king of codes

tell that doc to calculate how much it continues to cost him to search, hire and keep training new staff, send him a letter on your way out that door. you've just added a good "war story" to your growing list, enjoy your new position and I hope they ...

we're always short staffed so never happens. The rare occasion it does (2ce a year), you can refuse and be floated or you take call, never a cancel unless census is like 2 or 3 and one nurse is already taken call (once every two plus years). we alwa...

The MD's have been clearly inept at ensuring a full medication regimine upon discharge, hence the needed JCAHO regs. Now, it becomes a nursing issue to do the MD's job, because heaven forbid the primary Doc be held accountable, when you have a nurse...

It bothers you because you care, when you no longer do.... THEN it's time to go. I hate it too when family and pt's think I don't care because I can't do more than I am and what I CAN do falls way short of what I need to. which is, oh, almost daily....

of course I explain all the colored lines and what not and what we'd like them to be. If the patient keeps staring at it, I TURN it away and tell them to watch the TV instead after making some lighthearted conversation about him giving himself "the ...

I'm still sitting in mine, yes I went to Wallgreens too and now I'm sitting here thinking....yuck! When I first started ICU, nothing left the hospital, then it was carry a bag back and forth(which goes in my front hall closet now), then no more hos...

thank you for clarifying, a bit confusing to me. Can you elaborate as how a "green card", which I thought my friends were working twords, I could be wrong, affects the OP? It seems that there must be a contract to ensure that because finances have ...

not to add lighter fluid to your tail, but just imagine your press gainey scores, come on now, management will post them and use good letters to increase your rate of pay, your bonusus to your unit as a whole... you must provide service recovery... g...

Just last night, had a nurse, belittled on the phone, by a condescending mannor. No nasty words or harsh language. Abuse of nurses comes in many forms. Well this pt. was going to be rushed to the OR for a CABG, and the cardiothoracic is a pure butt...

but isn't this what press gainey is all about? the hell with the quality of care the patients recieve, as long as you kiss butt, act as a glorified waitress, act endearing, have 'em singing your praises down to the survey; to hell with meds being ...

I didn't search your prior posts but have this to add; we have canadian friends here on work visa, in order for them to continue working in the states they must be sponsored by a hospital. In addition, due to different state licensure requirements, ...

our policy is yeah, a pt. can goto medical records and order a transcription of the chart after signing a waver stating that it is their responsibility to contact their primary md with medical questions. unless you want to sue, the facility should ...

dori, get what you are saying completely. for some reason, as I'd stated I took your statement a bit personally and wanted to provide a rebuttal. I do see what you do as well, as I've traveled through many states. I've come across nurses that wat...

I was intrigued by your response, I completely recognise that you CARE for your patients, what do you do off shift then to cope with the feelings that you've held at bay all shift? I have no intention of trying to turn your words around as I respec...

I'm finding a middle ground here. some days I can go home after the wost of the worst and sleep like a baby and some days I can hug a family member and cry with them out of the blue. This doen't incompacitate me to function as a nurse with the instab...

Having read everyones responses, I've reminded myself of how few times I've actually needed to become a strong advocate of the patient and forcibly remove (call security to do a walk by and a polite escort out) family. I do have a few doosy stories ...

A very simple explanation (pharmacology aside) is that your pressers don't work well in an acidic environment, at this point with your patient, you only option (last ditch) was to correct the acidosis. In CABG pt's we'll give Bicarb with an acidosis...

I buy mine at tafford.com, I only purchase those in extra long.... they have a "comfort cotton" that doesn't require ironing. I'ts made to look wrinkled.

well, more importantly, what type of ED is it and what length is the orientation as well as the staff ratios? My current facility teaches a 3 day basic dysrythmia course with a test at the end that you have to pass, then you're paired with a phlebot...

call your state board of nursing, do an internet search and then you can tell then the particulars surrounding the events (not our business). know that with each job app. you have to list them, but I have an old DWAI (driving while under the influenc...

it's amazing that with a nursing shortage, we get so crazy! Just did the check the phone bit to see if it's working. Just moved 700 miles for a new position, feeeeeeling your pain here. Strangest thing I'd found is that with a union (North east sta...

been there too with the burn out. i think the problem with nursing burnout is that the reasons are as diverse as the job positions we can hold. which is also the bennefit of our profession. now call me crazy, but my last position before moving (las...

I'd say that JCAHO would now really know what nursing involves since their lattest (last 5 yr.) implemented standards ((which are excellent and needed))..... but know that they've taken so much time away from the patients they are trying to protect.....

I've given one deposition. Despite excellent charting, as the spouse was a known lawyer, (and everything that could have gone wrong did), it was very unnerving. Even though I felt very firmly that I had done no wrong and charted through my teeth... ...

It seems that there are as many reasons to limit visitation at times as there are to extend it and finding guidelines is very challenging. When it comes to overnight stays (which are as easily discouraged as allowed in my hospital, situation warren...