glasgow3

glasgow3

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All Content by glasgow3

  1. Pressors and Sepsis

    glasgow3 replied to CraigB-RN's topic in MICU, SICU

    I would recommend the Institute for Healthcare Improvement guidelines (IHI.org). Specifically, there is a section regarding pressors as part of the management bundles. Sepsis patients on pressors need...

  2. Step-Down woes need info please

    glasgow3 replied to TikiRN's topic in General Nursing

    Stating one thing or another is the national norm or benchmark has been the mantra of consultants and hospital administrations since the 1990s. But even if something is the norm (which I don't even...

  3. Pay-for performance revisited

    glasgow3 posted a topic in General Nursing

    Our facility has replaced our traditional annual evaluations with a so-called pay-for-performance system. Since we do not receive cost of living adjustments, the pay for performance system represents...

  4. Hospital to charge employees who smoke

    glasgow3 replied to lpn2rnstudent's topic in General Nursing

    You are not footing the bill for these smokers; since Clarion self-insures that's who is footing the bill, so to speak. That said, Clarian is a not-for-profit hospital system which has accumulated...

  5. Hospital to charge employees who smoke

    glasgow3 replied to lpn2rnstudent's topic in General Nursing

    If ever person needed evidence that our employer based health insurance system needs to be abolished and that today's employees need to organize---well, here it is!!! As usual, one would think that so...

  6. Lose dose dopamine

    glasgow3 replied to zacarias's topic in Patient Medications

    Interesting that this issue came up at our most recent Profession Practice (policy and procedure) committee meeting. As usual, my view on the matter was the minority view. Most experienced nurses have...

  7. Accuracy of forearm BP's

    glasgow3 replied to openheartmom3's topic in Patient Safety Issues

    Ok OK..lolol How bout Singer,A J Comparison of Forearm and Upper Arm Blood Pressures Prehosp Emerg Care Apr-June

  8. Accuracy of forearm BP's

    glasgow3 replied to openheartmom3's topic in Patient Safety Issues

    The AACN has issued a Practice Alert on this very topic; the supporting literature for the expected practice is cited. You may visit that portion of their website without being a member. Hope that...

  9. Acute care nursing model? Focus on prioritizing

    glasgow3 replied to jjjoy's topic in General Nursing

    I think you are on to something here. Here is my "take" on the phenomena. In the academic world nurses are taught to prioritize interventions for a given patient. Call it critical thinking,...

  10. is acute rehab considered med/surg?

    glasgow3 replied to celle507's topic in General Nursing

    Never said Rehab nursing didn't have challenges or value (I'm certified in rehab Nursing as well as critical care); But you discharge from acute care and admit to rehab, not merely transfer from unit...

  11. is acute rehab considered med/surg?

    glasgow3 replied to celle507's topic in General Nursing

    The answer to your question is no (it is not med/surg). And although physically located in the same building, acute rehab is still post-acute care. That said, your circumstance sounds like hospital...

  12. If CEO's have free healthcare, then workers get free healthcare."

    glasgow3 replied to HM2VikingRN's topic in Activism, Healthcare

    I realize that Ms. Obama is not an RN, nor a CEO. The "problem" is that her candidate husband is quoted as saying "If CEO's get free healthcare then workers get free healthcare"; In turn the OP opined...

  13. If CEO's have free healthcare, then workers get free healthcare."

    glasgow3 replied to HM2VikingRN's topic in Activism, Healthcare

    Obama's wife is a VP at a not-for-profit hospital. When she was working there full-time, her total compensation package was 275K, (base 212K). That means her "level of benefits", (63K) alone far...

  14. Nurse Liason

    glasgow3 replied to ShayRN's topic in General Nursing

    Beware of this type of job. The importance of generating business is often minimized by employers prior to accepting the position. Do not be mislead into thinking that providing good service,...

  15. Complete and total disregard for Visiting Hours! (vent)

    glasgow3 replied to Pepper The Cat's topic in General Nursing

    At my facility we have completely solved the problem of visitors following the rules: Administration eliminated many of the rules and the few we have left are waived if anyone complains. In our...

  16. Visiting hours, whose job to enforce them???

    glasgow3 replied to pink2blue1's topic in General Nursing

    Bless your heart, that's the way things USED to be and SHOULD be. In many facilities these days, any attempt to enforce rules of any type is met by "customer" complaints-----and the rules are...

  17. highly educated, but underpaid?

    glasgow3 replied to bostongal's topic in General Nursing

    As an "old guard" nurse, I feel compelled to reply. Many years ago I had already earned BAs in two diverse areas of study and had completed some graduate work as well. Unfortunately our local economy...

  18. afib/bundle branch block

    glasgow3 replied to INnurse's topic in CCU, Coronary, Cardiac

    gtt refers to drops....it's an abbreviation for guttae

  19. On call for free?

    glasgow3 replied to RNOTODAY's topic in General Nursing

    Nope, you are mistaken. Some states have such requirements. And OSHA has limited recommendations regarding breaks. But no federal requirements for time to take lunches or breaks. Still disagree? Cite...

  20. On call for free?

    glasgow3 replied to RNOTODAY's topic in General Nursing

    Unfortunately, this is one of the rude awakenings employees working without a contract must face. You mean there are no federal protections/requirements for lunches and/or breaks? You mean in most...

  21. afib/bundle branch block

    glasgow3 replied to INnurse's topic in CCU, Coronary, Cardiac

    The appearance on the monitor would vary depending upon the lead(s) being monitored and the rate. There are many references which offer probabilities as to whether certain observed characteristics in...

  22. night shift not calling critical lab values

    glasgow3 replied to burn out's topic in General Nursing

    Although I may not have "liked" a couple of those lab values, I'd have been much more concerned that she didn't call when the patient couldn't maintain a blood pressure >90. I wouldn't feel too...

  23. BSN...AdMINISTRATION??

    glasgow3 replied to daladiezman1627's topic in General Nursing

    The answer to your question varies from locality to locality. One major determinent is the relative availability of BSN prepared nurses. With the virtual explosion of nontraditional means of obtaining...

  24. propofol infusion ONLY through central line

    glasgow3 replied to elizadream's topic in MICU, SICU

    At one time the Society of Critical Care Medicine (SCCM) guidelines for propofol infusion specified the use of a central vein. In 2002, however, a revision was made which did not include that...

  25. Lowest of the Low

    glasgow3 replied to lvs2nrs3535's topic in Geriatric, LTC

    Ahhhhhh.......New DON, DHS on the premises, new charge nurses (and new grads at that)...... In LTC this all screams: PROBLEM FACILITY!!!!!!!!!! Run...Run very, very fast. With all due respect to some...