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DC Collins

DC Collins ASN

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7 year ED RN

DC Collins's Latest Activity

  1. DC Collins

    Should Healthcare Be Funded As A Basic Human Right?

    Because, anecdotally, that has not been the norm, though such things do happen. I was referring, however (while failing to mention it), to more emergent things like cancer screenings when other diagnostics point toward it, organ failures, and the like. And chest pain will get me a room right away. I don't know about where you live / work, but in my ED, if I go in with the worst headache of my life, I get an immediate head CT. If something shows, and immediate MRI. Same with bad abdominal pain - CT. They find a brain bleed or clot, immediate surgery. They find seriously blocked small intestine, immediate admit and treatment. I remember reading a few years back (may have changed by now) that *all* of Canada had only as many MRIs as Detroit. /shrug YMMV. I can only go off of my experiences and those with whom I communicate / read about. DC :-)
  2. DC Collins

    Should Healthcare Be Funded As A Basic Human Right?

    There is something to be said for working up good relationships with family and friends and community. People in the US are some of the most generous people on the planet. Asking for help is great! Getting it even better. *Stealing* the help, is immoral, whether or not the term 'government' is involved. DC :-)
  3. DC Collins

    Should Healthcare Be Funded As A Basic Human Right?

    I don't find waiting 16 hours in an ED (socialized) a better system. And we do have one of the most advanced / more equipment per capita systems in the world. Waiting several months for a CT because there are fewer machines per capita is, IMHO, *not* at better system, though yes, it is cheaper. Plus, the main reason so many other nations' citizens have longer life spans is because of better health *choices* made, not because of better health 'care'. Again, IMHO. DC :-)
  4. DC Collins

    Should Healthcare Be Funded As A Basic Human Right?

    1) In other words, they feel it is okay to keep stealing from others because it is easier to do so than not. Anyone else doing this would go to jail. 2) But good point! Let's make the costs outweigh the benefits, or simply remove the benefits. Funny how people find a way to lift themselves up by their own bootstraps when nobody else is doing it. DC :-)
  5. DC Collins

    Should Healthcare Be Funded As A Basic Human Right?

    The key word highlighted above is "shouldn't". Is it smart to help your neighbor? Is it smart to encourage someone who is trying to make it? Yes to both. But "shouldn't" implies authority to *force* others to pay for it. Theft is theft, whether under the guise of government or not. If *you* believe it helping with others' healthcare, pay more of your own money. And along the way, feel free to wheedle, cajole, and even guilt me into doing so as well. But do *not* steal from others to make it happen...to do so is immoral. DC :-)
  6. DC Collins

    So do you actually take your breaks?

    Take your lunch. Take your 15's too. The only reason not to is if there is truly an emergency, like a code.
  7. DC Collins

    How can you tell if nursing is a good fit for you?

    I am with those who recommend volunteering. Even more than taking a CNA job. While you need to know how to do what a CNA does, and be willing to help the CNAs when you have the time (so that they will help you in return), most of your work will *not* be what the CNAs do. Most of your time as an RN, at least in a hospital setting, is not doing routine chores. Most of it will actually be critical thinking, assessment, re-assessment, etc. By volunteering, you can change departments when you want (to some degree). But let me recommend that you not volunteer for just a few weeks and either stop or change departments. Give them good service, and it can serve you well. Give them bad service and it can come back to bite you big time. Best of luck!
  8. DC Collins

    I hate what's happening to nursing...

    I cannot believe that actual Customer Service erodes morale for the employee. Making a pt or family member feel better can only improve morale for the nurse, or any hospital staff member for that matter. On the other hand, it sounds like some management efforts which are labeled customer service are not. Reading a script is not customer service. Ending pt contact with, "please call 800-xxx-xxxx and rate my service" is not customer service. Where I work our management encourages customer service. Massively. But that is what they do, 'encourage'. They set the cultural tone. They let us know what is expected of us but do not force-feed us methods, but rather give us ideas. They also are up front about the money issue, letting us know that Medicare reimburses us less if our customers are unhappy, affecting money for equipment, fun things, salaries, all of it. In fact, blame Medicare for much of this. Getting paid based on happiness when your customer is inherently unhappy seems just a little twisted to me. All I know is that I love working for my facility. Is everything 100% perfect all the time? No. It's a job. It's a corporation. Can't please everyone all the time. However, it makes a big difference to me that they actually try, while at the same time letting us know what they expect of us, and work at giving us the tools to perform to those expectations. If a person has a better idea for a method to reach a necessary goal (in this case, full reimbursement from Medicare) while maintaining a semblance of employment satisfaction, try bringing it up to management. If your management isn't receptive to such things, it may be time to start looking elsewhere?
  9. DC Collins

    My hat's off to CC Nurses!!!

