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IndySkies

IndySkies

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IndySkies's Latest Activity

  1. IndySkies

    Saline Lock Question???

    Whoops..I made a mistake it's the diameter on the plunger, not the exit port of the syringe that makes the difference
  2. IndySkies

    Saline Lock Question???

    I like your response to the question and the trouble shooting suggestions you mention. However, not to get to pedantic about it, I think you mean the smaller the diameter the greater the pressure, that is why a 3cc syringe will flush sometimes when a 6cc or 12cc will not. This is not that intuitive but it has to do with the fact that fluid doesn't like to be compressed and you are using the same pressure, (i.e., your thumb, hand pressure), on the plunger over a smaller diameter, (the opening of a 3cc syring as apposed to a larger one).
  3. IndySkies

    "She's a FLOOR nurse..."

    Floor Nursing is the 'Boot-Camp', 'Trial by Fire', (LTC is the 'Hell-Hole), that other specialities could only wish they had the fortitude, skills, and intelligence, to be able to master, much less survive. I have always said that the standard uniform of the typical Med-Surg nurse should include a red-headed wig, since they are treated like a 'red-headed step-child by most facilities. (Oh...by the way...I'm an ICU nurse).
  4. IndySkies

    Ahhhhhhhhhh Cancelled AGAIN!!!!

    When ya wanta be cancelled yer not....When ya don't wanna be yer are...:flmngmd:
  5. IndySkies

    Mistakes

    NO HARM! NO FOUL!
  6. IndySkies

    Just a little night shift venting about day shift...

    These problems seem to me to be the result of weak managers. You need to vent professionally in staf meetings, (I know, they are never scheduled at a time that is convient for you). Or need to vent to the manager, again and again
  7. IndySkies

    Paramedics and nurses in the ER?

    I've worked in rural EDs that have paramedics/emts on staff, working along side with RNs, taking assignments, etc., no problems here
  8. IndySkies

    Is it time to get rid of 12 hour shifts?

    When I was first a nurse, (in the mid to late 70s), the Evening shift was the shift that the 'newbies' and the young nurses had, (i.e., those in their 20s). It was okay if you were a partier, you could hit the bars and/or parties after work, go home and sleep it off before you had to go to work the next afternoon. But forget about ever seeing your family in the evening in any meaningful way. Later when I became an ADON at a LTC facility I found that the hardest shift(s) to cover is the Friday evening shift. There are other advantages to an 8 hour evening shift, only one meal to deal with, hs care and pre-op baths, ect. Usually less exams, med passes, and procedures, but I would never go back to five days a week 3-11 shifts. A 12 hour shift usually allows for more actual patient interactions in a somewhat less intense, gotta get tasks and paper work done type of situations. More days off is a big plus. (It has got to be advantageous to the 'suits' also, or they would never have offered it, or allow it to continue). The fact of being tired after 12 rather that 8 hours I think is a negative I guess, but I remember being much more tired and stressed out about how I am going to get all my work, (and paperwork), done in 8 hours that seemed to be a day-to-day thing, five days a week "once more into the breech my friends, and fill the wall with our British dead", than I usually feel after a 12 hour shift. The complaint about not being able to eat or 'go to the bathroom' for 12 hours as opposed to 8, well...that is a lack of self-assertion and allowing yourself to be a martyr than a real objection to 12 hour shifts But, there will never be an abolishment of the 12 hour shifts. Too many 'working stiffs' like it..Too many employers see the advantages for it for it to ever to be done away with.
  9. IndySkies

    Manager problems :(

    Even if you like everything other thing about the unit you work except this behavior of your manager it is better to leave now rather than later. The problem is if she has some problem with you and you never can be sure what it is, how you can correct it, or even confront it, suddenly you're reputation in that hospital is ruined, or you're out of a job, or even worse, and it's what the ? just happened. Worse case senario is your career is ruined and you never really knew what was going on.
  10. IndySkies

    Do you take the MAR into the patient's room with you?

    Taking the MAR into the room, opening each unit dose in front of the patient is a JACHO ( I may have the initials ou of order),rule I think
  11. Here is the problem as I see it. Sometimes you cannot get blood for love nor money, for labs, IV start, etc. Now it could be against policy, (and ivory tower nursing ideals). To have a patient draw their own labs, start IVs. However, how you gonna get it done? I find 'doctor draws' to be somewhat of a joke. Occasionally some IV/Lab wizard can get blood outa a turnip, or a friendly CRNA might show up to do it...but sometimes, (most-of-times), its a little old ER/ICU/Floor nurse who's gotta do it. Any complication from a adverse lab/iv start is gonna fall on the poor little nurse whose watch the situation haapen to come up on. Just like failure to start IV/draw lab is gonna bite 'em. Of course in this law-suit happy world, it woul kind of be embarrasing to answer the judge why you let the patient start his own IV/lab draw. Another episode of 'water retaining wall' if you do 'water retainig wall if you don't.
  12. i would never have a patient draw their own blood. it should be against hospital policy. Why? The only reason I can think of, (if it is done properly, aseptically, and carefully), is it might cause the patient to relive their addictions, and may be a stimulus to cause a relapse. I have seen, and done an arterial stick, when it has been impossible to draw labs, via a vein, sometimes what works trumps over what is textbook.
  13. IndySkies

    MI with No damage?

    On Non-Q wave MIs, and NSTEMI MIs, (Non-STEMIs, or No ST Elevation MIs), the thought is that the infarction did not go all the way through the myocardial tissue, therefore the cardiac fuction is not, or very minimally impaired.
  14. IndySkies

    I was slapped by a doctor!

    I don't know the culture of the hospital you work at but I wonder if you report him through proper channels if anything will be done. I doubt if you were the first nurse he slapped, and if you were, he probably did it because you were new and he could probably get away with it. The problem with a police report for assault is that it should of been done at the time of the incident for maximum effectiveness. Will your witness truly back you up, I mean not now, but later if there is truly an investigation. The one thing about hospitalists is that they are usually employees of the hospital, (at least where I work), which means they are not really revenue producers like the primary care physicians that admit the patients, which means there is usually a little more leverage the hosptial has over them, and they should be held to standard a little higher as regards to acceptable behavior. It all depends on how your hospital stands up for its nurses. Now to answer your question. YES!!! REPORT HIM!!! Go through proper channels but expect, and demand professional courtesy and response from management about your valid complaint. Require that you are kept informed about any findings and actions taken. Do not allow them to 'stonewall' you and say that is is an internal investigation and any responses will be kept confidentail, otherwise in actuality nothing will be done.
  15. IndySkies

    Know What I Hate About Patient Care?

    It Gets In The Way Of The Paperwork!!!:)
  16. IndySkies

    MD practice and harrasment issues; long and vent,

    Just my 0.02$ worth...I would follow hollyvk's advice first and then if you feel like you have not had aedquate follow up with your management I would follow up with lindarn's advice. I had a situation similar to this and a gradual professional escalation of 'pressure' works best and does not make it seem like a vendetta or insubordination on your part, but does show that you are standing up for established procedures and policies, (and for yourself).