All Content by K O'Malley
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Femstops
At my previous job we used femstops and as far as I am concerned they are torture devices. Some of the docs ordered four hr. fem stops and naturally the pts developed back pain from lying flat and urinary problems from not being able to void lying flat. Sometimes when we went to take them off the suction of the femstop being released would cause bleeding. Recovery time was much longer. Where I work now we never use them, the docs either seal after heart caths or we use Destat dry while holding pressure. Far fewer complications and the pts are up much sooner.
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any nurses do only perdiem?
I work per-diem in a recovery unit and really like it. The pay at my facility is actually lower for per-diems, however. But I have grown children who are spread all over the country and I like being able to take off a week whenever I want to go visit them. Otherwise I would not see them except at Christmas. I don't regret giving up my regular position at all.
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How physically demanding is it?
In most areas of nursing you will be on your feet all day, either walking, standing, or both, many times for 12 hr shifts. There are a very few areas which are not as bad, such as the NICU, doctors offices, outpatient clinics. But I would be lying if I said that hospital nursing will not take a toll on your body.
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What do you think is the MOST difficult clinical skill to acquire in your experience?
The most difficult for me was endotracheal intubation. We have to do it on dummies in order to pass ACLS. Half the time I would put it into the esophogus. I sure would hate to do it on some poor live person.
- Nurses are underpaid in WV
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I spoke to an MD the other day who told me that Hepatitus C was the SINGLE biggest...
Apparently Hep C is a big problem for health care workers. It can infect you without you knowing it and reside quietly in the liver for years. Sometimes you are totally unaware of any blood exposure but somewhere along the line it was inadvertent. What I was told by our education nurse was as nurses age, we will see more and more active Hep C cases because our immune systems aren't as strong when we age and the bug will flare up. And yes, I know of a few nurses who contracted Hep C. One was an OR nurse and she does not remember ever being in a situation where she would have been exposed. Though exhausted and not feeling well, she has been required to keep working. I guess that somehow workers comp weasled out of paying, using the excuse that it can't be proven that she caught it on the job. On a positive note, I read that they are close to developing a vaccine.
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Locked I.C.U
When I worked in MICU we had to end up putting a lock on the door. When open visiting became the rage it was a complete nightmare. There would be as many as 10 visitors at a bedside, hordes of people trooping in and out all day, visitors taking a "tour" of the unit and peaking in every room, visitors standing outside the pt's room and watching everything going on, not to mention standing at the desk at report time and listening to confidential information. And what we really loved was finally getting a vent pt settled down and sedated so he wasn't constantly fighting the vent and a visitor would come in and shake him and say "wake up George!" We were worn out from policing visitors and finally put a lock on the door. We did have fairly frequent visiting times. But it sure helped to make our jobs more manageable and the pts were able to get some rest.
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ICU visiting hours
I think that open visiting for a neuro ICU is insane! I have had neuro pts who would seize when stimulated. Sheesh! This customer service thing has gone over the top!
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ICU visiting hours
I think that open visiting for a neuro ICU is insane! I have had neuro pts who would seize when stimulated. Sheesh! This customer service thing has gone over the top!
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Critical Care Nursing?
I loved critical care nursing, particularly the Medical ICU. We had such a variety of patients and everyday I learned something new. It challenged both my mind and body because you have to constantly be on your toes and ready to jump on any subtle changes in your patient's condition and you do run non-stop. The one big drawback was that where I worked the nurse:pt ratio was 1:3. Over the years the patients were sicker and sicker and ever more complex and it eventually became overwhelming. It was a for profit hospital and short staffing was how they made their profit.
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Desperately need help
By all means, get a lawyer. It could be that the hospital is also investigating some other suspects and you will be cleared. I don't know if you are working where I used to work in WV but they watch any pyxis discrepencies closely. Even not having someone witness your waste. I know I have been guilty of this once because there was no-one around anywhere to witness so I stuck the leftover in my pocket to have someone witness with me later and it leaked out! Nothing came of it for me but a nurse I know did get fired for unwitnessed waste! So, everyone, be ever so careful when taking drugs from pyxis.
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How desperate is your state for Nurses?
I have watched the positive attitude of so many new grads change to nausea and dread. I work with two young nurses now who were lucky enough to get a transfer into our vascular recovery unit. They say they will never again do floor nursing, they had no clue what they were getting into.
