passionate

Good Luck Good Luck

When the dr. starts signing my check then he/she can fire me. I have never been kicked out of a room but I have asked to be relieved from a room for various reasons.

I am an RN in the state or ORegon. My husband is a RPh. The law states that a doctor or nurse must call in prescriptions. Pharmacists only take new prescriptions. Often pharmacists don't know what credentialing a person has so it is good if the office sends out a list of employees for the various pharmacies. Then the pharmacist can be the bad guy and ask for the doctor or nurse.:trout:

We use a timeclock too--the hospital has found that when we didn't they probably paid us less because we didn't charge for and all of the missed lunches. Don't perform any task that you have not been certified on and done a return demonstration for competencies, Staff needs to stick together on this, especially if it takes away from your circulating duties.

As a nurse it is a luxury to have families that are so engaged and advocating so well. We appreciate daughters like you. Thanks.

Zofran is great but if you use it once and no relief doesn't do any good to remedicate. I hate the phenergan side effects too. Fluid is still one of the best anitemetics around.!!!!!!!

At the time of a section and we see red of any color in the foley bag we assume we have nicked the bladder and rectify that. During labor blood vessels in the bladder can break and there you have it, blood.

Follow the policy of your hospital. We don't have one so I request they take off all metal jewelry. If a ring is too tight I help them with lotion, dental floss to remove or whatever. We have a ring cutter as well. It is amazing how that ring which never before budges is easily removed when the cutter is presented. This is a safety issue--metal is bad and burns do occur. A burn can lead to a spark which can lead to fire which causes death for not just my pt. but me. I love my patients but die for them? Hypothetical and dramaatic I know but..sigh............ Taping jewelry give you peace that the stone won't be damaged, etc. but bottom line, metal still touches the skin. Patients should be requested to leave all jewelry including watches at home. Our day surgery nurses are wonderful enforcing this at the time of the pre-op call. Stand up for this practice because you are standing up for the pt. If they choose to not comply then do get a waiver. I have even switched assignments. Dramatic--yes. Have I seen bad things happen when jewelry is left on? Yes, a religious medal was left on and taped to a pt. chest once and there was a burn and blistering under the tape. The tape?---maybe but still an incident report was filled out and the outcome indicated the nurse who worked up the pt. was responsible.

Good information has no expiration date. I am glad I came across this information. :monkeydance:

You make a good point. I am sure there are people that would use a clinic for the uninsured. I might even state it more strongly--"our medical and nursing communities support clinics in this city for the under and non-insured. Here are there numbersxxxxxxxx. We have had our secs make appts. for those pts. and often know the name of the receptionist and we put that on the card with the number of the clinic as well. I know this sounds like maybe going too far but it does pay off with one or two diversions. Understand that we don't turn our patients away but we are happy to give them options if they are unwilling to stay.

Of course it hurts--you are a member of the human race. I am so sorry you are going through this. Good luck and don't let it keep you from taking care of the majority of your patients.

I have long thought that the term that is used in my hospital of "customer service" just doesn't compute for me--I don't think in those terms. Dammit, I provide patient care. If I had wanted to be in customer service I would be working in my bank helping people pick out their checks. (that is what my bank boasts--not me). I believe that the public has bought into that "customer service" lingo and we are looked at as just another service. Somedays I really feel fed up with the "all you can eat $5.95 world" we have come to live in. What we do is valuable. People take better care of their pets and cars, think long and hard before buying a tomato but don't think twice about that pill they are about to take that someone somewhere told them would help with this and that.........................sigh. Thanks.:trout::angryfire:nono::uhoh3:

I don't think your thinking was out of line. I may have wanted to chart the exact Dr. response as well but I have found that I can chart to the intent and not tick anyone off and be true to the pt. I wouldn't apologize per se' I would talk with that physician however and make sure that you are good to work together in the future. Express to him why you did what you did and then listen to what he says. In the future you can expect that he listen to you. Good luck, nursing is a slippery slope.

People don't go into nursing for the money. The career of nursing offers so many paths. When I was making decisions about a career I looked at alot of disciplines. Here is what I discovered: There is a need for a nurse no matter where you live. There are so many kinds of nurses and arenas to work in. Nurses work hard and yes, there can be alot of complaining but it is a love/hate thing. I don't know of anyone who choose nursing and then didn't feel good about what they had done with their adult lives. Like anything it can be what you personally make it. Don't give up on nursing because of what you read or hear. Experience it and then decide. A nursing education would never be wasted and like any undergraduate endeavor could lead to many disciplines in the future. I wish you luck. I have never regretted my career choice. I do sometimes feel overwhelmed and tired but I put my head on my pillow every night and know that I impacted someone's surgical experience.

Southwest Medical Ctr. is in Vancouver, Washington and has a very good reputation. I have friends who work in the open heart program there. It is a "Legacy" system hospital and I am sure that education would be no problem. You should google it and take a look. Good luck and welcome to the NW.