PMFB-RN RN

burn ICU, SICU, ER, Trauma Rapid Response

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All Content by PMFB-RN

  1. PMFB-RN

    I. Just. Can't....

    Ya but they can be good practice for the residents and
  2. PMFB-RN

    Interested in flight nursing

    One of the things that attracted my to transport nursing in the first place was that the nurses there worked seven 24 hour shifts a month and were full time. Tons of time off was great. But of course...
  3. Absolutely! Med-surg IS a specialty with its owne set of skills and knowledge base. I have never been employed as a med-surg nurse, my first RN job being a burn unit ICU. The only time I have worked...
  4. Rather shocking that the ANA hasn't figured out yet that the department of labor is NOT a reliable source. Vacancy rates tell us absolutely nothing about the number of RNs available, or whether...
  5. PMFB-RN

    glimpses of the afterlife/nde

    First time I heard a [patient mention it was in a LA ICU, the next time it was in Madison Wisconsin. Also heard in in Christ Church New Zealand and Minneapolis MN. I don't think it was the
  6. When properly trained and supported new nurses aren't trying to learn to be nurses at the same time as they learn to be an ICU nurses. I will give you an example of what I am talking about. In...
  7. I get you but there are a couple things that make me less worried than you. First few hospitals have embraced EBP to the point that they are ready to invest as much in ICU nurse training as some of...
  8. PMFB-RN

    glimpses of the afterlife/nde

    Anyone hear patients describe seeing a black dog in the room before they die? I have had patients report this several times. The first time I didn't think anything of it. In my career I have had 4 or...
  9. PMFB-RN

    "Taking a verbal" = writing your own orders?!

    A separate but related issue. Why are our nursing organizations not working for expanded scope of practice for
  10. PMFB-RN

    Fake call outs irritate me

    Yes I am with you. I too work at a union hospital where raises and promotions depend on a good performance review. I came to this hospital from a large Magnet certified private hospital without a...
  11. PMFB-RN

    "Taking a verbal" = writing your own orders?!

    Exactly. We rapid response nurses have a policy that allows us to place any patient in restraints if they are indicated. We don't need orders to do it, but to have to notify the responsible physician...
  12. PMFB-RN

    Fake call outs irritate me

    I doubt that is much of a consideration for the many thousands of nurses who haven't had an annual raise in years regardless of performance reviews. Hospitals, very many of them, encourage such...
  13. PMFB-RN

    I. Just. Can't....

    A Its a bad idea to make policy based on one example. Oh I don't think so. Is it a federal regulation that a patient complaining of chest pain get an EKG? No but it is the standard of care....
  14. PMFB-RN

    Fake call outs irritate me

    Maybe, although that certainly hasn't been my experience. After many years of working without a union and now working with a union I haven't noticed any increase of lazy nurses as compared to the...
  15. PMFB-RN

    "Taking a verbal" = writing your own orders?!

    But VERY common, almost unnoticed daily occurrence is most places I have worked. Usually encouraged by the physicians with comments like "thanks for taking care of that and not waking me with it last...
  16. PMFB-RN

    I. Just. Can't....

    First nobody said anything about the feds. Second what we are doing now is about as bad as it can possibly get. How is that in any way related to code status? Code status only takes affect AFTER the...
  17. I have two jobs. My full time job is at a smaller (200 bed) publically owned teaching hospital. My other part time job is at a large tertiary care referral center / trauma center that used to be my...
  18. PMFB-RN

    Fake call outs irritate me

    When I was first a nurse I had a wonderful boss and didn't even know it. I never called in sick because I knew my boss tried as hard as he could to give me the time off I needed. It wasn't possible...
  19. We hire new grads almost exclusively into our ICUs. Pretty unusual that we could consider a med-surg nurse for an ICU position. When they are hired they pretty much go through all the exact same...
  20. PMFB-RN

    I. Just. Can't....

    I used to work as an RN in New Zealand. They do it much differently there and I didn't see the kinds of things that we have been talking about in this discussion happening there. When I first...
  21. PMFB-RN

    "Taking a verbal" = writing your own orders?!

    You call your doctors "Sir"????? Wow. In most ICUs RN can put in orders for things like labs and xrays. Where I work an RN can pretty much order anything if there is an indication for it. These...
  22. If they wern't sick people why would they be in a
  23. PMFB-RN

    I. Just. Can't....

    If I had my way anyone over a certain age, and anyone with certain diagnosis would automaticaly be DNR and they would have to opt in to be full
  24. Right. I understand. When I said $80K I mean the bare minimum I would accept to be a nurse. That would have to be a pretty cush job. I make about 1/3 more than that. I went looking for exactly...
  25. PMFB-RN

    I. Just. Can't....

    I have refused to code people in the past. The first time I fully expected to lose my job but I just couldn't do it. However nobody ever said a thing about it to me. If I had a family who refused to...