PMFB-RN RN

burn ICU, SICU, ER, Trauma Rapid Response

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All Content by PMFB-RN

  1. PMFB-RN

    Nursing Salary Survey 2014

    PMFB-RN replied to TheCommuter's topic in General Nursing

    My guess MO. Back when Wisconsin hospitals were starting new nurses at $20 a hospital in St. Lewis offered my friend
  2. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    If I was giving anecdotal evidence, or just my opinion I would have said so. Ya, I am still not seeing anyone talking about doing what you claim. Yes we all need to know where the line is and not...
  3. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    Well
  4. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    Oh really? Um, OK then. M Why are you asking that question? Did someone suggest that was OK and normal? Obviously I mean in another discussion because I have read this one and nobody is advocating...
  5. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    I have worked at a number of small rural critical access hospital ERs. My experience is that the smaller hospitals need / should have more protocols than the big teaching hospitals who have residents...
  6. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    Yes I know there are many old fashioned hospitals out there. I guess I have been lucky enough to mostly work in more forward thinking hospitals who are concerned with EBP. As for the docs, I...
  7. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    I am not sure how to respond to this because I can't determine if it is a serious question or sarcasm or supposed to be
  8. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    To the OP. You were thrown to the wolves by your employer and not provided adequate training by your hospital. We would never graduate one of our nurse residents without them being comfortable with...
  9. PMFB-RN

    New nurse and critical patients

    PMFB-RN replied to fencer1119's topic in Emergency

    I have never worked anywhere where a doctor would tell nurses where to start and how/when to titrate drips. Our orders are drug and what the goal is. For example "Norepinephrin gtt to keep SBP...
  10. PMFB-RN

    Nursing Salary Survey 2014

    PMFB-RN replied to TheCommuter's topic in General Nursing

    Holy cow! Search "nurse" in San
  11. PMFB-RN

    From Cop to Nurse

    PMFB-RN replied to blueline's topic in Male Nursing Students

    FWIW I work with a former deputy sheriff who at age 63 is still working 80 hours a PP. He has mentioned several times how much he regrets not staying with LE until he was eligible for a pension, in...
  12. PMFB-RN

    BSN programs are harder than ADN

    PMFB-RN replied to ExpBrittany's topic in General Students

    Your rational makes perfect sence. It is people like you (and me) that thwe "BSN only to practice" crowd is seeking to keep out of
  13. PMFB-RN

    And this is why I hate floating to stepdown...

    PMFB-RN replied to calivianya's topic in Critical Care

    I don't recognize med-surg and tele being different units. All of our med-surg wards are tele wards. Our step down is either 1:2 or 1:3 depending on the type of patients. At any one time about half of...
  14. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    'Does anyone else see the irony of the fairly recent advent of 3 year med schools that came right on the heels of the DNP push? My state has a brach of a long respected and established medical...
  15. PMFB-RN

    And this is why I hate floating to stepdown...

    PMFB-RN replied to calivianya's topic in Critical Care

    Sure but I don't consider a dilt gtt to be a step down level drip. In most of the places I have worked dilt was a regular med-surg floor drip and certainly no reason to transfer a patient to step...
  16. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    If true then it demonstrates a failing in their education. Good point. Two things. First lets admit that any hospital still on their "Journey to Magnet" is probably a dump. Besides among my...
  17. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    I respect your opinion, however my observation is that it has had the opposite effect. I have seen things and heard comments that lead to believe that the DNP makes us the laughing stock in health...
  18. PMFB-RN

    And this is why I hate floating to stepdown...

    PMFB-RN replied to calivianya's topic in Critical Care

    Maybe a regional thing. I am not accustomed to those smaller local facilities even having a step
  19. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    Why should an NP with a DNP ever expect to make more than any other NP? Do they have an expanded scope of practice? Do they receive a higher reimbursement for their services than NPs with MSNs? Are...
  20. PMFB-RN

    Nurses are Not Doctors

    PMFB-RN replied to Brian's topic in General Nursing

    Fist it is very condescending to explain the obvious to people who are already in the know. Despite all of the above being true, that is no guarantee that the physician who sees you in the clinic or...
  21. PMFB-RN

    And this is why I hate floating to stepdown...

    PMFB-RN replied to calivianya's topic in Critical Care

    I would consider any "stepdown" that lacked monitors and the ability to transduce pressure lines or handle drips to be incorrectly
  22. PMFB-RN

    And this is why I hate floating to stepdown...

    PMFB-RN replied to calivianya's topic in Critical Care

    Stepdown needs monitors at the bedside. How else can they possibly tranduce the art lines, monitor CVP, and titrate drips like dopamine and dilt? If they aren't doing any of those things how can...
  23. PMFB-RN

    BSN programs are harder than ADN

    PMFB-RN replied to ExpBrittany's topic in General Students

    (shrug) They are both pretty helpless when they hit the floor as new grads. Thus far we have been unable to predict who will be sucsessful in our very challenging critical care nurse residency program...
  24. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    We have several NP school graduates working in my hospital on the weekend program. The weekend program staff get time and a half for all the hours they work. So the ones who are close to the top of...
  25. PMFB-RN

    All these NPs making less than RNs?

    PMFB-RN replied to 2bnpcout's topic in Student Nurse Practitioner

    Most all the nurses I know who did NP took a pay cut to be an NP. Even if they stay in the health system and go onto the higher NP pay scale they end up making less because they lose all the...