pb57

thank you all for replies, it all helps process more clearly. I have never seen it given inappropriately and I think the Drs do a great job explaining the risks/benefits, but it is difficult to not think and rethink about. Would a debriefing be beneficial?

After giving TPA and having a bad outcome nurses often feel responsible for the outcome. Do any EDs have debriefings after these situations. Are nurses allowed to voice there concerns if they don't feel comfortable giving the med in a specific situation....are nurses allowed to share their experiences with the drug with families. As a pt advocate I want the family and pt to realize the dangers are so real, there is so little info on the dangers of TPA out their for the public to be as educated as they should.

We are at the mercy of the floor charge nurse to give us a bed and we wonder why beds seem to be more available around shift change time. Are they "dumping" on the next shift?

I think there is lack of respect between staff and management...they don't respect what and how I do my job as a staff nurse and I do not respect what they do. I wish it were different and I don't think there is a one day class to fix it...it takes time to earn someones respect.

Our manager thinks meetings are the only way to get things done...we usually spend 7/8 of the meeting listening to her or other manager type folks...at our next meeting I want to try to make a suggestion to give the meetings back to the staff ...trusting us to accomplish our own goals for that particular group. Is this unrealistic...do staff nurses anywhere have any control?

Our manager wants us to put all mental health pts in gowns immediatly. We have a whole range of pysch pts, some voluntary and some involuntary....what happens in other places?