stevierae

stevierae

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All Content by stevierae

  1. Governator kicks nurses butts!!!

    stevierae replied to Haunted's topic in General Nursing

    I am not saying LVNs do not have a role in patient care---I am saying that they are NOT to be included as part of the staffing ratios!!!! AB 394 addresses RN to patient ratios clear and simple, and...

  2. Governator kicks nurses butts!!!

    stevierae replied to Haunted's topic in General Nursing

    BECAUSE YOU DON'T PAY ENOUGH IN SOUTHERN CA!!!!!!! That's why you can't attract nurses, and that's why you must use travelers!!!!!!! I have taught IV nursing at both Sharp and Scripps in San Diego....

  3. Governator kicks nurses butts!!!

    stevierae replied to Haunted's topic in General Nursing

    There is no nursing shortage---that is simply a myth, in my opinion, manufactured by management who want to lay guilt trips on nurses to work mandatory overtime and do more with less---nurses are...

  4. Governator kicks nurses butts!!!

    stevierae replied to Haunted's topic in General Nursing

    That's why I work in CA, although I LIVE in OR. Have since '95. I moved here from CA in '90. I remember the groundwork and the stikes we had to do to get the safe staffing bill passed in CA, and I...

  5. Help Please- Scrub Nurses

    stevierae replied to Madmax's topic in Cardiac

    Why don't you ask if they can get Phisohex (hexachlorophene) for you (it should still be available from the pharmacy) or an alcohol based FOAM product that works on contact--that is, you don't have to...

  6. A Tech Made Me So Angry, I was ready to choke the tech (rant)

    stevierae replied to Marie_LPN, RN's topic in Operating Room

    Give it a year, Marie--by that time I guarantee you will no longer WANT to "first assist" on 8 hours worth of hernias--mindless, mind-numbing (and carpal tunnel inducing!) work, for which you are not...

  7. A Tech Made Me So Angry, I was ready to choke the tech (rant)

    stevierae replied to Marie_LPN, RN's topic in Operating Room

    Give it a year, Marie--by that time I guarantee you will no longer WANT to "first assist" on 8 hours worth of hernias--mindless, mind-numbing (and carpal tunnel inducing!) work, for which you are not...

  8. Do You Like Agency Nurses?

    stevierae replied to Haunted's topic in General Nursing

    LOL, I have been working registry since 1995. In the operating room, we always get the surgeons no one else likes to work with. That's OK. It comes with the territory. Sometimes I think staff are...

  9. kansas IV

    stevierae replied to Suz_QRN's topic in Infusion, Intravenous

    Check your state board of nursing--you may have a different board that governs the practice of LPNs vs. RNs (as we do in CA)--they should be able to point you to your own nurse practice act. Most are...

  10. Do you use "space suits" for Totals and why?

    stevierae replied to shodobe's topic in Operating Room

    Don't use them anywhere I have worked as a traveler in the San Francisco Bay Area--they are literally gathering dust in old storerooms. I haven't seen them used since probably

  11. Brain Dead Child Discharged to Home With Parents

    stevierae replied to Euskadi1946's topic in Pediatric

    I remember those early days, too--in which brain matter, liquefied, would ooze out the ears and nose, and, if there were any breaks in the scalp, (i.e., from a previous craniotomy, subarachnoid screw...

  12. Med Errors

    stevierae replied to UM Review RN's topic in Patient Medications

    "how many times have wrong medications been administered because there was no process in the pharmacy to assure that the correct meds were being put into the cart cassette?" no excuse--remember the 5...

  13. Med Errors

    stevierae replied to UM Review RN's topic in Patient Medications

    Crystalloid works wonders, too. Sometimes all that is needed is volume

  14. Was I wrong to say anything?

    stevierae replied to lil_miss_attitude's topic in Patient Safety Issues

    I used to teach for BD. From what I have observed--and I have observed it many, MANY times--the problem is not in the PRODUCT, but in the way the nurse OPENS the product. Hear me out here, and see...

  15. Med Errors

    stevierae replied to UM Review RN's topic in Patient Medications

    Yeah, that's why Vanco needs to be given over one hour. In the OR, we never put anything on pumps--if it is Vanco or Flagyl, or even a vasopressor, we either put a dial-a-flow on it or run it through...

  16. Med Errors

    stevierae replied to UM Review RN's topic in Patient Medications

    Yeah, now that I think about it--when I worked ER, also in the 70's, we gave it IM, in combination with Demerol, for severe migraines. But, then again, we didn't routinely start IVs on migraine...

  17. Med Errors

    stevierae replied to UM Review RN's topic in Patient Medications

    You can't give Vistaril IV? Huh, it SEEMS like we used to give it all the time--in combination with Demerol--in very early labor for pain relief (granted, this was back in the '70s, before anyone had...

  18. Sutter strike in Northern CA--any news?

    stevierae posted a topic in Activism, Healthcare

    Has anyone heard whether the RNs employed in Sutter owned hospitals in the San Francisco Bay Area are still planning on stiking on December 1? SOLIDARITY, Sutter brothers and sisters!!! We're with...

  19. ICU staffing guidelines

    stevierae replied to radblt's topic in CCU, Coronary, Cardiac

    actually--ab 394 requires that the minimum rn ratio to patient in icu be 1:2. in the event of higher acuity, even more rns may be needed. governor gray davis signed this bill in 1996, or 97, i...

  20. Heard a sad, scary story from my preceptor today

    stevierae replied to pebbles1977's topic in Ob/Gyn

    Again, I know of no cases reported in the literature in which a LIVE baby was decapitated. It was only done way back when in the case of severe cephalo-pelvic disproportion (in the '30s, '40s and...

  21. Heard a sad, scary story from my preceptor today

    stevierae replied to pebbles1977's topic in Ob/Gyn

    This, now, I have heard of happening, fairly recently, and I too, know that it is not urban legend. Apparently there is some phenomenon--quite rare-- that causes the cervix to clamp down prematurely...

  22. Futile Care. Dead is dead.

    stevierae replied to Trauma-tizedRN's topic in General Nursing

    Oregon, where I live, is the only state in the country with a "Death with Dignity" Act--also known as the "assisted suicide" law. Any terminally ill patient is allowed to ask his doctor for a lethal...

  23. Phenergan?

    stevierae replied to RN92's topic in General Nursing

    Zofran is outrageously expensive, so that's probably why you don't see it much--we did use it quite a bit at the ORs where I've worked in San francisco. Now, Inapsine (Droperidol)--I am really...

  24. Heard a sad, scary story from my preceptor today

    stevierae replied to pebbles1977's topic in Ob/Gyn

    There actually is an instrument called "decapitation scissors." We use it in the operating room for various things--NOT decapitation!!! I think there is always a grain of truth to any urban legend....

  25. Futile Care. Dead is dead.

    stevierae replied to Trauma-tizedRN's topic in General Nursing

    Sigh. I am on your side, don't you see that? Feel free to PM me if I can be of any help (I am also a legal nurse consultant.) I understand that you did not ask for an opinion--perhaps you were just...