Kayartea

I'm currently working in Care Management and part of what I do is assist with transfers from other hospitals. Our current arrangement for accepting patients is very cumbersome, involving 3 departments and the ADON, plus the accepting MD. I'm resear...

It is way too many. That is why we are trying to get it streamlined. As for why it's this way, who knows? We're a University Hospital and the process has just grown. Every new initiative has meant adding to the process, but no one ever seems to c...

I am unable to answer the poll as the questions are written in an incredibly biased manner and have little to do with the question that was before the court. The insurance provided by Hobby Lobby does cover contraception. It does not cover drugs th...

You can also remind them that embarrassing things (some very similar) happen to people who aren't sick and it's not their fault either. Mostly it helps to just be matter of fact about it.

When I was a nursing student one of my patients was wearing a Texas Rig catheter and, as is usual with those (they need to make some of the Rhode Island sized), was having difficulty keeping it in place. I got the idea that we could use the spray ad...

Putterers - people who work all the time, but never seem to be able to get anything done. Obsessors - people who make the job 50 times harder than necessary for themselves and all the rest of us if given a chance. If one form will work, they crea...

IMHO you should take this up with Risk Management under the subject title ;Premises Liability Issues;. Whatever the opinion of the security officer, a business is responsible for the safety and security of it's employees to the outer limits of all c...

Trying reason on a patient in "Status Dramaticus" works just about as well as it does on a two year old in the middle of a temper tantrum. (Come to think of it, they are very similar.)

* Cardiac patients with MUH (messed up heart), PBS (pretty bad shape), PCL (pre-code looking), or HIBGIA (had it before, got it again). * Stroke patients - "Charlie Carrots". CCFCCP (Coo Coo for Cocoa Puffs) to describe their mental state. ...

Well, yes, and no. Doctors admit patients to the hospital for the nursing care. If it's something that can be taken care of solely by the physician it's done in the office, not the hospital. Nurses are the reason patients are admitted.

One of my favorites was when one of our brand new foreign fellows charted in the H&P "complains of of frequency ass burning micturation". Of course, he meant associated with burning micturation. It's amazing how much fun the absence of a punct...

Push through legislation to allow billing for nursing care. As long as paying for nurses is lumped in with the bed charge we will continue to be seen as the most expensive, most troublesome department and as not contributing to the bottom line. Nur...

In general, I don't think nurses make bad patients, but they do make the worst family members.

Maybe we should track the cost of blankets and pillows and sodas to families? Much of the cost is in the dissatisfaction expressed by nurses and the plans of so many to leave the field as soon as they are able. I was rounding the other day with ...

Sorry, but I disagree. Patient Safety was involved. Any time a nurse is too upset to do the job, or another nurse has to stretch to cover for an upset nurse, all of the patients being cared for are affected. Just because there were no major error...

more than just reportingit you need to fill out a patient safety net (or whatever your hospital uses for reporting sentinal event and patient safety issues). the joint commission has issued an alert on bad behavior among health care professional...

Are you actually thinking that acting like that will improve care?

This person is creating a hostile work situation for you and your employer is required by federal law to protect you from it. Whether it means finding other placement for that patient or paying you to stay off while he's there, they must respond to ...

Hem/Onc AR On salary, but it breaks down to about $37.91/hr. 8-4 M-F, I work every 5th weekend and an occasional holiday. State job, so lots of holidays, vac, and sick time.

Sorry, but just wanting to wash your hands of it is one of the reasons such behavior has been allowed to continue in the work place for so long. Report it. Actually, you can report it anonymously to your corporate compliance officer. Cite the JAC...

your nm had better re-think her actions in cases like this, as she is responsible for such on her unit. the joint commission has issued an alert on bad behavior among health care professionals and announced that effective january 1, 2009 a code...

While most nurses prefer 12 hr shifts for their convenience, more than one study has shown that the rate of errors increases in the last four hours of a 12 hr shift. But then there have also been studies that show that for every patient over 4 that ...

Not completely on point, but very informative anyway, see the article "Care and Chaos on the Night Nursing Shift In a Search for Purpose, An Editor Changes Careers; 'He's Asking for You Again'"from the May 24, 2007 edition of the Wall Street Jour...

I have made many changes in my career, some great, some not so great, but I'm glad for all of them. Every one added something to my resume, my career, and my life. Don't know who said it, but there is a quote that goes something like, "At the end o...

Perhaps it's time to stop choosing our battles so carefully. Doing so hasn't made any great changes in the nursing culture as far as I can see. No MD would allow a nurse to get by with critiquing the way he does his job, so why should nurses?? We ...