rstewart

rstewart

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All Content by rstewart

  1. staffing issues

    In my opinion this advice is 100% correct; Do yourself a tremendous favor and heed every single word.
  2. How much autonomy do nurses have??

    At the risking of appearing argumentative, the decision/judgement to perform those actions before contacting a physician for a medical order may well illustrate one sort of autonomy; but without previously approved "standing" medical orders you woul...
  3. Bariatric woes

    Whether the nurse is 3 ft tall or 8ft tall there is no safe way to manually handle patients of that size. In my opinion, hospitals which refuse to provide appropriate beds, supplies and lifting/transfer equipment should lose government funding becau...
  4. A right to work state?

    I have seen this confusion with the terms "right to work" state and "employment at will" state numerous times on this site; They are not the same and they are only tangentally related. At will employment is a doctrine not a statute or law. The doctri...
  5. MRSA and CDIFF= VRE???

    There is a relationship/commonality between these infectious diseases which may be the source of the confusion: Vancomycin. Vancomycin used to be the only drug which could handle most MRSA strains; And in general it became over prescribed to the poin...
  6. Old nurses dont want to learn new tricks?

    I would be classified by most as an older, seasoned nurse. I maintain multiple national certifications and routinely complete numerous CEU activities. I am one of the nurses my peers choose to take care of their loved ones when they are admitted to o...
  7. Patient/Family Rage

  8. I wouldn't be at all sorry for your opinion, Jayne. I think you exactly right. As an older worker it is sometimes difficult for me to internalize the complete disregard corporate America has for its workforce. There once was a time when a worker's sa...
  9. Become a nurse in just 12 months!!!

    Ok, now I know there are strong feelings on all sides of the entry to practice issue ----but that said may I ask: Does anyone honestly believe that a nurse receiving a BSN after one year in nursing school (irrespective of previous educational prepara...
  10. Become a nurse in just 12 months!!!

    Many years ago I was completing a degree in Music when I realized that I had enough Psychology hours for a double major. The problem was that the psychology degree would come from the College of Arts and Sciences and unlike the School of Music, there...
  11. I'm sick to my eyeballs of incompetent agency nurses.

    (I think gay guys make better male nurses, but I don't want to say that too loudly because I'll get fried to a crisp. LOL) Hate to burst your bubble but I believe most men who are in nursing would strongly disagree with what you think-----as would t...
  12. 250 thousand dollars for 13 weeks?

    Yanno that old saying bout "If it sounds too good to be true........"?--------well if it has anything to do with with nursing triple that warning.
  13. Calif RN disagrees with CNA in many ways. Am I alone?

  14. open visitation in critical care units

    Open visitation has been in effect in my CCU for the past several months. In my opinion, it is a disaster. But then again nobody asked my opinion. The overall effect on our particular unit is an "anything goes" environment. Mind you on paper we still...
  15. I guess I'm a florist now too....

    Actually, I would probably find the vase even if requested in a less than polite manner. The problem I have with the "Hospital=Hotel/Resort" mentality of today's hospital administrations is the implicit assumption that all requests have relatively eq...
  16. Advice needed on "accelerated nursing programs"

    You know, one thing I've noticed is that the nursing academic community has developed all manner of accelerated, online and otherwise nontraditional programs which result in BSN and higher degrees; But while they are quicker/more convenient to compl...
  17. As a manager I tried to use GPAs as a major factor in my hiring decisions for new grads-------our nurse recruiters had a fit and said that I couldn't. Nursing is a second career for me. Previously I was an accountant and I will tell you grade point a...
  18. As a manager I tried to use GPAs as a major factor in my hiring decisions for new grads-------our nurse recruiters had a fit and said that I couldn't. Nursing is a second career for me. Previously I was an accountant and I will tell you grade point a...
  19. Q 30 Min Finger Sticks For Glucose And Macerated Fingers????

    I believe that widespread continous perioperative glucose monitoring is just around the corner----the technology already exists. The sad part is with the rush to move patients out of the intensive care units many times the patients are taken off th...
  20. prominent q wave?

    hmmmmm......Well the first step would be to determine whether your q wave is significant in width or depth. Although unspecified I'm going to assume that the 0.02 is in seconds since that is the norm for the horizintal axis. Generally that is not wi...
  21. Our latest delegated task: chart audits

    The powers that be have always behaved as though staff nurses can assume infinately more duties without impacting patient care. Nothing new there. But this latest delegation irks me particularly. As staff nurses we are responsible for patient care, ...
  22. Question about RN's removing Chest Tubes...

    The NY State Education Department has an Office of Professions; The laws governing nursing practice (there are several) can be located under their website's Laws, Rules and Regulations listing.
  23. Question about RN's removing Chest Tubes...

    Your state has an organization known as the Nursing Care Quality Assurance Commission; Visit their web site. There you will find that they list advisory opinions regarding various procedures (conscious sedation, botox injections etc.) Chest tube rem...
  24. Question about RN's removing Chest Tubes...

    Registered Nurses are licensed by the state. Your state's nursing practice act defines your scope of practice. If you practice outside of your scope of practice then your state's board of nursing can discipline that RN. This is true regardless of whe...