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Nursing and fainting........(long)
If it will make you feel better, my sister fainted about every other day at the slightest provocation. She even walked out of the hospital where she was supposed to have surgery because they required a blood test. She went on to become a medical technologist and then an M.D. So I think de-sensitization is the key. When you are exposed to gross things all day long I guess the old body gets tired of passing out.
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Why Is There A Shortage?
I worked ICU until 3 yrs ago, only one nurse was older than 55. The past three years I worked cardiac telemetry, a unit with a very large staff. Again, only one or two nurses over 55. Where have they all gone?
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How desperate is your state for Nurses?
Our state, (WV) is desperate for nurses, but not desperate enough to compensate experienced nurses in order to keep them in the profession. Instead the hospitals holler for the nursing schools to churn out more and more new grads.
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ICU or stepdown?
Definitely ICU!
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So what WAS nursing like in the "good old days"?
Canoehead, I can remember being chewed out by my instructor for wearing gloves while cleaning up green diarrhea. The next day the pt's stool report came back positive for shigella! That was in the late 1960's. Even in the mid 80's our infection control nurse was telling us not to wear gloves when taking care of HIV pts. She said it was embarrasing to the pt and besides, the only way you could catch it was through homosexual sex. We were also told that we were obliged to give mouth to mouth to a HIV pt who coded if an ambu wasn't immediately available. No way we could catch it. HA!
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Pardon Me While I Vent about this "Patient As A Customer" deal
One thing I have learned from dealing with people for years and years is that there are trashy people who live in mansions and salt of the earth folk who live in trailers, and vice-versa of course. Its not money or lack thereof which defines a person, rather it is character.
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Docs leaving sharps behind....again.
I would suggest writing incident reports on anyone who doesn't dispose of sharpies properly. This is a serious breach of procedure and a danger to others. On a slightly different note, we had an out break of MRSA in our ICU and anyone, even doctors who were caught not washing their hands were written up. Doctors are not exempt from the rules or having an incident report filed on them. Don't let this dangerous behavior continue!
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ruptured appendix and peritonitis
Good grief, PJMommy! I would say there was negligence on the part of the doctor and the nurse, the doctor for discharging too soon and not prescribing antibiotics and the nurse for not getting on the phone to the doctor. I had a ruptured appy in 2000 and it was their policy to keep you in the hospital for 3-4 days or longer if the WBC was still up. Did they do a WBC on your hubby prior to discharge? I was sent home on antibiotics and your hubby should have been too.
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Why Is There A Shortage?
"If they have the only game in town, how will you work in a hospital that pays more." I won't work in a hospital or anywhere else as a nurse for those wages. My daughter worked as a receptionist making $11.00/hr and every Friday afternoon the company had a happy hour for its employees. I will say "bye bye nursing."
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Why Is There A Shortage?
BWHAHAHAHAHA! Do these docs really think they are going to get any nurses to work for $12.00?hr, with the huge amount of responsibility we have to shoulder, the rotten hours and the hard work?
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Beware Gastric Bypass with stapeling!
There is something seriously wrong with our society and our habits that so many people are to the point of needing risky surgery for weight control. From what I saw on the news, this surgery is now being offered to teenagers. Back in the bad old days when we ate eggs, bacon, real butter, whole milk, etc, obese people were a rarity. What in the world has gone wrong?
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nurses failed to adequately examine the patients
I too am a little skeptical about the nursing shortage. Our nurse:pt ratio in the MICU was 1:3 not because of a shortage but because management and administration set these ratios, I'm sure as most beneficial to the bottom line. If we had enough nurses in the unit for a 1:2 ratio then someone would get floated. Also, nurse managers would get a bonus for keeping costs down. On the orthopedic floor the manager would purposely schedule one nurse per twelve pts on day shift on the weekend so her numbers would look good. Eventually what happens is that there is a shortage of nurses who are willing to put up with this stuff. They either leave nursing or flee to greener pastures. Pretty soon you have a hospital staffed with agency nurses and travellers.
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Nurses pay
From my experience nurses pay maxes out at 10 years. Then raises become very sporadic. You may go several years without any raise at all. Please tell me what other profession fails to compensate its most experienced workers.