MissdonditaBsn

I am just curious.............................. Do your facilities allow patients to be admitted as a Direct Admit, meaning they are admitted Directly from the Doctor's office or even sometimes from home, no trip through ER? If you do allow them, what sort of policies are in place for these admits? Are there certain diagnosis not are not allowed to be admitted Directly? Do they go to Admitting first and then the floor, or do they go directly to the floor? Any input you could give me on this subject would be greatly appreciated. Thanks, Donna

This makes me very ill indeed, and we wonder why more people are not being attracted to the profession of nursing! The message this kind of thing sends is that the CEO of a health system is valued more than the nurses who care for the patients. Without nurses to care for the patients, the patients will go elsewhere, which makes profits go down, which means the bean counters blame the nurses for the salaries and so on and so on...................... this has got me so angry that I am almost speechless(almost)

the matriarch with whoza witze whatza????????????????? Time to get out my Readers Digests and start reading all of those word quizzes. I only got about half right. At least I knew what a quadraped was!!!!

we don't have a mentorship program in our hospital, but we are trying to start one. I lead our Retention Team and that is one of the things that we are looking at to retain nurses. There was half an attempt made to start a mentorship program about a year ago, however, instead of using co-workers, the whole program was based around using administrators and nurse managers as mentors. There seemed to be no real rhyme or reason as to how mentors were assigned. They just wanted to assign those who were interested in having a mentor with those who were interested in being a mentor. We are now looking at starting a new program and using co-workers as mentors. The idea being that the staff nurses would have more of a vested interest in ensuring that the mentees do well (this would be seperated from preceptorship). We are hoping to develop a booklet that describes the interest of the mentors and would work together to ensure a good paring. This might mean paring nurses who work in completely different areas. We haven't worked out all of the details yet.

This is a great topic. There are two things that make me weak in the knees and light headed. Everytime I see one of these done I feel like I am going to pass out. The first is a Bone Marrow aspiration. I can't even watch the Doc while this procedure is being performed. It's good for my patient because I am totally focused on them. The other is reduction of fractures. Okay, lets be honest any type of fractured bone gives me the willies if I see it before it has been set. Of course the two grossest things I ever saw both involved snot. The first was while I was in Nursing school. A medical student and I were taking care of a patient. The patient had a large snoot dried just inside of his nostril. The medical student was trying to help him remove it and when all conventional methods failed the medical student reached up with his own fingers and pulled it out himself. I had to leave the room, and even the the thought of it makes me sick now. The other was while I was pregnant. A post op patiet with atelectasis presented me with a giant loogy as if it was the greatest gift ever. I took one look at it and almost vomited on the patient. I am not sure who was most embaressed.