nursing Managers

    steelydanfan posted a topic in General Nursing

    I don't know about your hospitals, but our unit has not had a manager last more than 8 months. The PTB keep hiring substandard managers. Basically, our day charge RN has run the unit for more than 10...

  12. CAB Patient Observation

    steelydanfan replied to TennRN2004's topic in CCU, Coronary, Cardiac

    Consider the source. Most 18-35 year olds in this day and age have been coddled to think that they are still children. At 30 years old in this country, you have not yet fully "separated' from your...

  13. Who does your IABPs

    steelydanfan replied to TennRN2004's topic in CCU, Coronary, Cardiac

    2 threads going on here... #1. It is perfectly appropriate for the RN to make SIMPLE changes in the vent settings. ie FI02, rate, as long as she is familiar and checked out on the vent, and she...

  14. Why are emergency nurses not considered critical care nurses?

    steelydanfan replied to JessicRN's topic in Emergency

    Wow, Activism, some compliments, and some harsh statements. I do not agree that it is easy to be an ER nurse because there is a doc to back you up. Often times, an ER doc won't see a pt. for an hour...

  15. Brushing up on ICU skills.......

    steelydanfan replied to Misty1's topic in MICU, SICU

    Of course, they should give you at least 3 weeks of orientation. You will be amazed at how much you will remember. I would also suggest a CCRN prep course. They cover the basics, and if you have been...

  16. Can't do nightshift

    steelydanfan replied to Pitbullgirl's topic in General Nursing

    Night shift is a fact of nursing. Hospitals are open 24/7,and somebody has to work those nights and weekends. As a new grad, you are lowest in seniority, and you will have to do the least desirable...

  17. What was the MOST ridiculous thing a patient came to the ER for?

    steelydanfan replied to JUSTYSMOM's topic in Emergency

    These stories are really GOOD, but it reminds me of something. As nurses, having seen this kind of abuse, and knowing how crowded and busy ER's are; we may hesitate to seek care. I woke up one morning...

  18. Getting Paid $$ for End-of-Shift Overtime?

    steelydanfan replied to nyforlove's topic in General Nursing

    CatLady, I understand everything you have said. I have also seen the system give the doubt to some highly questionable people as well. Some of them have files as thick as my thigh, (And that's thick)!...

  19. Why are emergency nurses not considered critical care nurses?

    steelydanfan replied to JessicRN's topic in Emergency

    ER is defintly a critical speciality, in that they have to assess, diagnose and treat critically ill pts. Said and done. All you have to argue over is length and breadth of treatment. ER is typically...

  20. Drug Testing At Hospitals

    steelydanfan replied to crazylilkelly's topic in General Nursing

    Well, I don't use illegal drugs, don't drink to excess and don't even smoke on the job. I consider those 8 hours a smoke free blessing! I have beeen close to 3 incidents of a co-worker diverting/using...

  21. Getting Paid $$ for End-of-Shift Overtime?

    steelydanfan replied to nyforlove's topic in General Nursing

    OK, CatLady, thanks for the correction.

  22. Getting Paid $$ for End-of-Shift Overtime?

    steelydanfan replied to nyforlove's topic in General Nursing

    So, now it's all about us. Darn, nurse; if you had only spent 10 minutes an hour in a more organized timeframe, you would not have to be overtime. You would have been able to do better for that pt....

  23. New nurses in Med/Surg a must?

    steelydanfan replied to writrix's topic in General Nursing

    I think I did not read Betty's post clearly. When I say med-surg, I was referring to Tele as well. In my hospital, the units are interchangeable. So, yes, go to a tele

  24. New nurses in Med/Surg a must?

    steelydanfan replied to writrix's topic in General Nursing

    IMHO, I would tell any new grad that if she wants to do: L&D, Psych, OR, or anything other than ED or ICU, go for it right out of school, while the training you had was still fresh. IF you want to...

  25. Getting Paid $$ for End-of-Shift Overtime?

    steelydanfan replied to nyforlove's topic in General Nursing

    Timothy, YOU are the one who first brought politics into this discussion! You keep saying that this is not political, yet you are the only one who keeps raising it! Don't shy from your own words! No...