magicman

I currently provide a podcast that can be used for CE. While many listen, few take advantage of the CE option (as yet). I think this is due, in part, to a few things. first, the general age of the nursing population is a bit older than those who regu...

All "ickiness" aside, I have been a nurse for well over 15 years and have always gone by the same rules the physicians use.....no female exams without a chaperone. This is more for legal CYA than anything else. I have no problems giving any type of c...

You most CERTAINLY may disagree! That's the beauty of the forums. :) As for bending, I've never, in 28 years, seen a 20 guage bend upon intorduction into a vein. The type of patients your ED sees has to be taken into account also. We see a LOT of el...

I didn't think the ENA had that many credit hours available! I'll have to take a look. I usually get 30 - 40/year.....Florida requires 28 now (I think. They keep increasing it). But I need 100 in 4 years for my CEN, so I always have extra. I'm not s...

Way to go Mare!!!! Welcome to the club! Again congrats and good luck!!

While I can understand wanting to use larger bors catheters for trauma and surgical patients, in practical application, it's much less traumatic to the patient, quicker, and you have a higher success rate with 20 guage than with 16 or even 18 guage c...

The answers to this are numerous. First, there's the lack of true preparation in nursing school to perform the job of a nurse in real life (i.e. managing multiple patients, time management, skills you may not have gotten much practice on, etc.). Seco...

I too think the ICN nurse was WAY out of line. Everything the other two responders said is how I feel also. You're a team as a nursing department in the hospital and should work together. With that said, taking an NRP course (or similar) would be a ...

We're using Cerner in our facility. The single biggest problem I've found with it is getting information back out when charting. There are so many different places to document the same thing, but no single place all the information can be seen. It's ...

Not only taking report, but even getting a bed assignment can be worse than pulling teeth! It can take upwards of an hour or more to even get an assignment when there are beds available! And yes, there are almost ALWAYS attitudes from the floor towa...

I started as a medic also and hadn't done any other nursing before starting in the ED also. Your background in pre hospital care gives you some of the skillsets that are needed to be a good, quality ED nurse. I say go for it!

Hi all! Siri..it's been too long. We must talk again and soon! I'll contact you some time this coming week. As for the RN Market course, I took the home study version. It has some good, solid information in it and does give you a good overview of t...

I have a request from my fellow Florida nurses. We were told at our last staff meeting that our staffing ratio was one of the best in the state at 5:1, and that the average in the state was more like 7:1 or worse. We were "dared" by our department di...

Are there no other Florida E.D. nurses here? I'd really like to get some input on this.

I was an EMT and a paramedic for 12 years before going to nursing school. That 12 years was invaluable then as it is now. I would highly recommend not only finishing your EMT, but putting it to use in the field for a while. THAT'S where the REAL lear...

First, I feel I must correct something here. The correct terminology is mute, not dumb. That's (dumb) an antiquated way of saying things. AFA the GCS itself, it might need to be up to policy. Im my facility, the GCS is always based on a max score of...

Could we please get away from the statement that the ANA is a "union". It is not, nor does it act as one. It is a PAC and a loose association just as the ENA or any other "association" is. It (the ANA) has no legal right to bargain for ANY nurses wor...

AFA your question, the minimum 30 day time frame sounds pretty good overall (although longer might be better depending on your daily census). The certs you want nurses to have are good, but requiring them before being hired will diminsh the pool of a...

I'd be most interested in the sample letter! I'll print it and give it to everyone I work with to send too! :) AFA the "problems" noted with the levels, I too wonder how many nurses will return to the bedside if this type of bill gets passed into la...

First, I think the resentment comes more from the fact that CP's, while serving a VERY useful purpose in school, serve no REAL purpose in the "real world" as they are structured today. As an example, have you ever used "Energy Field Disturbance" in a...

Very well stated and I must agree 100%!!! That might have been a better way to state my thoughts. Thank you!! :)

I didn't miss it, I actually stated it! That's the only place we (nursing in general) are on our own (in general). My point is about CP's though. More emphasis is placed on them from a medical aspect (i.e. "airway clearance, ineffective" -- what's ps...

Just HAD to respond to this one. Notice I added an "etc." in there. I didn't feel the need to go into ALL the details of what we all do. I thought we already knew that part. But I would be interested in what you feel IS truly only in the realm of ...

One point I gotta bring up with your post is that medication delivery is NOT within the scope of independent nursing practice. It is done only on the express order of a physician, thus nursing can not do it independently and therefore is not part of ...

Hahahaha.........yeah, I'm a male nurse also. Strangely, I've observed the same thing, even in the E.D. (where I currently work). I GOTTA get a copy of the current NANDA list and see this one!! I can just imagine telling this to one of the docs I ...