mianders

I think there was more to it than not wanting to help the community. There are parts of this plan would require doctors to do their residency where the gov. tells them to. Which means telling them where they have to live. It also sets caps on fees the physicans can charge. There are many parts of this bill that will not only hurt doctors but regular citizens (ie..gov. access to your personal and financial records). I have read parts of what this bill has in it and frankly, it scare the hell out of me. Just because you disagree with it does not mean you don't want to help. It just means this is not the right way to do it.

It has been a long time since I was able to log on to allnurses and this is the first thread I came to. I have read most of the post and there are some very strong opinions from each side of the issue. Each one can make strong arguments for their side and provide convincing data to support their opinions. I in no way have the answers to the problems in healthcare. As nurses we see so many problems in our healthcare systems whether it is here in the US or in countries with UHC. I have a nephew right now who was injured in a motorcycle accident and broke his arm. He was treated in the ER and his arm was splinted. He was told to follow up with an Orthopedic surgeon to determine if he needed a pin. Every surgeon he called wanted at least $500 for the FIRST visit. He has no insurance and no job. His only option is to leave the splint on for 4-6 weeks and hope it heals right. This is just one story. I am sure each of us can come up with more than one whether it is from personal experience or as a nurse. This is an issue that can not be rammed through just to say we did something though. It needs people from all interested areas to sit down and formulate a WELL THOUGHT OUT PLAN that would be best for our system here in the US. There will be disagreements and not everyone will be happy but it is time for a change.

Not without PPE! I would do no good to anyone if I am infected.

I am sorry you are in the position that you would have to consider such an option. I learned a long time of go to never say never, but I would have to be in a very bad position first. Good luck.

I worked in a trauma center that did internships for new grads and it worked very well. It all depends on the expectations of management. Our interns worked side-by-side with a preceptor for a minimum of 3 months and then were evaluated to see if they could start taking a lighter pt assignment with a buddy they could turn to as needed. I would definately ask questions before accepting the internship.

I have never worked at a hospital that paid specialty pay.

I worked in the ER for 12 years and never came close to making that much money, even with OT. There are agency nurses making 40-45$/hr that if they work a lot of OT could top 100k, but you would also have no life.

From the information given, I would think the syncopal episode was related to a HR in the 30's and not dehydration. As you stated his SBP was 110. He may have been kept NPO in the ER because they were not sure when he was going to have the pacemaker placed. If there were no beds available in the hospital then the ER can not be held responsible if he had to be there for 6 hours. Sadly this is a relatively short period of time to be in the ER waiting for admission. My patients are in our clinic sometimes for hours and some of them void constantly and there are some that can sit all day and never go to the bathroom. I would think your fathers labs would have been a better indicator of his need for hydration. If the nurses in the ER knew you were a nurse at the hospital they probably thought if your father or you required anything you would ask. If you had questions for the doctor why didn't you ask?

I think a lot depends on how long you have been a nurse, what area of nursing you go into, and where you live. In the area I live in starting pay for new grads is around $20hr- $24hr. Experienced staff nurses make $30hr-$36hr. Then you have to add in benefits (ins, retirement, vacation, holidays, ect.). Agency nurses can make quite a bit more than this but usually do not have the benefits. Then there is OT. I know nurses that make 100k/yr, but they work themselves to death. It all comes down to what you think is good pay, and what you are willing to work to make it.

:icon_hug:

Ask the employee health nurse if you can get a copy.

My suggestion would be to contact the State Board.

I have found that MOST of the people I have encountered in this profession have been professional and curteous. You will find exceptions to this but always remain professional and keep the patients best interest first and it usually works out. Good luck.

I also agree. Our hospital has almost a 100% turnaround in nursing supervision in the last 3 years. I have had 3 supervisors in the last 2 years. Anyone that does not go with the status quo is fired.

We use both in the ER and their roles are exactly the same. They are both advanced practice degrees and are responsible for running the minor care area. They order test and write prescriptions. I think there are limitations on the types of prescriptions they can write but am not sure exactly which ones.

Medical drug screens are not usually done unless the patients condition warrants it (AMS,ect), and no consent is needed because you consent to tx when you sign in. However for anyone except you to obtain these records they would need a court order. I do seriously doubt that you smoking a little marijuana a couple weeks earlier would show up in a drug screen anyway. Some doctors just have a bad bedside manner. Our ER doctors are contracted through an ER physicians group and if there is enough complaints against a particular doctor they will address it.

I worked the ER for a long time and when I first started I loved it. Then after about 10 years I started to really dislike it. I changed specialties about 2 years ago and have renewed my love of nursing. I think nurses, like every other profession, get burned out. The wonderful thing about nursing is the almost unlimited oppurtunities available. Please do not allow some peoples negativity affect your desire to become a nurse. It was the best decision I have ever made.

I almost decided to let your complete departure from the original topic of this thread go, but my resentment of your remarks about TX would not let me. I can not tell from your post if you are living in TX or not, but if you are then I hope that you are not as disrespectful in person to the people of TX as you were in your post.

Our kits do not have alcohol preps, but the sticker comes off pretty easy without any adhesive remover. I always use regular gloves to remove the old dressing and statlock then put on mask and sterile gloves to clean and put on new dressing.

what a sad and wonderful story.

I worked for years in an ER where the ICU was on the other side of the hospital. There were many times we had to bag a vent patient from one end of the hospital to the other with someone dragging the vent behind us. We were always complaining that it would be great if the ICU and the ER were next to each other. We did have out own xray and ct. We drew our own labs.

I would guess from the fact that the exp. nurse is getting 6 weeks orientation that this is a new area of nursing for her. I would not focus on the basic nursing skills but on the the things that are different then her past exp. You might start out by sitting down with her and discussing what she feels are her strengths and weaknesses and what she feels like she needs to gain from the orientation process.

As healthcare workers we deal with people of every faith and culture on a daily basis. We are not always going to agree with everything we see or do. I have been in the room when prayers were said by different religions then myself and have never been offended by it. I feel like it would have been a sign of disrespect to walk out in the middle of it. Tolerance and compassion are 2 important areas of nursing. Considering what we see every single day, I am suprised that what seems to be a minor incident can still bother you so much after 4 years.

I always found it easier to put the patient in slight trendelenburg, and then have them do a frog leg position. It seems to open everything up so you can visualize it easier.

Our hospital does pre-employment and for cause drug screens. The only time I have seen them do for cause was if a staff member seemed impaired and once when a staff member in the ER went to administration stating that staff were selling drugs in the parking lot. Several staff members were tested and fired during this time. I have never seen them test for an injury.