360joules

If, in your "healthcare job" you never touch anything but paper, or smell anything but coffee, YOU ARE PART OF THE PROBLEM WITH HEALTHCARE TODAY! If your job description DOESN'T have an annual requirement to be on your knees, geting freaky with Resus...

>That's because demands placed on staff haven't been given by anyone that walked the > same walk. That is because we have come to a point where anything ANYONE else doesn't want to do gets dropped on nursing. We are now charting peak flows on a...

Pick up a Paramedic textbook. Seriously. Nursing in the county jail encompasses all walks of life (from serial killer awaiting trail to honest businessman on a DUI bust) "fresh off the streets" with nothing but their story and your basic objective o...

Be respectful to everyone, inmates and staff, at all times. Never say anything about anyone (inmates or staff) you wouldn't say directly to their face (at least while inside the wire.) Don't be afraid to write someone up (after proper verbal warning...

It seems to me that this "preceptor" decided she didn't like you for whatever reason, and combined with a weak (lazy too) manager, you got unfairly thrown under the bus. Before being fired you should have been verbally-counseled a few times about the...

don't forget to complete the appropriate "blue man" and mandatory "md notification after business hours" checklists. if you don't remember which ones to complete, there is another checklist that will help you figure it out... i think you can find ...

except the original comment was about "business casual" nurses, who in my experience don't work evenings or nights or [god forbid!] a weekend. one nurse, at the start of this thread, chastised me and explained she was on her lunch hour (vs. my 30 min...

The "hourly rounding" and "I have time" scripts are the handiwork of the Studer Group, a consulting firm who (using studies they [Quint Studer] paid for) sells hospital management on using their system to increase Press-Gainey scores. If this silli...

Ooooooh! Do I get a lollipop too? Lollipop = happy nurse!

prior to entering nursing, i worked as a paramedic. i rose to the level of director of operations of a regional office for a large ambulance service. part of my job description was i had to be a licensed paramedic with appropriate acls, pals, etc. to...

If the "leadership" at *my* facility was to be abducted by aliens, it could possibly go unnoticed for several weeks. The only time we see them is during mandatory meetings, or when we get scolded because "the Press-Gainey scores are down last month, ...

Unfortunately, as long as a simple office visit with an x-ray or a blood test can cost the equivilent of a month's wages for the uninsured [CASH UP FRONT PLEASE], or visiting a "public" facility requires a 2-3 month wait, people will use the ER as a ...

my apologies to the school nurse... the post refers to hospital-based healthcare, as that is my forte. public health, md office nurses, and the like can all disregard. the bottom line of the post is this: the ratio of "chiefs" to "indians" is way o...

i find it telling that everybody that has jumped on me about my satire automatically assumes i'm only talking about nurses or the nursing heirarchy. why does the hospital support an army of billing people, dutifully filling out forms, locked in morta...

God Bless You. Where do I send my resume? What kind of unit do you manage?

I dunno... The venomous reactions from you "business casual" folks (at 2:00pm on a Monday) suggests there may be a little more than a grain of truth to my satire, and it makes you uncomfortable. Maybe some of the other "education-phobic clinical nin...

I'm off today. Must be nice to get a lunch break. I've choked down more granola bars over the med sink than I'd care to admit.

Not to be insulting, I'm sure the floor nurses are not surfing the internet at 1:00pm on a Monday. It is satire, not a personal attack. Chill.

We have crossed a threshold where there are more people making rules, and monitoring compliance, than are actually treating patients. The primary product of hospitals has become "paper", not medical care. With my apologies to the "business casual" in...

If you buy an expensive stethescope, plan on having it stolen. I lost two Littman Cardiacs and a Classic II before I decided I could hear just as well out of a modest ($22) single tube stethescope. I also bought an ugly green color, and despite leav...

The baseline difference between ICU and ER nursing: Patients coming through the door of the ICU have a diagnosis and everyone has some idea what the plan is, and the nurse can focus on the pertinant clinical details of that patient's case. The ICU n...

I am starting a job in the North Carolina Corrections Department as an RN. I have worked ER for 5 years, Tele for 3 years and Psych for 3 years. Before that I was a Paramedic for 10 years. Oh, I'm male BTW. I have read a good deal of the posts her...

You'll have to excuse I I sound detatched ... I work in the ER. The bottom line of ER nursing is that doing it "yesterday" isn't fast enough. The patients don't care what you know, how much you care, or anything beyond "How much longer will it be?"...

>I have also stated that I fear that there are too many >agency nurses out there that have the horrible attitude. They call you a STAFF nurse because you're willing to be SHAFTED. I work as an agency nurse now after many years working as a hos...