PMFB-RN RN

burn ICU, SICU, ER, Trauma Rapid Response

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All Content by PMFB-RN

  1. I am not at all bothered by nurses who choose not to work OT. I am bothered by nurses who don't show up when they are supposed to for regular shifts. Why in god's name are you recieving text...
  2. Yes, his first ever dose of Trazodone. Taken at about 9PM, an hour before he arrived to the hospital to be admitted for an early AM surgery. No other med changes. For those who agree that changing...
  3. Right, OK but this patient had never had a delious moment in his life before that night. Maybe we have to agree to disagree but making big changes to an elderly patient's sleep medications the very...
  4. Of course, the Tylenol PM has nothing to do with the point I was making. You may or not take my work for it but Trazodone should not be given to 74 year old men who are, that very night, are going...
  5. I work five 12 hour night shifts in a row every pay period. I know it sounds brutal but it is actually safer and easier for me. What kills me is the changing between nights and my regular day...
  6. And often that's for the best. I don't know how many times I have heard this, or a version of this from a newer nurse, who was hired into day / night rotating position, know that 1/3 to 1/2 of...
  7. As a full time rapid response nurse I deal with the consequences of physician's lack of experience with medications all the time. Monday night I got called to see a patient for mental status...
  8. Counting hours isn't going to tell you much. What the NP will have, and the med student will not have, is the experience of administering a wide range of medications to, likely, tens of thousands of...
  9. PMFB-RN

    When entering orders, please remember....

    It's CHF exacerbation, not
  10. Were I to observe this behavior I would have NO PROBLEM stpping in. How she treats her students may not be my business. However her unprofessional behavior in a public area of my hospital certainly...
  11. PMFB-RN

    Physician Extender ???

    I think in order for this statement to be accurate you would have to qualify it with "in the USA". Obtaining an undergaduate degree before medical school is not required to become lisenced as a...
  12. PMFB-RN

    Physician Extender ???

    Let's not forget the (relitivly) new 3 year med schools that have, and are opening up. Not to mention all the MANY physicians practicing in the USA who's highest degree is called a bachelors degree....
  13. PMFB-RN

    Nurses are Not Doctors

    I don't know all the states that allow that. I do know at least two. Wisconsin and Oregon. Our little town's sole heath care provider is an NP who has admitting privalges in the local critical acess...
  14. There are still hospitals who change out perfectly good PIVs simply beacause they are 4 days old? What is like 1995? I wonder what the evidence behind that
  15. If anyone wants to see what it takes to get one of those jobs here is a job listing from the State Department. Health Practitioner - U.S. Department of
  16. In my state all of the state universities with nursing programs offer them. The private colleges with APN programs offer them as well. I am sure you can find what schools offer them in your area...
  17. Is every hospital in your area
  18. This makes sense to me. After all many of the finest hospitals in the country were among the first to be certified. In their case Magnet was recognition of an already fine institution. However...
  19. Sounds like you wok at a great hospital. Many of the best hospitals were early adopters of Magnet. They were already great and likely had to do very little to qualify. Most of the rest were/are...
  20. Or, more correctly, the ability to make it appear they are meeting the expectations. Twice I have been told exactly what to say in response to Magnet surveyors questions. One hospital even handed out...
  21. The place you work NOW and want to leave sounds exactly like my experience with every Magnet hospital I have ever worked
  22. PMFB-RN

    I think I'm gonna be sick.....

    It would be simpler, more efficient, and more humane to simply burn their money in the waste
  23. There are tons of post masters NP programs out there. Most seem to take a year. Some are less but you have to complete the "3 Ps" (as Boston says) before you can start. Try googleing "post masters...
  24. PMFB-RN

    I think I'm gonna be sick.....

    Throwing the new grads to the wolves like that what else do thy expect? The must be something good about working at such a rich hospital? I mean if they can afford to just thro money away like that...
  25. PMFB-RN

    I think I'm gonna be sick.....

    After the 9 month residency we pair our new grads to an experienced ICU nurse mentor. The mentors all go through our hospital's preceptor course and get some perks for serving as a mentor to a new...