ratchit

ratchit

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All Content by ratchit

  1. USE of PF Ratio with ARDS

    ratchit replied to TennRN2004's topic in MICU, SICU

    Gosh golly I haven't seen this one in a while! I was taught this in my critical care internship in 1997. I saw it used there (a level 1 trauma major teaching institution- GREAT hospital) and at one...

  2. Switching from Ortho to ICU

    ratchit replied to Harmony213's topic in Nursing Career

    I don't know about wisdom, but I can usually come up with some words. I don't think nurse tech experience in ICU will help you become a CRNA. I don't mean that in a harsh way- but like you said it...

  3. Changing recruiter

    ratchit replied to kielbasi23's topic in Travel

    Did she say why she thought you should stay with a recruiter you aren't working well with? Was it a good reason? I would (and have) said "I disagree- it's not working well for me. I'll be happy to...

  4. What's Up With Agency Nurses?

    ratchit replied to CapeCodMermaid's topic in Geriatric, LTC

    I'm with you, Dixie- I've worked staff and travel jobs all over the country, including MA, and no nurse there is making $56 an hour. That is likely the bill rate the agency charges the facility for...

  5. What have your Docs prescribed in exchange for the vioxx recall?

    ratchit replied to Monica RN,BSN's topic in General Nursing

    It hasn't been an issue with patients yet for me but I took Vioxx and Celebrex for some shoulder pain a few years ago without relief. My doc gave me diclofenac- it doesn't work quite the same way as...

  6. Passing the buck?

    ratchit replied to Nursenan0's topic in Geriatric, LTC

    ARGH! When things get hairy and people are overwhelmed with work, there are some common ways we respond. Some people work their 40 hours a week and aren't bothered by what they don't get to. Some...

  7. Rad RN's transporting pts

    ratchit replied to Kristy K's topic in Radiology

    I was the first Rad RN in my hospital and I got to make my own policy. Which I think makes sense- in my experience, other departments don't think rad nurses have much to do; they might think the Rad...

  8. Recovering post op patients in Critical Care

    ratchit replied to BeckieRN's topic in MICU, SICU

    I have worked PACU and ICU in several states. Generally, patient ratios in ICU and PACU are both 2:1. Fresh hearts typically go right to the unit after (hopefully!) 2 warning calls. The patient's...

  9. Best specialty for traveling

    ratchit replied to MermiesGreatGig's topic in Travel

    Suzanne gave you great advice and I second every word of it. You have to like what you are doing to be good at it- maybe not so true in other fields but to be a good nurse you can't hate what you're...

  10. Signing new grad contract?

    ratchit replied to kurlykay's topic in First Year After Licensure

    Maureen, The post with the "do you want someone stupid enough to sign this taking care of your patients" comment was mine and I stand by it. I do think you took it a bit out of context. If you were...

  11. Agency owners getting rich off the backs of nurses?

    ratchit replied to -jt's topic in Agency Nurses

    The $518 million is the total revenue of AMH. That is the total amount they billed hospitals for. Out of that $518 million came the nurses' salary, benefits, insurance, his buildings and overhead,...

  12. Hourly vs Exempt Salaries

    ratchit replied to pumpkin's topic in General Nursing

    Find out what it means- talk to a nurse or two who work that floor if you can to see how it is actually implemented. It might be something negative but I know that at least one hospital system in...

  13. New grad not wanting to work

    ratchit replied to MSMCnurse2004's topic in General Nursing

    There is nothing at all nuts about wanting to stay home with the kids. But they were even younger while you were spending lots of time at school, so I have to wonder what has changed. You won't have...

  14. Help!!! How Much Should The Public Know

    ratchit replied to gabym25's topic in General Nursing

    OH this is a hot issue with me! Can you go online and verify that the guy who wrote you a ticket is really a cop? Nope. Can you get his home address and go knock on his door at 2AM? Nope. Why...

  15. Signing new grad contract?

    ratchit replied to kurlykay's topic in First Year After Licensure

    That's a great point. I think it would all depend on the wording and her response to it. Just ignoring the letter that "requests" her to sign the contract might be perceived as tacit agreement. I...

  16. Signing new grad contract?

    ratchit replied to kurlykay's topic in First Year After Licensure

    To quote some wise people who beat me to it- RUN. Look at it this way- if you presented the hospital with a contract that said if they don't honor the verbal agreement they made with you about...

  17. References

    ratchit posted a topic in Nurse Management

    Hello all! I am the newly minted Clinical Supervisor of a staffing agency (per diem and travel nurses.) Among many other things, it is my job to obtain references for our applicants. I was a...

  18. Eat Before You Get Here!

    ratchit replied to NurseJacqui's topic in Emergency

    Carolladybelle, take a deep breath and let it go. Career2 hasn't seen the big picture of nursing yet and just doesn't- and won't- get it until he/she has walked in our shoes. We were all...

  19. Travel nursing agencies

    ratchit replied to Ebeza's topic in Travel

    Shared housing was the standard many years ago. A couple companies still do not provide it for free. Most do- private housing is the standard now. Any company should be able to get you housing with...

  20. Travel nursing agencies

    ratchit replied to Ebeza's topic in Travel

    Most 13 week contracts will come with an apartment for housing. Sometimes it is an extended stay hotel but typically it's an apartment. Some areas have more available housing than others, though,...

  21. Cath Lab: how often do you do accuchecks?

    ratchit replied to dianah's topic in Cardiac

    I didn't work cath lab but when I worked Interventional Rad (similar patient populations but cases rarely went as long as 3 hours) our Surgical Day Care area did the AM admit and did an accucheck...

  22. Need advice on recommended experience

    ratchit replied to IMustBeCrazy's topic in Agency Nurses

    Every nurse needs to decide for themselves when they are comfortable enough to work in unfamiliar units with different routines and charting. You need to be very solid and comfortable clinically to...

  23. ED agency nursing

    ratchit replied to TemsMedic2's topic in Agency Nurses

    Yes, rates of $40 an hour in urban areas are realistic. My agency pays as high as $50 an hour for weekend night shift specialty areas. This is for per diem work, not travel- no housing stipend is...

  24. ED agency nursing

    ratchit replied to TemsMedic2's topic in Agency Nurses

    Yes, rates of $40 an hour in urban areas are realistic. My agency pays as high as $50 an hour for weekend night shift specialty areas. This is for per diem work, not travel- no housing stipend is...

  25. Permissive vs Mandatory Licensure

    ratchit replied to NCINDASUN's topic in General Nursing

    I agree with the other poster- non-mandatory licensure is a fictional topic that is a waste of time for a nursing student. Unless you're supposed to turn the topic around and discuss what problems...