rstewart

rstewart

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All Content by rstewart

  1. Nurse terminated after having baby

    rstewart replied to hokiern's topic in Activism, Healthcare

    nope, that's not even close to what it

  2. code blue

    rstewart replied to gigigirl's topic in Cardiac

    This represents a classic case of how today's hospital administrations fail to adequately prepare/support their nurses (and ultimately their patients). Tele nurses should not be forced to rely upon an...

  3. Can anyone explain to me a couple things about CVP??

    rstewart replied to raindrop's topic in MICU, SICU

    Correction noted. See if you accept (as you did) Karen's provided norm of 5-10 cm H20, then the top of the range is just over 7 since 1mm Hg=1.36 cm H2O. I do sincerely appreciate your willingness...

  4. Can anyone explain to me a couple things about CVP??

    rstewart replied to raindrop's topic in MICU, SICU

    lolol...nope don't buy 5-10 or 2-15. (at least not without specifying the units of measurement as well as method used to obtain.) Now as Karen mentioned in an earlier post the normal range for a CVP...

  5. Should BSNs be paid more?

    rstewart replied to edcampbe's topic in General Nursing

    How is this for a novel approach: A given nurse's pay should reflect how well they perform their job relative to others performing the same job. Simply put, the highest performing nurses should earn...

  6. When does it stop..New JCAHO Standards Require Smoking Cessation Advice/Counseling

    rstewart replied to NRSKarenRN's topic in Activism, Healthcare

    Of course, not just any RN can point out that smoking and heart/lung health is not a good mix. I think we simply MUST have a certification for smoking cessation RNs. We can have exams we can charge...

  7. Decertification Petition Filed Against the California Nurses Association

    rstewart replied to Sherwood's topic in Activism, Healthcare

  8. Should I just move on?

    rstewart replied to pie123's topic in General Nursing

    Reason enough to detest it for me. I detest it because it is a perversion of the word as well. Until the MBAs and marketers brutalized the definition a customer was someone who purchased a good or...

  9. Should I just move on?

    rstewart replied to pie123's topic in General Nursing

    Rather amazing how in today's healthcare environment everyone is strongly encouraged to go above and beyond for their "customers"--------except when that "customer" is a nurse. Now that the original...

  10. Rapid Response Team

    rstewart replied to Lukestar's topic in CCU, Coronary, Cardiac

    Of course giving any attention to "failure to rescue" incidents will decrease patient mortality rates. However, I would submit that the underlying problem is not one of education but rather of grossly...

  11. How to work with acute-minded nurses in LTC setting?

    rstewart replied to DG5's topic in Geriatric, LTC

    the answer to your concerns is education, specifically evidence based treatment modalities and considerations for the elderly population. from reading your post, i suspect that both "factions" will...

  12. ICU gets differential and not ER??

    rstewart replied to jentenrn's topic in Emergency

    Sorry but your argument does not hold water. The matter is not up for debate. Nowhere did I state that our differential policy should be followed by all institutions. To the contrary I specifically...

  13. ICU gets differential and not ER??

    rstewart replied to jentenrn's topic in Emergency

    I knew I was going to receive a reply such as this no matter how carefully worded my post. I might point out that at no time did I state that the ICU is more intellectually or physically challenging...

  14. ICU gets differential and not ER??

    rstewart replied to jentenrn's topic in Emergency

    Rstewart, do you think ICU is the only department to have to jump thru hoops? Does your hospital not require all RN's to attend annual "skills fairs" and recertify certain procedures? Every one I have...

  15. ICU gets differential and not ER??

    rstewart replied to jentenrn's topic in Emergency

    Our hospital pays a differential to fully "credentialed" critical care nurses but not emergency department nurses. I believe in our case it's fair and reasonable. We have a general critical care unit...

  16. using patient acuity to determine nursing assignments

    rstewart replied to Alrn's topic in General Nursing

    Cons? Well, I personally consider the entire staffing by acuity issue a con by management. On it's face it seems like a reasonable way to staff; In practice it does not work. First of all, in my...

  17. Nitroglycerin drips on telemetry units

    rstewart replied to nicholasmjb's topic in Patient Safety Issues

    The problem I have is the manner in which decisions of this type are made. In the vast majority of cases such changes reflect community standards rather than any evidence based practice or outcomes...

  18. Nurse Patient Ratio on Telemetry with Drips

    rstewart replied to KaroSnowQueen's topic in General Nursing

    Yup yup....those hypoertonic solutions are tricky. You just never know what they are gonna

  19. Nipride drip and no MRI/MRA?

    rstewart replied to Kiwi's topic in General Nursing

    I'm going to take a guess here and say that the nurse meant that the patient was too unstable to do without the Nipride, but couldn't have the MRI because of the metal in the pump needed to accurately...

  20. Magnet hospital

    rstewart replied to mugwump's topic in General Nursing

  21. CCRN study probs...

    rstewart replied to gwlillith's topic in Certified Registered Nurse Anesthetist, CRNA

    I have to agree with this. In my opinion the test (like ACLS etc) has gotten considerably easier when compared with 10-15 years ago. So yea, do study----but relax cause you probably will

  22. Working other job description

    rstewart replied to nurseangel78's topic in General Nursing

    Well besides that, working as a CNA when you are an LPN is not really an option. Yes, you can be assigned CNA duties, but you are responsible for performing as an LPN regardless of your

  23. What can we do to improve working conditions in Nursing homes?

    rstewart replied to Destinystar's topic in Geriatric, LTC

    I can only confirm what many of you have already said. Obviously, clear, appropriate staffing legislation would be helpful. What is needed for adequate care has been calculated for the industry but...

  24. Leaving Management Role

    rstewart replied to RNPATL's topic in Nurse Management

  25. Leaving Management Role

    rstewart replied to RNPATL's topic in Nurse Management