Chico David

Chico David BSN, RN

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All Content by Chico David

  1. Does being able to publicly disclose unsafe conditions and actions by administration that put patients at risk lead to better patient care? You bet it does. Do I have an example? I sure do. About a...
  2. Sharing Personal Information at Work

    I would agree entirely with the idea of giving a very brief answer and then turning the conversation to the other person. An interesting note from my own history, is that it appears that once women...
  3. Potential MN Nurses Strike?

    Actually, to "talk with your employer" is a pretty poor source of information at this point, since in every labor dispute I've ever been around, the employer is a constant and reliable source of lies...
  4. For anyone with even the dimmest understanding of the nurse's patient advocacy role and its history, the elimination the management's demand for a gag clause was a huge victory for patient care....
  5. So does anyone here work in Cath Lab?

    I'm not a cath lab nurse, but work really closely with them at our place. Every unit is different, but call is the norm. A pre and post procedure nurse would be doing the prepping, probably some...
  6. Low census vs. on call????

    Our hospital used to do that same crap to us all the time - call us off in 4 hour blocks and tell us we had to be available just in case. So when we unionized our place, that was a high priority for...
  7. Potential MN Nurses Strike?

    No case of that in California that I know of. The nurses that recently struck at Temple University Hospital in Philidelphia may end up being able to, but that is because they were a public sector...
  8. Potential MN Nurses Strike?

    Every union is different on things like this, so no one except the officers of yours are going to be able to answer it for you. Some general thoughts though: Most of the nurses' unions don't have...
  9. Yes, I absolutely am saying that - not standards of compentency of course, and maybe not standards of care, but definitely standards of compensation and standards of professional status. Much as you...
  10. Potential MN Nurses Strike?

    A pension is an integral part of the compensation package - something nurses earn with their work and have fought to maintaiin in their contracts. History in other industries has shown us that once...
  11. As I have said before in other threads: Standards matter! Every place where the nurses have a good contract works to pull up the standards for all nurses across the country, every place where nurses...
  12. Potential MN Nurses Strike?

    As someone involved with a union at a national level, I can tell you that the strategy is clearly being coordinated across the country by the hospitals - the proposals are too similar in too many...
  13. Decertifying a union

    like most things these days, the answers are easily available online. The website of the National Labor Relations Board has it all. http://www.nlrb.gov/publications/Procedures_Guide.htm Basically...
  14. Potential MN Nurses Strike?

    I'm always sort of amazed at the self sacrificing battered spouse syndrome pattern I see among nurses on issues of compensation. I know of no other profession or trade that frets so over being too...
  15. union vs. non union

    One counter point to this: up until about 2002, there was very high union density among nurses in SF Bay area, very low union density in the Los Angeles area. And even though the average cost of...
  16. union vs. non union

    A few thoughts: 1. This is not true - good and poor performers are both treated fairly - which does not mean exactly the same. it is true that most unions try to have step increases based on length of...
  17. Top 10 Myths of the "MURSE"

    good work - I enjoyed it. I've been at this 29 years now and seen a lot of change. My personal little "myth" was that belief by some of my female co-workers that I was given special treatment as a...
  18. Is there any CA State Law that protects the nurses?

    Long term care is a whole different game, about which I know little. I do know that the ratio law that covers acute care does not cover long term care, and I also know that patients in long term care...
  19. Is there any CA State Law that protects the nurses?

    If existing California ratio law were properly enforced, the kind of team nursing approach you describe would be illegal, since only the RN can legally be assigned patients. The other staff are there...
  20. Safe PT to Nurse ratio, what is yours?

    At this link: http://www.calnurses.org/nursing-practice/ratios/ratios_index.html You can find what the California Dept of Public Health decided should be the legal minimum staffing levels for each...
  21. Staying in the same department for long periods of time...

    I've been in one department almost my whole career and there have been pluses and minuses. I still thoroughly enjoy my work and have a high degree of expertise after so long. But the work I do is a...
  22. Potential MN Nurses Strike?

    Actually not all that rare a benefit - before they went to a PTO system, my hospital treated your birthday as a holiday. We had switched to a PTO system long beofre we unionized, so we've stuck with...
  23. Potential MN Nurses Strike?

    In case the commentor doesn't see it quickly, I'll try to respond until they do:A "rolling action" means that the nurses would not strike all the hospitals at once, even though they are negotiating as...
  24. Potential MN Nurses Strike?

    Here's an interesting video of a nurse talking about some of the issues involved in
  25. Must we all die with a feeding tube?

    And since this has popped up again as a live topic, I thought I would share some stuff I put in my own advance directive. We often heare patients say things like "I don't want to be on a machine" or...