martymoose BSN, RN

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All Content by martymoose

  1. martymoose

    Critically ill pts wanting to go AMA?

    why do pt's have to be so stupid? So many times we ask ourselves, "why did you bother coming in in the first place" if there was no intention of complying with treatment??? I'm one of those nursing...
  2. Anecdotal, but the BSN's with 2 years experience make the same as someone with 10 years experience where I am, so I am not so much on board with it being about pay. Funny, none of the new nurses are...
  3. martymoose

    No more glucose checks by CNAs/PCTs

    If we are using technique as an excuse to not have techs do the bg's, by that same assumption should they not do VS, blood work, etc? Let me tell you, I'd trust my techs with their blood draw...
  4. Most of us who work full time do so because we HAVE to. Insurance, putting food on the table for the family, roof over head, taxes, utility bills, car payments, car insurance. Maybe it's regional....
  5. ok going back to the discussion about ap physics, chemistry, anthropology, etc. I failed to realize that these were taken in HIGH SCHOOL. As part of a regular curriculum, not specific to nursing. Do...
  6. Sounds ambitious, but the reality will be that you will have NO CONTROL over your schedule, work all 3 shifts in same week,be denied vacation requests depite having plenty of time available to use....
  7. martymoose

    Contacting family members after OR death...HIPAA?

    Would never do ANYTHING business related thru facebook.Ever!! Do you know where the pt went after their procedure? As in did you transfer them to another floor? Sometimes a generic sympathy card is...
  8. martymoose

    Maybe Im missing something....

    sounds like perforation/sepsis. Sepsis can happen fast.Especially if it was brewing.Maybe it was a large sudden perforation.Abscess?Being bowel.... I wonder what the surgeon thinks of this...
  9. martymoose

    Maybe Im missing something....

    I'd go with sepsis or fistula or obstruction. Sepsis will increase o2 requirements- tanking b/p , what was urinary output? mental status?if it was chf/resp failure I'd think you'd see more signs of...
  10. Not saying any of these classes would not be useful, but my RN_BSN doesn't require us to have any physics, any chemistry, any economics, or anthropology. Would that mean it's
  11. martymoose

    Just a Rant!

    I'd be utilizing some of that generous leave and sick
  12. ill give it a go.... sorry if it's too
  13. Kinda ( or is it kind of, lol)my point in other conversation. Seems that community college education is seen as low class, especially when viewed from people who have higher degrees, or had the...
  14. martymoose

    No more glucose checks by CNAs/PCTs

    Gee you're lucky- sometimes my whole assignment is all diabetics- 6 pts x 3 fsbg in 12 hour shift- no wonder I never get anything
  15. That's why I like pain-ad or faces scale. Most elderly don't get what I mean by a number on the
  16. Actually, yes. my place keeps asking us to join committees, present research posters, unit councils, etc. Kind of hard to be a member when I am elbow deep in poop x 4 + pts. Or I am needed for 1:1...
  17. Actually, not anymore . We had to pay for our classes this year, when in the last 8 years they have been paid for ( renewals , etc). The certification is required by the
  18. My employer now states all new hires, experienced or not, must have BSN minimum. They also must be available for all three shifts, and every other weekend. I've seen the all three shifts thing- I have...
  19. martymoose

    Medication administration vs Patients wants

    Hmmm. We are able to send a request to pharmacy to change times for routine daily meds. The pharmacist is the one who enters the times. Nurse has no control over that. In regards to home meds- our...
  20. Also, neither Yale, Harvard, Dartmouth, Brown, nor Princeton has an undergraduate nursing program (and only Yale has a graduate nursing program). The only Ivy schools that have undergraduate nursing...
  21. martymoose

    Medication administration vs Patients wants

    If it's been this way for months, why hasn't anyone else had the times changed? Im sure the general consensus here would be NOT to leave the pills on the table for safety reasons. Your employer...
  22. understood, but what's happening is that employers are requiring the Bsn.Then they pay you less, don't offer full time, don't get raises.well, yeah, we got a raise.... a certain small percentage in...
  23. Key word- satisfaction. We get told that if someone is not satisfied with their pain relief, we aren't doing something right. What are we supposed to do- hunt down the mD who has said he is not...
  24. martymoose

    Medication administration vs Patients wants

    1. Seriously, one day of orientation for new grad???? And here we have arguments on pt outcomes??? 2. Obviously the pt has been doing this( I would see it as manipulative, because I'm sure you aren't...
  25. Yes. Since I think ( of course no study done on what I think ,lol) staffing has a large influence on the outcomes. Is there a study done of outcomes with same staffing levels ( which you won't find in...