Chico David

Chico David BSN, RN

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All Content by Chico David

  1. Why is unionization a subject of taboo??

    I don't know wage and hour law inside out or anything, but I am just sure that the staffing/pay practices you describe are in fact illegal. A phone call to the state department of labor might be a...
  2. Why is unionization a subject of taboo??

    Men are not so into the sacrificial thing that so many nurses seem to have bought into. Accepting poor wages and absurd working conditions "for the good of the patients" - even though management may...
  3. Why is unionization a subject of taboo??

    I might add that healthcare in general and nursing in particular is one of the few areas in the US where union membership is growing. A lot of union shrinkage has been due to the offshoring of...
  4. Nurse to Patient Ratio

    I don't know them all off the top of my head - it varies by unit, but here are some samples: ICU - 1:2 stepdown unit - 1:3 specialty unit (peds, tele, oncology) 1:4 Med/surg 1:5 Emergency 1:4 (unless...
  5. We've all heard doctors dictating H&Ps, discharge summaries and the like. And we all know they rush and mumble. Add in the increasing number of foreign-born docs, and it's amazing that...
  6. Any good funnies in medical transcriptions?

    I suspect you have that one right - I had no idea you folks used such sophisticated technology. I come from a bygone era and I sort of pictured earphones and a keyboard just typing it out - but it...
  7. Magnet Hospitals

    I think you get the gist of most of the replies so far. magnet status is primarily three things: 1. A marketing tool for the hospital. 2. A money-maker for the agency that confers magnet status. 3. A...
  8. Are there many health educators in medical facilities

    The LCSW is one of those jobs that varies immensely depending on the setting. Some are primarily psyco-therapists in effect. Others do work that is very bureaucratic. The clinical social workers at...
  9. Nurse to Patient Ratio

    Wow! For some reason I had not looked at this thread before and am pretty blown away at what some nurses - and patients! - are enduring in many parts of the country. We know we are lucky in...
  10. Are there many health educators in medical facilities

    I would agree with the first response with a couple of additions. Most of the health education that is done in the health care setting is disease or system specific. I'm an RN, cardiac patient...
  11. informed consent

    This whole issue of "informed" consent has been a bit of a bug for me for many years. One of our heart surgeons used to document that the risks and benefits of the surgery had been thoroughly...
  12. US Nurses Stand By UK Nurses

    International solidarity and support is a good thing. The healthcare and insurance companies are increasingly international. My hospital outsourced food service and housekeeping to a British...
  13. Shafted on Thanksgiving

    This is an example of the sort of thing where a contract can help. We usually try to negotiate things like a minimum call-off time, reporting pay if they don't call you off on time and, of course, a...
  14. Do you prefer 8 or 12 hours shifts?

    You could say that I'm a bystander to this because I have a non-traditional schedule that is really different - so I work neither. But I've observed it quite a bit and have a few thoughts - though...
  15. Nursing/Nurses Credit Unions?

    I was going to respond but the preceding post covers it really well. I'm a big believer in credit unions and millions of Americans lately are discovering
  16. Politics and nursing

    I'm on the board of directors and the PAC for my nurses union and I'd say this response has it just about right. A fair number of nurses are in politics now and a lot more are politically active....
  17. What in the heck are private LPN programs?

    " I am adamant that these programs are not EDUCATION. I am not sure what they are." Like a lot of the for-profit vocational education racket, they are exploitation. They are the natural extension of...
  18. Nurses protest at HCA Largo Medical Center

    Cartainly more efficient in the short run. But we do need a next generation. The nursing world is in a terrible bind right now. Back in the 90s the hospitals created a nursing shortage by laying...
  19. It'll come. It will take time and building more strength, but it will come. Even this bill took more hard work to pass than the final numbers look like. Good legislation like this doesn't just...
  20. Tattoos and nursing

    I'm 60 years old and been around long enough to have seen the whole change process in societal attitude toward tattoos and/or piercings. I have absolutely no problem with them from the standpoint of...
  21. Prankster patients

    OK, here are two that sort of fit this theme: Eileen was an elderly patient who had long standing depression. At one point she stopped eating and lost so much weight her primary care doc admitted her...
  22. As one of the people involved in forming the NNU, I can say for certain that your statement could not possibly be more false. Our union is absolutely not anti-capitalist, or anti-American, or...
  23. And there, in a nutshell, you have the answer to all the folks who say "I don't need a union, I can speak up for myself". Yes, you can, as long as nurses are in short supply and you don't say...
  24. I've quite a lot of experience with NNU - the union I belong to directly is one of the constituent unions that makes up NNU. It's an organization I feel very good about. But, as I said, the nature...
  25. Nursing is in many ways a funny world. We do have some of the attributes of a profession - like a high level of skill and knowledge and a strong professional duty to put the interest of the patient...