HoJo

Before you decide one way or another I suggest before you get serious you really check out whatever MSN program you decide on and see what their requirements are. Also consider that you will doing nsg research in a MSN program and in the BSN program that is part of the curicullum.

I totally agree with you, passing thru. That's just his way of communicating, that's life, he's a farmer that's just how it is. He's not insulting anyone, try not overanalzye. And if you disagreed with him then why didn't you say somthing right there? I mean if you find somthing sooo insulting then speak up and be assertive instead of ananlyzing and reanalzying a simple thing on the internet, you aren't going to do much for changing the public view on nursing if you don't say anything other than whine about it on a forum board.

Actually you should check with your state laws because that is considered pt abuse/neglect and in most states BY LAW your employer is usually obligated to report things like this so that a The State Board of Nursing can have a review committee/hearing on whether or not to reprimand, suspend or revoke the said nurses license. That IS pt abuse and neglect and I'm sorry but I myself would inform the nursing board so that the nurse won't lay her hands on a pt again anytime soon.

Yes it is compatible, the book I'm looking at before me (Mosby's 2004 Intravaneous Medications) lists diltiazem as being Y-site compatible, however it is underlined which means conflicting compatability information. There are also it looks about every drug imaginable with heparin though including: MS, lasix, nitro, KCL, epi, lido, etc. (the list goes on forever). Really though this book is a darn good reference, you should check it out and make a suggestion to your manager.

Sounds like more than just the surgeons fault.

Haven't had to for a while, where I work we have a complete computerized system, but we still call them for clarifications sometimes when need be.

That's perfectly legit thing to do. Manual stripping is much much more agressive. However I know I shouldn't do it but I did do it one time when the pt was ordering to be on LIS and the previous nurse had it to only a WATER SEAL. I noticed that there was no output from the tube over the last 6hrs when the previous night the pt had tremendous amts of output. I also noticed a nice clot that had formed occluding the tube. So I stripped it conservatively and got the clot out. I didn't need to call the surgeon to replace a CT that another nurse forgot to hook to LIS, saved her butt, my butt, the patients butt and my managers butt. So I'll be the 1st to admit that I have stripped a CT once, literature or not.

from myownsmile ok what i want to know is how did you convince dr. clamps to show up for emergency situations? :roll

I'm curious as to what everyone else's protocol is for central line dssg changes. Currenly where I work we do PICC lines, Midlines, Subclavian, and Jugualar dssg changes Monday, Wednesday and Friday. I'm wondering is there any research out there dealing with this. Does changing central line dssg's more frequently decrease the risk of infection? Or does it matter at all if you change them once, twice or three times a week? Any help on this one would be greatly appreciated as I am considering approaching our Nurse Manager about this and if you have any articles about this could you please post the reference for the article. I need somthing I can go on here. It would not only save me time as a nurse to spend more time with my patients but it would also save my patients money in the healthcare system, for somthing that may not be required (if the research supports it). J.Johnson R.N.

I don't know how others are run but where I work, first and foremost we get paid (i would assume that is done at most institutions). So obviously i do not mind that too much, hrs are hrs / $ is $. Secondly for an inservice there are multiple days a person can attend. Most attend on their days off so you don't have to worry about lunch and patient load to attend the inservice. (get rid of inservices during the shift, when i go to work i like to concentrate on one thing only my patients). Lastly our Coordinator has set it up so that there are some mandatory inservices and some voluntary. The rule of thumb is that we should attend at least 50%. And yes this is also used in our yearly evalutations, which is fine with me. I'd rather get credit for going to them as opposed to someone who doesn't attend any and gets the same raise as I do (See the picture? Credit is given where credit is due). One more thing is that if there is an issue of particular concern that the staff seems interested in (We are a smaller hospital) then a staff member (PCT, LPN, RN, HUC, RT, PT, OT, ST, etc.) can volunteer to teach the inservice. This helps to get the staff involved and it makes for worthwhile presentations, since it is somthing everyone is interested in. These are held monthly. This works extremely well and everyone seems to like our whole system on inservices the way they are.

I once took a test similar to this one when I worked for a hardware store (Builder's Square). I do not think that this test should be considered legal. It is too much regulation, in that they ask too many personal questions. The test was computerized and they did not even show me the results. Also all that I did for the test was tell them what I know they wanted to hear, if you catch my drift. Basically it's pointless. I would love to hear from a supervisor or administrator who requires these tests at their hospital. ------------------ Class of 1999!!!