paradisemakai

paradisemakai has 10 years experience and specializes in ER, ICU, Clinical Research, Admin.

Latest Activity

1. An admin vent of sorts

   paradisemakai replied to stillpressingon's topic in General Nursing

   Here's the link to ANCC/magnet hospitals: http://nursecredentialing.org/magnet/ I believe that how well a department functions and how happy the staff are is in direct relationship to how well management/administration does their job. I refuse to w...

2. Hey ER, what takes so long???

   paradisemakai replied to RunningWithScissors's topic in Emergency

   Having worked both floor and ER and thus seeing what it's like from both sides, I can honestly say that both jobs are difficult. It's easy for one unit to badmouth the other, but I wish nurses didn't do that. For the most part we're all working our...

3. Hey ER, what takes so long???

   paradisemakai replied to RunningWithScissors's topic in Emergency

   Very interesting - when I worked in ER it was usually the opposite response from the floor nurses - there were never any beds ready so our patients would hang out in the ER for up to 72 hours Delays in the ER are quite commonly due to: 1. MD needs ...

4. An admin vent of sorts

   paradisemakai replied to stillpressingon's topic in General Nursing

   That's really sad. My recommendation is to look for a magnet hospital to work at. Most states have at least one. They are the gold standard and one of the requirements for a hospital to achieve magnet status is the the professional climate and com...

5. Assault Response Training for ER Staff

   paradisemakai replied to Fiesta Red's topic in Emergency

   I completely agree. In fact, when I worked at an adolescent unit, we were all taught CPI, and it was useless and people did get hurt. When I worked ER we had a local guy who has worked psych forever and he developed his own deescalation training. I...

6. Sleeping during nightshift!!

   paradisemakai replied to helpinghands's topic in General Nursing

   When I worked nights in ICU, we would each take our 1/2 hour break, getting someone to cover us, and sometimes we would go in a small room and set our alarms on our watches for 1/2 hour, take a cat-nap, then wake up, go back out to work, and cover fo...

7. great places to volunteer?

   paradisemakai replied to mamamoosie's topic in Washington

   I'm not in that area, but wanted to tell you that I volunteered in my local ER when I was doing pre-reqs, and it was the highlight of my week. Watch out the retired pink ladies don't stick you in the gift shop :chuckle

8. NCLEX Test, 75 questions cut off

   paradisemakai replied to sharoncbrn's topic in NCLEX

   I am another one who got cut off at 75 and passed. I think it's a good sign.

9. How would you make inpatient rooms better?

   paradisemakai replied to Email4KH's topic in General Nursing

   No. 1 pet peeve: Inaccessible sharps container. Who are these people with screwdrivers that put one sharps container in a room with two patients and it's in the front of the room so if you're taking care of the patient by the window you have to walk...

10. Any one else ever feel this way?

    paradisemakai replied to *lisa*'s topic in General Students

    When I made the decision to become a nurse 15 years ago, a friend who is an MD gave me this advice: "Do not give up. There will be times you feel like giving up, but don't give in to them. Do what it takes and you will finish". I unfortunately ha...

11. IV drugs RN's can give?

    paradisemakai replied to bill4745's topic in Emergency

    My understanding is that RN's can give any IV meds the MD orders, BUT that it is the RN who must make sure that the med is safe to give, so in the case of propofol if would be up to your judgement to refuse. If your facility has standing orders, as ...