ratchit

ratchit

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All Content by ratchit

  1. Anyone resign due to hostile work environment?

    ratchit replied to ceecel.dee's topic in General Nursing

    Due to physician control? It was a contributing factor once. You curse at the nurse, you will only have meek nurses to work with. If you're SUCH an awesome doctor that you can anticipate and control...

  2. But I have little kids!

    ratchit replied to Tweety's topic in General Nursing

    Agent, I don't usually get pissy on this board, but you're the one coming across as being arrogant. We all choose to work in nursing. We all have a job description that states what we can be made to...

  3. To draw blood or not?

    ratchit replied to shaggy19710's topic in General Nursing

    The only couple of times I witnessed a "legal" blood draw, the cop had to be in the room when it was drawn- I think it was a chain of evidence issue. Also, the blood had to be drawn peripherally, not...

  4. Do you have to pay for parking?

    ratchit replied to JJFROG's topic in General Nursing

    $7.50 a week for a lot that is 3 miles away. Shuttles run, but every 20 min during peak times. Every 45 after 7pm. Miss your bus and you're SOL. If you get out after 7pm, you are looking at a long...

  5. Scope of practice question

    ratchit replied to Gldngrl's topic in General Nursing

    I also think you should delegate this back at your nurse manager, who should bump it to the policy and procedure and pharmacy committees. Someone should write a letter to the board of nursing in...

  6. I-CVT vs RN?

    ratchit replied to SnowieRN's topic in General Nursing

    You're right- it's not an Invasive Cardiology program. That requires a BS in a premed type program, med school, a residency, then a fellowship or three. At least a dozen years of schooling and...

  7. Question for those working on med-surg with post op patients

    ratchit replied to peaceful2100's topic in General Nursing

    I didn't mean to imply that I would dump the patient on the floor. But I'm sure you've seen nurses say that PACU has to hold patients until after shift change when there was plenty of time to accept...

  8. Question for those working on med-surg with post op patients

    ratchit replied to peaceful2100's topic in General Nursing

    Gosh, I would love to work at your hospital!! Keep a couple things in mind, though. When admitting calls to say the patient will be coming, that doesn't mean the patient is ready to come. It means...

  9. Rude Relative, advise please

    ratchit replied to bulletproofbarb's topic in General Nursing

    BulletProofBarb- They're divorced? Is she the health care proxy or Medical Power of Attorney? If not, hand her the HIPPA rules and have her escorted out the door- you could be in big trouble for...

  10. Npo

    ratchit replied to Sue McGann's topic in General Nursing

    What should and should not be given should be specified by the doctor. But we all know they don't think the way we do. NPO means nothing by mouth- ie, keep the stomach empty. No meds, no jello, no...

  11. Question for those working on med-surg with post op patients

    ratchit replied to peaceful2100's topic in General Nursing

    I don't want to start a war, here- I've done floor nursing and it's a rough job. But I work in PACU and see the exact opposite happening. We don't keep patients until shift change- we can't get the...

  12. Rotator Cuff Question

    ratchit replied to DebsZoo's topic in General Nursing

    I'm very sympathetic!!! Had a lingering shoulder ache for some time, which I foolishly ignored. Then all heck broke loose. 8 months of NSAIDS, 6 months of PT, 4+ months of narcotics, 2 steroid...

  13. Unit staff meetings...

    ratchit replied to deespoohbear's topic in General Nursing

    I've never seen a meeting for day shifters held at 8pm after a 12 hour shift. An 8am meeting is just as rude to night shifters as that would be. My last job held meetings at 10am and 2pm and...

  14. Oral contrast for CT

    ratchit replied to djleon1's topic in Radiology

    Hi. Take away one "no " vote. I read the post and responded to that, not the question. My dept does not require the order be written, but I think they should. DJ- check your pm's!

  15. Direct Admits

    ratchit replied to MissdonditaBsn's topic in General Nursing

    I worked med/surg many moons ago and ICU far more recently. Got direct admits in both places. Sometimes it was OK, sometimes it was a dangerous fiasco. If someone is sick enough to be admitted to...

  16. I hate this family members!

    ratchit replied to Pamelita's topic in General Nursing

    I have a new theory on why patients and families are getting more demanding about the smallest of stupid things and going up the chain of command with complaints that make no sense... I think many of...

  17. Refusing and safety

    ratchit replied to ohbet's topic in General Nursing

    Floating stinks for most of us and within limits, we all have to do it because we should all be on the receiving end of it sometimes. Safety is a huge issue with floating. If I am unsure if I should...

  18. Bossy Unit Clerks

    ratchit replied to NancyRN's topic in Patient, Colleague Relations

    .

  19. Bossy Unit Clerks

    ratchit replied to NancyRN's topic in Patient, Colleague Relations

    Those patients were all fine yesterday? I think we've all had patients who were fine 30 seconds ago, they're seizing or in VT NOW. If you dealt with 15 pages of paperwork before seeing the patients...

  20. Paperwork Hell

    ratchit replied to Joules's topic in General Nursing

    My current hospital has a nurse that does that for us. I suppose she has other things to do, too, but she comes around and leaves a form in the front of the chart that says- need something in...

  21. Anyone involved in a lawsuit?

    ratchit replied to Jas honey's topic in General Nursing

    You're a fact witness. Not a term I'm familiar with but it definitely sounds better than being a defendant! You pay your malpractice insurance premiums just for moments like this. I wouldn't say...

  22. Breaking rules: what about ETOH for DTs?

    ratchit replied to Rainagrey's topic in General Nursing

    Molly, I do hear what you're saying and I agree that a good detox program helps the symptoms a great deal. But no matter how good the program is, there are risks. And it's a frustrating, potentially...

  23. Admissions at shift change

    ratchit replied to kahann's topic in General Nursing

    .

  24. Breaking rules: what about ETOH for DTs?

    ratchit replied to Rainagrey's topic in General Nursing

    I have never understood why we DT people who don't want to be DT'd. We put them at risk for seizures, aspiration pneumonias, risk of injury from being restrained.... Not to mention the risk to the...

  25. what does TID mean?

    ratchit replied to thisnurse's topic in General Nursing

    QS = Q Shift, which gets confusing when some people do 12's and some do 8's. TID = three times a day, which means different things depending on action. A PO diuretic or BP med won't be taken Q8 at...