outcomesfirst

outcomesfirst BSN, RN

Research, ED, Critical Care

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All Content by outcomesfirst

  1. New job for older nurse?

    outcomesfirst replied to Zephyr44's topic in General Nursing

    You don't say where you are in WA. Have you considered Insurance? Research? Software? System development? Consulting? I know microsoft is diligently searching for experienced clinical nurses to...

  2. Eight or Twelve Hour Shifts

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    Not sure, but I think it depends on the state law. Some states (CA, I think is one) has an 8 or 80 hour law meaning over 8 hours per day or 80 hours in two weeks. I think you sign this away if you...

  3. JCAHO vs. non-JCAHO hospitals

    outcomesfirst replied to Shiggles!'s topic in General Nursing

    JCAHO certification is required to receive Medicare/Medicaid - really any government payment. Most Insurance companies will also require members to use JCAHO certified facilities. Frankly, health care...

  4. JCAHO vs. non-JCAHO hospitals

    outcomesfirst replied to Shiggles!'s topic in General Nursing

    JCAHO certification is required to receive Medicare/Medicaid - really any government payment. Most Insurance companies will also require members to use JCAHO certified facilities. Frankly,...

  5. Feeling beat up in the ER

    outcomesfirst replied to lauralassie's topic in General Nursing

    I really like this response. ER nursing is probably one of the easiest and most difficult nursing experiences. It has it all! And it requires

  6. Ive lost all faith in the medical field. Please help!

    outcomesfirst replied to chenoaspirit's topic in General Nursing

    Cheno, I am so sorry this is happening to you!:icon_hug:. I am sorry for your loss :redpinkhe and can empathize with your situation. NO IT IS NOT LIKE THIS EVERYWHERE!!!!!!!!!!!!!!!! Sadly,...

  7. Eight or Twelve Hour Shifts

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    Liz, I have a theory revolving around this poll and hope to produce a paper for publication (will seek additional input here and from the webmaster during the writing phase). Immediate, real time...

  8. Eight or Twelve Hour Shifts

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    Split shifts was not an option here, but I value your comments! Thank

  9. Why has this job been vacant for > 1 year?

    outcomesfirst replied to lovemylab's topic in Research

    $5000 is not a big stretch for salary negotiation. I wonder if this is a grant study or drug trial that cannot get into gear for some

  10. Nursing Buisness Cards?

    outcomesfirst replied to kcheng's topic in General Nursing

    I

  11. Feeling beat up in the ER

    outcomesfirst replied to lauralassie's topic in General Nursing

    I think you are right - the demands have always been there (in my opinion) but they seem to grow with the utilization. I am sorry you are feeling this - it can really drag you down. Try to not take...

  12. help me figure out how to say...

    outcomesfirst replied to all4schwa's topic in General Nursing

    Sounds like you and all staff need to review the policy to be sure it is meeting the needs of patients and staff. Because of the different needs/capabilities in your facility versus ICU open policy,...

  13. help me figure out how to say...

    outcomesfirst replied to all4schwa's topic in General Nursing

    Why do you want them to

  14. Hysterectomy: Necessity or Convenience

    outcomesfirst posted a topic in General Nursing

    Extensive and/or frequent bleeding is not unusual in menopausal women - it is inconvenient and perhaps potentially life threatening, but not usually. Women have experienced it for hundreds of years,...

  15. Hysterectomy: Necessity or Convenience

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    [color=#660066]interesting posts. my thinking is that as we move closer to some type of universal health care system, there will be limitations. what is affordable and what is not. priorities will...

  16. What do you think about your hospital?

    outcomesfirst replied to blacksea pebble's topic in General Nursing

    Feeling like obywan.....make that Gandulf :gandalf: Yes! Go to the biggest teaching hospital and soak it up on Med Surg for a year or two. You will never regret it! My resume is embarassingly long,...

  17. Hysterectomy: Necessity or Convenience

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    I find the diversity of opinion engaging. I encourage nurses to explore their beliefs and question the standards in order to foster (albeit at a low level) critical thinking about a crucial topic for...

  18. You Know You're an Old(er) Nurse If . . .

    outcomesfirst replied to hollyvk's topic in General Nursing

    ACLS was a week. You were 'special' because it was reserved for MDs with a few select nurses. You had to prepare before the course - A&P/EKG interpretation etc..You were tested on every item....

  19. Angry mom treated rotten in ER today

    outcomesfirst replied to Purple Princess's topic in Emergency

    Extensive bleeding is not unusual in menopausal women - it is inconvenient and perhaps potentially life threatening, but not usually. Women have experienced it for hundreds of years, more now (last...

  20. I can't be a nurse?

    outcomesfirst replied to Doofy's topic in General Nursing

    Been through this many times with employers. I have refused the vax for years (research issues, not going into here). Have spent 20 years in high risk (ED/ICU). You cannot be mandated to take the...

  21. Eight or Twelve Hour Shifts

    outcomesfirst replied to outcomesfirst's topic in General Nursing

    :pumpiron: Yahoo - past 200! You guys are

  22. How much did you start as a nurse and when.

    outcomesfirst replied to ZASHAGALKA's topic in General Nursing

    Always an interesting read. Nursing salaries are flattening out again. See Nursing 2006 Salary Survey. Started out in the 80's, in CA at $11.13. Many years experience, certification and education...

  23. Insurance: The Urban Legend.

    outcomesfirst replied to Zizka's topic in General Nursing

    I think it is naive and unworthy to believe that people are not treated differently based on insurance. It is not an urban legend. Look at your patients. Why is that CABG staying 10 days instead of...

  24. Dog and Pony Show --A Nursing School Rant!!

    outcomesfirst replied to Ohmygosh's topic in General Nursing

    4 more months, 4 more months, 4 more months.... Trust your instincts. Drama by you or your classmates will not help. Threats will hurt you. Calmly work with financial aid and whoever to straighten...

  25. Returning to work p 2yr absence full of anxiety (Long)

    outcomesfirst replied to bellcollector's topic in General Nursing

    Cheers to you Bell! Great story and way to keep on going no matter what life hands you! Great advice posted here. Protect your health! Number one priority! No matter what, if there is the...