    I am a relatively new ED nurse (yes, one of THEM, lol). Usually in our ED, we take care of an average of 3 pts at a time. Sometimes we have time to help out another nurse, sometimes we need help with just one pt, obviously depending on acuity. Recently, when I arrived for work, I received report on a pt who had just been intubated within the past half-hour. All the beds in the hospital were full. So I had this patient for about three hours. Y'all know how much work said pt can be. Once handed off to the ICU, before I could even begin to help clean that room, in comes another pt who needs immediate intubation. You know what its like to get a patient from the ED that the ED nurse thinks is 'stable', when you know otherwise (I heard that groan! lol). Well, with the hospital full, I had this pt the rest of my shift. The pt was never 'settled' by paralytics or sedation for very long the whole day. The pt was one SICK puppy, poor thing. So I hardly left the pt at all. One patient at a time. ALL day. Only two patients the whole day. I am more exhausted today than any other shift. Ever. I feel good about myself for my work today. But my brain hurts even more than my body! The only proper thing I can think of to say about you, you, you critical care nurses, is inspired by Wayne and Garth: "I'M NOT WORTHY" while bowing and scraping. You lot are AWESOME!
  10. DC Collins

    What pay are nurses making these days?

    "And nurses say they don't get paid well. Hmm....for a job that only requires a two-year degree, I must say, Nurses are making bank!" For one thing, at least at my school, my 2 year degree cost me four years due to pre-requisites. For another, your average hospital nurse has to do more critical thinking in one day that your average doctor has to do in a week - *average* being the key word, there are exceptions in both directions of course! And that isn't dissing doctors, even average ones. It's just that we nurses are their eyes and ears. It is just a factor of the job. Example: Today, we had to intubate a patient. Even though I work in the ED, with all the ICU beds tied up, I had this person from nearly the start of my shift to past the end of it. When the doc was with the pt, he was all critical thinking. But after intubation and original orders, it was up to me to keep him up-to-date on the patient's needs. So it wasn't up to the doc to decide, 'Maybe I should order some more sedation for this pt who we have paralyzed for quite some time now.' It was me who had to recognize when the pt was not only coming out of the paralysis, but also the sedation. Further yet, the education doesn't even really start until "school" ends. During my residency I have spent a tremendous number of hours in the classroom, with much more to come post-residency. Believe me, while nurses do make decent-to-good money (depending on how long one has been working - and as a recent graduate even I can recognize the *tremendous* difference experience makes as a nurse), the education is ongoing, the critical thinking skills are...well...CRITICAL, and we work our asses off for that money. In my opinion, very, very few people, with all the skills required to even be able to do the job, would be willing to work this hard, for this many hours, doing some of the dirtiest, ickiest work imaginable, without being appropriately compensated. And you don't want a Real nursing shortage, based on under-payment. The qualities of a good nurse are not something you want to be missing in whichever underpaid person would otherwise be taking care of you or your family member or friend! I hope that isn't too rambling. I am *exhausted*, lol. In the ED I am not used to having only 1, critically ill patient at a time all day long! It is more tiring than any three other ED patients at a time. My hat's off to you ICU and other CCRNs!
  11. DC Collins

    Ages of male nursing students?

    Future...don't worry. I was 48 when I graduated last year, and 49 days before my first day on the job, lol.
  12. ITRI4VT: Her name is *****. I am not sure of her specific title, as she recently took over the hiring process for the Manager of ED Services, but she is definitely the one who does the interviews (she hired me :) You do need to call the main line to get through, but if you do so weekdays after 7:30am PST and ask for her, you will get her, someone else in her office, or at least her voice mail. Good luck! DC, St. Clare ED RN :)
  13. We have an RN at the front window along with a Registration Clerk. The RN does a quick assessment to assign level of care needed and a quick, instant triage into the computer, with an ED Tech getting the first set of vitals immediately. Level 1 or 2 and they are put in order to quickly see a PA. Level 3, 4, or 5 and they are put in order to be taken back to the main ED area. The ED Techs do most of the room assignments and take the pts to the rooms, based on which Doc has the least amount of pts. When someone critical comes in (SOB, Chest Px, etc), the RN at the front window asks the Charge Nurse which room would be best and the pt goes right back.
  14. DC Collins

    What pay are nurses making these days?

    Well, for one thing, it rarely takes only two years to get that two year degree. If you took the *perfect* courses in high school, and went directly into community college, you may only need to take a few prerequisites before the ADN program. However, at least at my school, most students aren't recent high school grads, nor did they line up their HS courses specifically for the ADN program. The prereq requirements for the programs with which I am familiar are pretty strict. For example, in my case, having been out of HS for nearly 30 years, it took me 4 full years to get through the prereqs to the prereqs, and then the prereqs themselves, and then finally the ADN program itself. The other thing is, I personally never hear RNs say they don't get paid well. What I hear my colleagues say is that they aren't paid enough for what they have to do/put up with. LOL
  15. DC Collins

    Does being called a male nurse annoy you?

    I'm lucky on that count. I have only been called Doctor once. Of course, 1/4 - 1/3 of our ED is male, so clients get the hint.