Tom123

Tom123

Med/Surg - Home Health - Education

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All Content by Tom123

  1. Education vs Experience

    Tom123 replied to Airforce1's topic in General Nursing

    With just a year of experience you hit the nail on the head. Keep up the good work. I hope you continue with your

  2. Education vs Experience

    Tom123 replied to Airforce1's topic in General Nursing

    I believe that a BSN graduate will gain more, and contribute more to his/her graduate program if he/she has about 5 years of experience. My reasoning is based on the fact that the clinical experience...

  3. Has Anyone Ever USED Their Malpractice Insurance?

    Tom123 replied to pagandeva2000's topic in General Nursing

    Thank you for telling us your story. It really shows how important it is to have malpractice insurance. God Bless and Keep

  4. Has Anyone Ever USED Their Malpractice Insurance?

    Tom123 replied to pagandeva2000's topic in General Nursing

    That may be true. Depending on the state where you practice, your employer may have the right to collect any damages attributed to you, in a lawsuit. I know that is true in

  5. Has Anyone Ever USED Their Malpractice Insurance?

    Tom123 replied to pagandeva2000's topic in General Nursing

    I have malpractice insurance, and fortunately I have never had to use it. However, I do know of nurses who have used their insurance to defend them in court. Malpractice insurance does not defend...

  6. Nurse Educator Role - A Fifth Advanced Practice Nursing Specialty?

    Tom123 replied to VickyRN's topic in Nursing Educators, Faculty

    Nursing Educators do have a speciality. It is called Nursing Professional Development. I am certified in the field. A BSN is required to siit for the examination, plus other basic requirements must...

  7. Just had a Consent Agreement go into effect, I feel like I'm hanging in limbo

    Tom123 replied to GotoGirlRN's topic in Nurses Recovery

    GoTo, What do you mean that this is on your license? I have never seen an application for a nursing position asking if I have a mental condition. The only thing you are required to report to a...

  8. Just had a Consent Agreement go into effect, I feel like I'm hanging in limbo

    Tom123 replied to GotoGirlRN's topic in Nurses Recovery

    Hi Goto, I understand you are in a "Right to Work State," so am I. In Florida there have been cases like yours brought into court on a Wrongful Termination Lawsuit, and the employee won. I am sure...

  9. Would greatly appreciate some input on Research for a Book

    Tom123 posted a topic in General Nursing

    I am currently in the process of gathering research for a Nursing Book I wish to write. As you can see from my bio, I have been in nursing for over 40 years, and have seen drastic changes in nursing...

  10. burnout

    Tom123 replied to RandeeN's topic in General Nursing

    RandeeN, I am sorry to hear about your burnout, but from what you describe, I can definitely understand. I am confussed. Is your nurse manager requiring you to have a note from your physician to...

  11. Just had a Consent Agreement go into effect, I feel like I'm hanging in limbo

    Tom123 replied to GotoGirlRN's topic in Nurses Recovery

    I am very sorry to hear that you are going through all of this. I know you do not have any drug/alcohol issues. Did you ever tell a fellow nurse, etc., that you were seeing a psychiatrist? If so,...

  12. IV drips question

    Tom123 replied to NoeIssa's topic in General Nursing

    All IVs are gtts/min. I know we use a pump and schedule it to go over X number of minutes, hours, etc. But, when you boil it down iit all comes up as gtts/min. I know you are asking about other...

  13. Yelling Doctors, How do you handle them?????

    Tom123 replied to Danielle7's topic in Patient, Colleague Relations

    THANK YOU CUBBY777 This behavior must stop. I have been in nursing for 44 years. In the ancient days, we had to stand up and give our seat to the doctor, when he (very few female doctors) came to...

  14. Yelling Doctors, How do you handle them?????

    Tom123 replied to Danielle7's topic in Patient, Colleague Relations

    I must ask the question -- Was an experienced RN available for consultation -- or how about the Nursing Supervisor? I agree whole heartedly, NO physician has the right to yell at a nurse. It is...

  15. Yelling Doctors, How do you handle them?????

    Tom123 replied to Danielle7's topic in Patient, Colleague Relations

    I would not have called the physician at that time, based only on the need to know the dosage of a med, that was not taken. I think you probably had orders for other antibiotics, IV probably. It is...

  16. How do you obtain a diastolic when pulse sound doesnt go away

    Tom123 replied to w3ndiscott's topic in General Nursing

    You listen for the "muffled" sound, and list that as the diastolic pressure. We actually have three reading for BP. ie -- 120/60/0. Hope this

  17. Doing Research; Need Some Assistance

    Tom123 posted a topic in General Nursing

    I am currently doing some research on "Where Has Nursing Gone?" I am looking over the past 45 - 50 years of nursing, and wanting to look at how we delivered patient care, and how are we delivering...

  18. Does anyone ever feel guilty about care not given by the end of your shift?

    Tom123 replied to rtbabb's topic in General Nursing

    Nurses must learn that they can not meet every need of every patient. That is what Critical Thinking is all about. We must organize our work load as much as possible, realizing that something is...

  19. MD ordered placebo for pain PRN~would you give it?

    Tom123 replied to beetlebailey524's topic in General Nursing

    I am assuming that you are a physician, based on your screen name. I agree with your assessment of Ultram. What continues to baffle me is why physicians will not refer their chronic pain patients to...

  20. MD ordered placebo for pain PRN~would you give it?

    Tom123 replied to beetlebailey524's topic in General Nursing

    This is a difficult problem. I would really have to know the patient's history before I made the decision. I would hope the physician discussed it with the patient. I would ask if there is...

  21. Does anyone ever feel guilty about care not given by the end of your shift?

    Tom123 replied to rtbabb's topic in General Nursing

    I like the way you think. I have read a couple of your responses, and from what I can gather, you entered nursing for the right reasons -- to care for patients. It is refreshing to see a young nurse...

  22. Do you think removing an NG tube is "killing someone"?

    Tom123 replied to krenee's topic in General Nursing

    The decision to remove the NG tube has been made by the family. The patient, himself, may have made the decision prior to having a stroke. That is the purpose of a Living Will. It allows us to make...

  23. Doing Research; Need Some Assistance

    Tom123 replied to Tom123's topic in General Nursing

    Thank you for your response. I asked the question about assisting with baths, because we have 5 major hospitals in the area. Of those, 3 do not use aides/techs. I had major spinal surgery 2 years...

  24. Is there a best unit for new grads?

    Tom123 replied to AirForceWifey's topic in General Nursing

    I have been in nursing 40+ years. I must agree with the nurses who recommend a Med/Surg unit. You will learn how to manage a patient load on this unit. You will refine your basic skills, and learn...

  25. Will ADN RNs eventually be "phased out"

    Tom123 replied to NaTeTheGreaT's topic in Diploma, ADN, BSN

    It is GREAT to see a Hospital Corpsman Second Class in this forum. I too was a HM2, prior to receiving my commission as a Nurse Corps Officer. Wish you the