ratchit

ratchit

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All Content by ratchit

  1. Trying to challenge RN boards

    ratchit replied to krispynurse's topic in LPN to RN

    Should RN's be able to challenge the boards for NP or CRNA? I've worked in critical care for years, and guided many a new intern through situations where they were in over their heads. Could I pass...

  2. Doing away with agency nurses. Interesting article.

    ratchit replied to Gomer's topic in General Nursing

    All About Staffing is HCA's in-house travel agency. They were created because HCA uses a lot of travelers and wanted it to be cheaper. I can see why they do that. But I really doubt those AAS...

  3. Pain Medicine for a dying patient ...

    ratchit replied to Tweety's topic in Pain Management

    Unless they've withdrawn it, the ANA has a position paper stating that providing comfort measures including meds for dying patients is NOT euthanasia, even if that treatment or med hastens the death...

  4. central lines

    ratchit replied to pjdk9's topic in MICU, SICU

    The thoracic surgeon is probably used to calling the shots the way he does in the OR. They don't check his lines first there, why should he be restricted by your rules? Always cracks me up that...

  5. Cancelle surgeries

    ratchit replied to sharann's topic in Operating Room

    Karo- Who fills out the consent form? Are you filling in the name of the procedure and the space that lists possible complications? I doubt the BON would allow an RN to determine what the patient...

  6. Cancelle surgeries

    ratchit replied to sharann's topic in Operating Room

    Why is ANY of this the RN's responsibility??? 1) "Write an order to get consent." Nope. Obtaining consent is not nursing scope of practice in any state I've been licensed in. You have to be able...

  7. Bleeding patient

    ratchit replied to javajunkie's topic in MICU, SICU

    Having been a radiology RN, I am not surprised. Radiologists have one of the cushiest jobs among docs. The ones at my last job set up a teleradiology service- regular XRays that had to be done at...

  8. best advice you can give student nurse

    ratchit replied to jackie206's topic in General Nursing

    Don't be pressured into doing things you don't know how to do. Don't refuse to do things you don't know how to do- ask someone to help you do them so you can learn. It's not "I don't know" it's "I...

  9. Call Lights

    ratchit replied to nana0216's topic in General Nursing

    I worked with quads a long time ago. We had pressure sensitive drinking straw call bells- it was attached to their halo brace. (These kids were newly injured and all had halos- not sure how you...

  10. How do you deal with "patient-know-it-alls"?

    ratchit replied to gizzy76's topic in General Nursing

    I'm always tempted to ask them when they will be well enough to go home since they know so much.. If it's a stupid, clinically insignificant thing like how the tape is done on the outside of a...

  11. cancelled/low census..long and alot of questions

    ratchit replied to seanymph's topic in Travel

    UHHHHH I agreed with you. I don't care if the hospital OFFERS staff the day off- some might want it. But it shouldn't be required. If they CHOOSE to go home and take vaca time, that's fine. It...

  12. first grader in NICU?

    ratchit replied to kloget's topic in General Nursing

    All units should have visitation policies. And all policies should have room for individual exceptions. It might be important for this child to see her father to be able to deal with what is...

  13. What on earth have I got???

    ratchit replied to jnette's topic in General Nursing

    Courtesy of Webmd.com: ( http://my.webmd.com/content/healthwise/75/18578 ) Influenza: * Fever of 100°F (37.8°C) to 104°F (40°C), which can reach 106°F (41.1°C) when symptoms first...

  14. cancelled/low census..long and alot of questions

    ratchit replied to seanymph's topic in Travel

    Dawn- one more thing to check. If you are guaranteed 72 hours, that's likely over a 2 week pay period. Clarify with your recruiter what you are obligated to now. IE, do you have to pick up another...

  15. cancelled/low census..long and alot of questions

    ratchit replied to seanymph's topic in Travel

    I have worked as staff, traveller, and agency and you really can't compare the payroll or contract rules. Dawn, you should be paid by your agency. Where they get the money isn't your problem. It...

  16. Overtime

    ratchit replied to MsBruiser's topic in General Nursing

    Stay awake for the next 24 hours just puttering around the house. How do you feel? Are you fresh and able to make clear decisions? Now picture that 24 hours on duty, lifting, walking, pulling,...

  17. Talking to the Press???

    ratchit replied to rmprn's topic in General Nursing

    You can deny everything. Problem being some people will assume it's you but never ask you about it. So people will think you said it and won't ever give you a chance to deny it. Or you can write a...

  18. traveling for new grad?

    ratchit replied to tiquicia's topic in Travel

    The agencies all require a year of experience. Many hospitals want 2-3 years, especially in critical care areas. Think about it- as a new grad in a staff job, you're going to get weeks of orientation...

  19. Surgical Tech - HCV

    ratchit replied to 6chakra's topic in Medical-Surgical

    I'm no expert on this but I doubt having Hep C will prevent you from working. Nurses who are HIV positive are able to work and I've neer heard of them having to maintain a certain viral load level to...

  20. Nursing Agency scam?

    ratchit replied to NRomero's topic in General Nursing

    My first stop would be to file a complaint with the Dept of Labor in that state for unpaid wages. Let them do the legwork. If you want to speed things up, maybe you could check with the Dept of...

  21. 14 Nurses Fired and 9 disciplined in Kentucky

    ratchit replied to nurseattorney's topic in General Nursing

    You don't have an order, you can't give the med. You must chart all meds that you give. That's Nursing 101. If the unit has standing orders, they need to be signed and on the MARs. If I read this...

  22. Racial discrimination in Nursing....

    ratchit replied to Barbie38's topic in General Nursing

    I've seen Phillipino/non-Phillipino tensions- usually because of a language barrier issue. As in the Phillipino nurses would speak in their language, which made the english speaking nurses uneasy...

  23. PACU visitors

    ratchit replied to rubyd'quis's topic in PACU

    As a general rule, it is a bad idea most of the time. Problems: no patient privacy- too much patient information is around and families wander. Patients are not feeling well- they often want fewer...

  24. "But I'm pregnant . . ."

    ratchit replied to Ruby Vee's topic in General Nursing

    There are things a pregnant/nursing nurse shouldn't do. Going near varicella, XRays and CMV are things I am at least pretty certain of. I can see heavy lifting, too. (Lifting can be done safely....

  25. But I have little kids!

    ratchit replied to Tweety's topic in General Nursing

    A very fair, calm, concise summary of a very long, emotional thread. **STANDING