twells

twells

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About twells

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  1. The Doctor oncall told me not to call him

    Sounds to me like you were the only person in the hospital who didn't know the patient was dying and was only going to get end of life care.
  2. My Heart Is In My Throat...Literally

    It's probably the ephedra. It didn't bother you before because you were very young and probably not under as much physical stress as you were. I never took ephedra, but had the same problems with PSVT at about the same age. Hate to suggest it migh...
  3. LPN Bashing

    I think one of the greatest problems in nursing today is the attitude that "I didn't go to nursing school to empty bedpans". I consider the basic personal care functions my best opportunity to do a thorough functional assessment. I can rarely tell ...
  4. Metabolife

    I think our psych center has seen a few people with destabilized conditions when they were on metabolife. If it can bring out the psychosis in you, it's probably not very good for you. I agree with the diet and exercise advice (skipping sugar in the...
  5. Once a post-op colectomy patient coded. I started chest compressions and green stool mixed with blood fountained out of one end of his incision with every compression.
  6. Does this constitute as a lack of privacy??

    Our system has over 10,000 employees. We sign for education classes with name and department. I share a name with another employee, but we're in different departments. We both use middle initials too since we discovered there are '2 of us'. No on...
  7. nursing training ??? in hospitals

    I work for a system with 6 hospitals. We own and run a school that awards associate and BS degrees in several disciplines in addition to nursing. We also have a local university using the classrooms and dorms from the old diploma program. The stud...
  8. acuity system

    My first nursing unit used a patient acuity index. We gained additional NA on evenings and a RN on nights as part of the regular schedule after the first month. After that, it rarely made a difference in staffing.
  9. Eecp

    Dr Atkins mentions it in his latest diet book. He does it at his clinic. It's supposed to force your heart to develop collateral circulation without drugs or surgery. Maybe a good alternative, especially for people with high risk factors for surge...
  10. Our hospital eliminated orderlies in a reorganization about 8 years ago. Now, HR calculates that we spend several million dollars a year paying for time off for nurses' back injuries. The great new idea to deal with this is a 'lift team'. A pair o...
  11. False Nails (Does it promote infection?)

    I've heard that well-kept, non-chipped polich and false nails would be safe, but how can anyone make it through 12-14 hours washing hands multiple times per hour and still have non-chipped polish? When I worked in surgery, I discovered that a 3coat p...
  12. Nurse Lojack System

    Our hospital uses a similar system and it has really helped. We page DR from our phones and keep working until they call us back. No more standing around the phones waiting. since we can answer our call bells with the phones, it's a lot quieter an...
  13. Bait-and-Switch... :confused:

    I wouldn't walk right away. Making a lowball offer is a tactic taught in a lot of management workshops as a way to keep wage expenses down. I would look around carefully, though. I once had a manager tell me that staff were not allowed to work ove...