nurse2033

All right, I'm apoplectic. Forever I have used the terms- compensated shock, uncompensated shock, and irreversible shock. These terms make sense to me. The 8th ED. Linton uses- pre-shock, shock, and end organ dysfunction. Argh! How is pre-shock, shock? I think I'm in pre-shock right now. My question is, do I try to make sense of these "new" terms for 1st year nursing students? Or translated them to the old terms?

I would say this is a good lesson. As as nurse you want the patient to have what they need. But, your employer did not provide the tools you need (all too common). Next time, don't hang the infusion without a pump. Immediately notify the physician, and your charge nurse. Enter an incident report. If the physician orders you to hang it without a pump, just chart it and be sure of your drop count. If you get any further flack for this, ask if a root cause analysis was done and what was the result. It's a normal impulse to workaround all the barriers that exists for you to do your job, but if we don't hold the hospital accountable, nothing will change. Good luck.

The VA uses a GS system similar to rank pay in the military. You want to know what GS you would be. I'm not expert but it seems you need a BSN to qualify for the lowest level. Try searching for this... Nurse Series 0610 (opm.gov)

I have, at various times in my career, screened for suicidality, domestic abuse, and alcohol abuse. I have never had a patient who was there for another reason report abuse or suicide. You can't convince me that the screenings are valid. Yes, there have been studies, but my experience doesn't bear them out. The alcohol screening I do now, CAGE, I think is a joke. It doesn't ask how much they drink, it asks if they think they THINK they drink too much. If they drink a 750 per day, and get along just fine, they screen negative. I think SBIRT is much more effective, but I've never had anyone who screened positive on SBIRT accept help. I think more study is needed. Here is what I would want to know; how many patients are screened, how many patients screen positive, and what is the outcome of the positive screening? Thank you.

My jaw dropped when I heard this. First, the idea to provide nursing to underserved areas by capping pay is the opposite of how it works. Nurses would leave states that cap pay and go to states that pay more. That's how our economy works. Supply and demand. Capitalism! I agree with the OP on why the hospital industry has painted itself in this corner. I was already one foot out the door prior to covid for all the common reasons. I have 25 years in healthcare and 16 as a nurse. I came back for the money. I feel that nurses are finally being paid what we are worth. The feds have opened up the green card process for foreign nurses, who presumably will work for less, but I think it will take some time for this effect to be felt. All I want is to be treated as a valued employee. If you can't pay me $100 per hour- I get that, but make it worth my while in other ways, not grind me down with unsafe ratios and insufficient time off. This article- (Excess Administrative Costs Burden the U.S. Health Care System - Center for American Progress) explains how the US spends twice as much on admin and billing as most of the world. Why don't we start there?

Sorry I'm not black so I can't help you with that part. Benefits are good but you pay for that with your time. Now putting in time and effort benefits you personally as well, at least that's how I see it. If all you want is travel and benefits you should do travel nursing, or fixed wing flights. Personally I serve to take care of the Wounded Warriors so it has been very satisfying for me. I'm sorry you feel that way about your country but I can see how you would feel that way. But there are Americans who care. Best of luck. Oh, and there are hundreds of threads that detail the process of commissioning.

You will need your BSN to apply but not to find a job. I would recommend you contact the unit where you want to work. They can facilitate recruitment. Reserve and Guard are roughly equivalent in their time commitment.

I've done a number of mission trips in Nicaragua and Haiti. On the surface it is a feel-good opportunity but there is discussion about the ethics of these types of swoop and save missions. You spend a lot of time and money helping a relatively small percentage of the population. In Haiti I was involved in teaching the local health aides to raise their skill level so our mission would "continue" after we left. I found this much more satisfying. Here is a good article https://www.npr.org/sections/goatsandsoda/2019/03/27/656172038/is-it-time-to-rethink-the-fly-in-medical-mission This book is also good for discussion https://www.amazon.com/Dead-Aid-Working-Better-Africa-ebook/dp/B0036FOGTW/ref=sr_1_1?dchild=1&keywords=dead+aid&qid=1588797523&sr=8-1 Good luck.

Pay is relatively low in Colorado. I think you could expect mid 20s per hour. Childrens is one of the best employers. I haven't worked there but everyone who does loves it. Otherwise, it's mostly large, faceless health systems.

Make a mess. I have heavily utilized Halloween props and supplies. Fake blood is cheap and effective. You can get all kinds of fake wounds, and I've used rubber hearts for open thoracotomies. Good luck.

I attended the St. Louis Univ Homicide investigation course (5 days). It was mostly homicide detectives but there were a few forensic nurses. A few of them had carved out unique positions, one I think with the coroner. If you advocate, educate, teach, and network, you might be able to find something. Good luck.

Whatever she does, make sure she puts it in writing via email how best to contact her.

Well let's start with peopel who don't like to fly. Or anyone that can't face the ever present possiblity of unplanned landings. When they issue you fireproof clothing, that should be a clue that bad things can happen. I've been foot printed because that part is best prepared to make it out, being protected by a boot. Morbid possiblities aside, there are a number of different types of flight nursing. But they they all include being isolated, and without resources when flying. This means you need to be a strong and independant practitioner. You must also be flexible and sometimes have long flights and naturally travel often.

Well I've been both in the marching band, and as medical standby for everything from rodeos, to the Bolder Boulder, to polo matches, to Burning Man, and once to a horse rescue. I would bone up on heat emergencies and ETOH abuse. You might get strains, spains, blisters, or hemisemidemiquaveritis. Rock on.

I am an EMT turned paramedic turned nurse turned commissioned officer. If you like helping people nursing is great. There are so many options. I still work in Emergency care so it is immediate and gratifying. It is different than in the field in both good and bad ways. And thank God for alcohol! I just look at it as job security. Been doing this since 1994, still waiting on burnout. Good luck.