Going80INA55

It has been a LOOOONG time since I posted here. After reading this post I emailed intellicare. The recruiter replied to my email the next day and Friday we have an INformal conversation set up. Any tips??

Don't sweat it. Some patients are just that way. I do a few different things with tough patients: Kill them with kindness (dont always work). Baffle them with nursing/medical jargon and pathophysiology IE I put them on the eccelerated learning curve. (for the ones who think I am ONLY a stupid nurse). For that guy I would have laughed and said "thanks for the tip" and in 10 years when he grew up he would have figured out what it really meant.

Very nice review, Thanks.

One of the reasons sterile water or tap water is used verses NS is the salt content. The new nurse is correct it can through off the lytes in a patient.

We have a very strict dress code. No jeans EVER. Dress pants with a nice shirt is considered dressed down for this office, where most of the nurses where suits. No, this won't get them into management. There is very little room for advancement here. The nurses who do end up in charge, have extra responsibilities but NO extra pay or perks. The managers do come from the rank and file nurses, however everyone of the managers is at least 20 years younger than the average triage nurse's age. But we like our jobs, so we do it.

I would also say it varies on area. I have checked a few in my area and they seem to pay the bottom end of what someone would get at bedside nursing. There are trade offs for any job and believe the triage jobs know they can pay less and the nurses will still work for them. Less stress, regular hours, no physical patient contact. The list goes on.

We do the same as you when it comes to leaving a message on someones machine. I find it gets sticky when someone other than the person you are trying to reach answers the phone. So when I call for the husband and the wife answers I cant tell her anything except for who I am. Anything more, with out verbal permission to discuss health issues with her I would be a violation of HIPPA.

We do the same as you when it comes to leaving a message on someones machine. I find it gets sticky when someone other than the person you are trying to reach answers the phone. So when I call for the husband and the wife answers I cant tell her anything except for who I am. Anything more, with out verbal permission to discuss health issues with her I would be a violation of HIPPA.

I had a very similar incident with a GI bleeder in the unit. He ended up needing 6 units of blood, ffp, vasopressin IV push etc etc. They quickly become a very busy patient when they go bad. My only difference from your experience is I called the GI guy and he came right in. He was excellent. Thats the difference b/w a crummy doc and a good one.

MerryRN, Did you take a refresher course or was it necessary? I have only been out for a year and considering going back to bedside...just wondering how they percieved your absence. I don't want them to start me at a new grad level. (no offense meant) Before leaving bedside I did the unit. We did all the baths. We had one aid, if you were lucky enough to get her you got help with the bath.

Hey Laura when I did charge nurse my duties and load were exactly like yours. That is why I no longer do it. It was not uncommon to be charge, resource, bed mngt, etc with 8 patients. I would love to be a charge nurse and really be charge...ie...be able to help the other nurses and make their loads easier. That is how I view the role of charge nurse.

NO. Our policy is NO monitor NO IV Lopressor. I would be very concerned giving it on a very busy med/surg floor with out the benefit of a monitor to see what happened to their pulse rate. Had a situation once where a woman had an order for IV lopressor and she was on med/surg.....we had no bed on step down to take her....so I shlepped up stairs with a portable monitor, hooked her up and gave the med.

I must say I liked med/surg when I worked it as well. I learned so much in the time that I was there. There is always something new.

In my old hospital, the per diem got yearly raises. But then per diem meant no benefits, but they got the same rate of pay as if they were staff. The only bene was that they did not have to do call and they could pick their days to work.

At our place we know way ahead of time which holiday we are working. We have 6 and need to work two a year. Last year I was X-mas (which I traded to another nurse) and July 4th. This year I am Turkey day and Memorial Day. Weekend only people ONLY work the holiday if it falls on the weekend. I think that is very fair considering they are giving up EVERY weekend.

I was never taught to aspirate prior to flushing either. I will do so on occasion, if the site looks questionable. I also have seen many sites that are patent but give no blood return.

I have worked on the floors and in the unit in my faciluty and BOTH places require checks on insulin and heparin. For heparing there is a stamp that we have to verify we did the math and sign off on. However, we DO NOT have to check the rate on the pump...so that is where I will see mistakes. A dose of a 1000 will be set on the pump as 20 instead of 10. I would wonder why your unit does not have such measures in practice. In ICU/CCU where folks are very sick even a small mistake can be deadly.

There are several things that can be done to encourage people to be happy in their jobs. Monthly cake and goodie parties for that months list of birthdays. A REAL suggestion box, one that is actually taken seriously. Meaning have mngt respond in a meeting stating they recd the suggestion and what if anything that can be done. If time is an issue they can shoot out an email to all the staff. Monthly debreif meetings ran by NURSES not MNGT. Agenda made by nurses. Mngt can sit in. Use the forum as a problem solving meeting. We all know that we need more staff...either lack of budget money for extra staff or just lack of hires gets in the way..so move onto things we can change. Like a good one would be streamlining the work area to make it more nursing friendly. MNGT GET NURSING INPUT AS MUCH AS POSSIBLE. Have mngt check the daily assignment sheets. We all know that sometimes (ok alot) the person who makes out the sheet is not always fair. I have seen so many new grads and others get burned day after day with a crummy schedule, set up by someone who is burnt, dont know what is really going on the floor or just wants to give her buds a good case load. This is virtually free and would make a big impact on the nurses perception of mngt involvement. ( I worked on a floor that the manager checked daily,,,,and believe me the patient load was fair and we seemed to get the same acuity of patients.) To go with above develop a nurses acuity system...so that way we know we are being fair. Say a 1: very stable post op, hep-locked, possibled discharge, po meds, walkie talkie. A 2 could be: Running IV, IV meds, cath, still walkie talkie but with assist, more frequent vital signs. A 3 could be: IV, cath, Q 2 hour vitals, more treatments...IE average size dressing changes, nebs etc A 4 could be: bed bound, Q 2 hour turns, IVs, many meds etc. You get the picture. Once the criteria is made the nurse who cared for the patient would pick the acuity number at the END of her shift to be placed right on the scheduling sheet.

Ooh Ooh Ooh To Touch And Feel Some Good Vag Stimulation Here

What are some other good online programs?

An article in my local paper stated that the family had to put down a $30,000 dollar deposit on the surgury before Jessica could even be put on the transplant list. It went on to state they had no insurance and this money was raised from donations. The question is if they do make the revision to caps of "pain and suffering" would that apply to this case, as the event already happened and the bill has not been enacted yet.