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Assingment under protest
I have never seen this form. Wouldn't mind having it handy though. I agree that it is better to lose your job than your license. It's hard to stand up to management, but if something goes wrong, they are going to believe management over 1 nurse unless there is documentation. I'm glad I read this post. I think I'll change my colors and find this form.
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No charge nurse
In the old days on med floor, we had a charge for every 22 pts, they changed it to a charge for every 66 pts about 4 years ago. Pt ratio is 5 or 6 to 1 on day shift. The nearest RN is expected to help out the LPN. Our hospital has closed some needed beds because they can't staff the unit. I know they can only see $, but the answers are not in shorter and shorter staffing. Their answer to retaining nurses was a bonus. Mine was $275.00. I've worked there for 5 years. They could have kept their money and just given me some QUALIFIED help.
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Complication with gall bladder surgery...or just slow healing????
I had this done. Terrible shoulder pain for 24 hrs, then nothing. Surgeon sent me home 8 hours after the procedure. I didn't even stay the night. I like the idea of asking another surgeon. This pain sounds too severe 3 weeks post op. By the way, be ready for diarrhea/constipation/diarrhea/constipation.
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Terms of endearment
Aussienurse2, I like your style. I use endearments a lot. Not on the first meeting, but after I know the pt. I think you have to individualize. Some I continue to call Mr/Mrs. Others are looking for a closer friend in a scary place.
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Antimicrobial stethoscope covers
Never seen one. But it sounds like a good idea. I've seen some doctors with some gunky-looking stethoscopes. Then some doctors want MINE to use. I hate that. I don't know where the doctors ears might have been. Yuck!
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Are you ashamed of being a nurse?
Proud? You be. We help the folks who need help the most. I have never asked the question "Why was I put on this earth?". For a nurse, it's perfectly clear. And I think I may be a little smarter than some of the new doctors. I really have to advocate for my pts with them sometimes. Ashamed of my facility? Sometimes. The $ is more important than the pts or employees. I wish our administrator needed our ER on a bad day and got no special treatment. Maybe he would think again.
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What do the envelopes mean?
OK. Will someone tell me what the orange, yellow, open, closed, black dotted envelopes mean on the left hand side of the screen. Also, the next column with the pices of paper, faces, etc. Do these have any specific meaning. Sorry, I'm new to computers.
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Older Child Terrified of Blood/Needles
Wow, I'm sorry things went so poorly. My daughter almost had to be held down to get her first Hepatits shot, but after it was over she thought it was nothing and we never had any more trouble. Young men seem to be more afraid of needle sticks than any other group. I wish I had some wonderful advice, but other than giving him some po med to relax him, nothing comes to mind.
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Protonix IV
Our doctors are suddenly prescribing protonix IV to every pt. I don't think it is very cost efficient because it requires its own IV tubing and filter every time. I know the tubing costs $50.00+ in our facility. Any thoughts on whether this drug is better than some of the other old reliables that are easier to give and cheaper. Are your seeing it prescribed at your facility?
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what do you call them?
I don't know the answer, but I have another one. What do Physician Assistants want to be called. We have a fast-track ER with only PA's. I never know how to tell the pts who's coming. "Mr. so and so"? "Assistant so and so"? Nothing sounds right. When talking directly to the PA, he asks that I call him by his first name.
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RN signatures after LPN's
We do not co-sign daily assessments for LPN's. The initial admission assessment has to be done by an RN. They have said an LPN can do the initial assessment if an RN co-sign's, but I have never done that. If something is missed, I'm sure it would be my license on the line.