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  1. Thanks for helping out you all!
  2. I agree it depends on what some nurses are willing to put up with. I, for example, used to work on a medical-surgical floor where the patient/nurse ratio wasn't bad (believe it or not), lots of technology, and pretty good pay. The reason I ended up leaving is because the environment SUCKED!! The manager could NOT give positive reinforcement if it were written on all her employee's foreheads. We could do nothing right by this woman. Consequently many people quit and administration still didn't get the hint because she had friends "high up." Now, I work in an overloaded ER where ratios....well...what ratios? The pay ain't that great and lets just say that police stay camped out there...I absolutely LOVE IT!!! I have never had such support from my co-workers and managers (and honestly administrators)!!!
  3. I am a fairly new nurse that has transferred to a different organization whose policy is to use lidocaine transdermally before perpherial IV insertion. Is this really effective because I have never done this before and it seems like it is more work than it is worth, it seems that risk for infections could be higher with two sticks instead of possibly just one, and the research I've done says that the pain is usually in the patient's head (fear of needles) while other articles say that it really reduces pain. Can anyone help shed light on this issue for me. Is using lidocaine transdermally truely effective or is it just a placebo?

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