CHUBBY

CHUBBY

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About CHUBBY

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  1. Agency nursing good idea or bad?

    sallerella, As long as oyu're an experience RN and can "drop and run", agency may be you're best bet., I don't about Canadian salaries, but the payscale is lower in Baltimore than say, Pennsylvania or...
  2. Charge Nurse

    Unfortunately, the problem you're having is not umcommon. I don't have charge responsiblities in my present position (due to fact that I'm per diem, even though I have a significant amount of...
  3. Crutches for ED Patients

    Cal, I understand the fiscal reasoning behind the crutches, but they certainly can't send someone out the door with a simple/nondisplaced fx without crutches..that's malpactice. How do they they...
  4. Holding admitted pt in ED

    Missy-you'll appreciate this. One ER I work in added 10 observation beds to the ER (for monitor overflows) It's mostly rule outs, nothing on vents or trauma (THEY get the beds) anyhow, they have been...
  5. Conscious Sedation in the ER

    They usually use versed with another agent maybe MSO4 or something short acting. The ER docs or whoever is doing the procedure usually orders the meds. We dont have anesthesia there.(If they need an...
  6. Holding admitted pt in ED

    Unfortunately, as the insurance dollar gets tighter, the admitted ER pt. is gonna be the rule rather than the exception. Hospitals would rather close floors to save money and hold a few in the ER for...
  7. Holding admitted pt in ED

    Actually, there's alot of places in midatlantic that already have these "observation" areas. Basically, areas for soft rule outs, but other stuff is sent there as well. They get a mini admission, 3...
  8. Holding admitted pt in ED

    Every ER I have worked in has held pts.,I've even discharged some of them after they've rule out. One ER (with 13 rooms) had camped 22 pt.s..how they fit them in, I don't know (in addition to being a...
  9. MANAGED CARE 101 AND THE COST OF NURSING

    Oh, I almost forgot, if you look on the back of a Keystone/Mercy Insurance card, at the bottom in bold letters it says "Payor of last
  10. MANAGED CARE 101 AND THE COST OF NURSING

    I can understand your frustration, but NOT your anger at the situation regarding health care in this country AND as the populace gets older (thank you BBA) and the number of the unisured full-time...
  11. Incompetent nurse

    Quit...
  12. On-call

    Unfortunately, haven't really seen one that has worked. Tried voluntary, then assigned on-call (which was even worse). Staff began questioning other staff as to what necessitated the on-call person...