dzadzey MSN, RN

Dialysis, Hospice, Critical care

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All Content by dzadzey

  1. This time of year, we get them. Patients so gravely ill that they must be placed on life support. Ventilator, pressors, art lines, central lines, Swans, trans venous pacing, CVVH. And when all of...
  2. Welp...Nurses Week is, mercifully over. Nurses everywhere got cheap trinkets, mediocre food and cheap sentiment from hospital administration. Hospital administrators got lots of opportunities to...
  3. dzadzey

    Who should decide?

    Nor is my argument about "spending government money". It's about quality versus quantity. It's about the toll futility of care takes on us as nurses...on the patient's families. Being realistic about...
  4. dzadzey

    Who should decide?

    Medical futility and reality trump hope and prayer. Just because we can maintain the function of a human body until the patient's skin blisters and they have weeping wounds on every extremity doesn't...
  5. Nursing theory is a guide...not writ in stone absolutes...a guide, to nursing practice. Nursing practice is wholly contextual, and nursing theory, nursing experience, life experience, and a whole host...
  6. dzadzey

    Nurses' Week - Upended.

    National Nurses Week - The one week of the year hospital administrators pretend to care about the well-being of nursing
  7. dzadzey

    Any Buddhist Nurses?

    I took refuge in the Kagyu lineage of Tibetan Buddhism back in the 90's and, like you, the philosophy of Buddhism speaks more strongly to me than the metaphysics of Buddhism, although it is still...
  8. I have passed this sign countless times, and I finally just couldn't stand it anymore. It reminds me of a sign I saw posted in a yard in Norfolk, Virginia when I was stationed there years ago. It read...
  9. dzadzey

    What is your Nursing Kryptonite?

    Had one family the other day crowded in a room after the patient passed, the room smelled like a wet ashtray even after is was
  10. dzadzey

    What is your Nursing Kryptonite?

    "Sputum... of any kind. Especially have an aversion to trachs... ya know, when they cough and a glob will fly across the room. I just can't even. But along this same topic, does anyone find that...
  11. dzadzey

    What is your Nursing Kryptonite?

    Patients and families with an overweening sense of entitlement, treating nurses and our support staff as if we were wait staff at a Waffle
  12. dzadzey

    Why are so many nurses against unions?

    National Nurses United (National Nurses United) is a good place to start. They can provide you with the training and resources...online and out of sight of management...you need to begin organizing....
  13. dzadzey

    Education of Nurses in the United States

    While inroads are being made in increasing the number of BSN prepared nurses at the bedside, the number will still fall far short of the recommendations in the 2010 IOM report on The Future of...
  14. "I believe that sooner or later nurses and all other workers in hospitals will organize themselves in unions to protect themselves against the injustices of low pay, overwork, overtime without pay,...
  15. dzadzey

    Black listing

    A nurse who I worked with on our unit for several years accepted a position as clinical nurse manager. I said, " I would congratulate you, but admin will throw you under the bus at the drop of a hat"....
  16. dzadzey

    Tired, Burned Out, and Broke...

    We attended our grand-niece's "white-coat" ceremony at OU School of Osteopathic Medicine several years back. It was a wonderful event, with all of these young people being welcomed into the medical...
  17. The simple fact of the matter is that, when it comes to setting policy that affects our ability to provide safe, quality and cost effective care, nurses MUST have a seat at the table with hospital and...
  18. Across Ohio, and the nation, the drive is on to require a BSN to secure...or continue...employment in acute and critical care settings. While the research data shows improved outcomes in these...
  19. I find it surprising that so many think the issue is about nurses getting a handout from employers to pay for their education. What it is about is employers mandating a level of education of nursing...
  20. The decision on the part of my employer, and many other healthcare providers, to begin requiring BSN degrees for new hires to the acute care setting does not affect me. It does however, affect more...
  21. The biggest impact to healthcare organizations is going to come from HCAHPS. With reimbursements being driven, ever more by subjective "patient satisfaction scores", hospitals and healthcare...
  22. dzadzey

    Question for Nurses with BSN and MSN

    I finished my BSN on line in 11 months. Not that it mattered to my employer. Unlike other industries which average from $2000 to $4000 a year increase in salary for transitioning from Associates...
  23. There are many other professions where there exists a noticeable difference between the wages of those with an Associate Degree and a Bachelor's Degree This difference ranges from $2000 to $4000 per...
  24. Lots of good posts. But let me clarify...I finished my ADN in 1999 at the age of 39. I completed my BSN this year, so I've seen both sides of the equation. and BSN's do bring a different skill set to...
  25. If you need to ask, you don't