HardwrknRN

I live in IL but will attend school in MO, I have not heard anything either. I am going for my MSN and have an EFC above 5500, so...., but I am still hopeful.

Ummm, honestly I don't know who is right about this, is this position like a house supervisor? If so, then all I really know about them is that they assign beds, schedule OR times and coordinate admissions/transfefs and discharges. If the CNA understands acuity and is able to staff appropriately then I really wouldn't care.

What the????

I agree with Morrettia2. It sounds like you are describing sinus arrythmia, it is the most common, but normal, heart rhythm irregularity that occurs during breathing. When a person breathes in, the heart rate normally speeds up for a few beats. It slows down again when a person breaths out. As far as the P wave changes, you mentioned that the patient had a holter monitor, I know what with many of the holter monitor systems they are able to perform p wave trending, P-amplitude trends are used in documenting supraventricular ectopic rhythms and episodes of atrioventricular dissociation and atrial fibrillation.:redbeathe It is sorta difficult to really tell you for sure without seeing the ecg tracing and having more information, also, have they performed an EP study? Might be a good idea if they think that her symptoms are possibly life threatning.:typing

AMEN!

managers usually are salaried, so i don't think that they are looking for that extra couple of dollars, (though where i work certification has no bearing on salary). also, she is not 100% positive her nurse manager lied on the application. i don't think that reporting her boss anonymously is such a great idea, if there were any actions taken against her boss, or if they just investigated and found nothing, i think that many would have a good idea about who may have told. heaven help that nurse if her boss was legit to sit for that exam. by the way we all know what they say about payback, and ppl that assume things for that matter.

I think that you are acting mean and catty to hope that one of your own coworkers flunks thier certification test. Nurses have it hard enough and need to stick together. By the way, my boss sat for the PCCN, there are 2 ways to qualify, one way is with direct patient care and there is another way for managers, ect. By the way, she passed:yeah: I am thrilled that she passed and cannot be happier. My manager is an valuable resource for information/teaching and is well respected. Now back to you, stop being a hater:down:, be a congratulator:up: Who in the heck wants to be managed by someone that doesn't understand the dynamics of the unit...Duh! How is that helping anyone?

MRSA MARY/TB TIMOTHY: Wears no protective equipment with infectious relative despite repeated warnings/danger signs posted and teachings, believes that love will prevent them from catching infection, often brings their young children in to share in the germ fest to pass on to their classmates and eventually your children.

lol too funny

I hate to say but these type or CNA/Techs are quickly becoming the norm. My floor is so fast paced and we deal with such critical patients that this problem is really noticed. I work with one CNA who is older than me and I swear, even if we have the same team together 3 days in a row, she will try to swear up and down that she did not know what patient tasks have to be done (despite detailed report and timely reminders). I.E. accuchecks, post dialysis weights, hell even cardiac cath vital signs! I am soooo tired of this, and I am embarrassed to say that I often do the task, but this is becoming the norm. Other nurses are having the same problem as I am having, we have wrote her up, talked to the nurse manager, ect. I think that hospitals today are so hard up for help they will take what they can get. Last Saturday, after telling her in AM report that a pt had Q2hr accuchecks, I watched her, she did the first 2, then claimed at noon that she did not know that they were still an accucheck, I told her, "well I didn't get around to giving the patient the cure for diabetes during the first med pass, so she should bear with me, but until I do, do the d*mn accuchecks and stop acting like I just walked on water and gave her some sort of revelation when I ask for results." I know I sound like a major "B", but she has been a CNA for more years than I have been alive, mostly on the same floor, she knows the routine better than anyone. I feel bad because she is my elder, but enough is enough, her incompetence can hurt or kill someone. RN's are busy enough without babysitting someone that is getting paid for a service. The last thing I need is for some CNA to give me make believe vital signs or whatever other "con" she thinks she can get away with.

While I do not know everything that went on in the room I do know that IL student RNs are not allowed to give medications without the instructor being present and witnessing the administration on the floor(for my state anyway, I know the rules may be different according to where you practice). I do think that 8 mg of morphine is a large dose for some, but for others this may be an appropriate dose amount. Many pt's have massive tolerance to narcotics, so they are noted to require more for pain relief than the majority of our patients. I am wondering if your brother normally needed the higher dosage for relief and that the nursing staff knew that giving him 2-4 mg IVP would not give him relief. Hopefully the RN assessed pain and explained to your brother that that due to his low K level he will need a K+ rider. Maybe the teaching occured prior to you getting there for the visit? Anyhoo, if your brother is competent/alert/oriented then the RN/student/staff is under no obligation nor are they permitted to explain his plan of care/diagnosis/treatment to visitors and or family without consent from the patient.

So true, so true.

To Mammaoop: I really don't know what to say if you think that my comments about the instructor was strange. She pretty much described her instructor as having a stroke and giving her every nonverbal signal in the book to "not take it there", even before she said a word to the 2 doctors that she confronted, so I just thought it was strange that the teacher never followed up with her after clinicals.

While I do believe some doctors have no clue what all we do as nurses, I think that for your own good you will need pick and choose your battles and also watch what you say and to whom. I do not believe that I am any less intelligent than many of the MDs that I work with, but I do understand the nurses role. If a doctor thinks that nurses are useless, show him with your intelligence and actions as well as your care for the patient. Personally I could care less what MDs think nurses do all day. It is so easy for one side to say that if they were in the other's shoes how different their job would be. The truth is, its hard being a great/competent/caring RN, and it is also challenging to have the same qualities as an MD. Fortunately, most of the doctors on my unit respect the RNs and recognize our critical thinking and what we do, now there are still some doctors that think nurses have it easy, but once again I say, "so what". I do not base my personal value/ worth on someone else's opinion of me. In the future I would watch what I say, those doctors can ruin your career, and heaven knows we need as many nurses as we can get. :innerconf Though I do think it's strange your instructor didn't let you have it once you made it back to school or in post conference.