steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Preceptor from hell- no more killing with kindness

    OK, calm down. This nurse did NOT want to be a preceptor, she was forced into the role, and your fabulous personality does not mean SQUAT to her. She TOLD you that when she said that "I know I am...
  2. Pyxis as the problem? You decide.

    Pyxis or Cerner or WHATEVER is such a joke as long as you have that drawer with a narcotics count sheet.. I can't take out a D5LR bag without a computer scan but I can be entrusted with MS ER or...
  3. One Year Later....

    Yes, I want you to be my
  4. Need your thoughts, experienced nurses....

    Typical day, you coped. Tell any oncoming nurse the
  5. There is a REAL problem in nursing these days. To whit, most hospitals want thier new grads to be up and running, and most nursing programs are telling thier students, "Not to worry, the hospital will...
  6. HIPAA VIOLATION

    And exactly WHAT kind of people are they lettting into nursing schools these
  7. Nursing Diagnosis...the sacred cow that needs to go.

    as i
  8. As a patient, is it okay to suggest a vein for IV?

    It's perfectly ok to suggest a site, but I find 10 out of 12 times that pt's feel they are "hard sticks" is because nobody ever looked beyond their hand as a possible site. I find glowing veins in the...
  9. help with dementia patient please!

    Dementia is simply unpredictable and you have to become comfortable with the fact that the symptoms change from hour to hour; or minute to minute. The patients internal cues are not always discernable...
  10. How fast does dopamine work?

    Agree, would not have started it at 10mcgs for a pt. with a BP in the 80's, probably would not have started it at
  11. When is patient education TOO much?!?

    OBTW, she had LOTS of nurses tell her about the same interactions, this little one is playin' with your head. Get a troubling diagnosis; feel free to lay down and die and take everbody else in contact...
  12. When is patient education TOO much?!?

    So many of our pt.s come into our facilities with med profiles that should have killed a team of oxen, yet they take it everyday; and somehow survive to live and gripe another day. You don't have to...
  13. WOW! The public really doesn't like us, huh?

    I have had doctors complain of the same thing: "All the nurses seem to do is be at the computer". Well, not ONE of you has stood up to the Joint Commission and tell them that thier regulations are so...
  14. " I cannot believe you allowed your new (son/grandson/niece) to be brought into a HOSPITAL because you couldn't live another day without seeing them". For heavens sake, we isolate PUPPIES for 14 weeks...
  15. Worked hard all night

    You can EXPECT anything you want, but you won't always get it. Your off-going nurse often has to give report to 3-4 different nurse, and finding them ain't always easy; not to mention the complicated...
  16. No. If I had known that my professional integrity would be impacted by know-nothing bean counters and that I would be abused and blamed; instead of respected and consulted, I would have become a hotel...
  17. In the last year, I have dutifully attended my staff meetings. Lately however, they seem to have become a forum to chastise the staffs failings, rather than a place of support and information....
  18. The CEO said WHAT!!!!

    Actually, with a good core team, you don't. I worked in an ICU which had 3 interim managers in 1 year, all of whom came in with big ideas as to how they would "transform" our ICU. They soon learned...
  19. The CEO said WHAT!!!!

    No, there was NOT any more to the statement than that. Wake UP, people, this is EXACTLY what your management thinks of you! You are nothing more than an expensive pain in the butt to people in power...
  20. What should I do about the patient from hell?

    "I challenge you to make amends with this patient and show.." I challenge YOU to figure out the time I am supposed to have to show all this
  21. An open letter to the ER triage nurse

    Fabulous, my dear; incredibly fabulous! Is there an award on this site for someone who makes a post that not only answers every point but does so with intelligence AND
  22. An open letter to the ER triage nurse

    It must be great to live in a place where one can CHOOSE the hospital EMS will take you to. In MY area (and most others from what i know of), you willl go to the closest hospital that can serve you....
  23. You are SO wrong in your rationale. The last semester is the time when a student REALLY has to "put it all together", and it is the time where critical thinking really comes to the forefront. Nursing...
  24. are nurses satisfied?

    OMG, 1 clinical and she/he has ALREADY begun the old nurse/new nurse debate! When will it
  25. Compassion required???

    "Without wanting to help the sick and injured, I can still be a great nurse". Uh, EXACTLY what is it that you are prepared to do? Are you