Tom123

Tom123

Med/Surg - Home Health - Education

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All Content by Tom123

  1. Education vs Experience

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

    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 we had while in our BSN program did not give us a...
  3. Has Anyone Ever USED Their Malpractice Insurance?

    Thank you for telling us your story. It really shows how important it is to have malpractice insurance. God Bless and Keep you.
  4. Has Anyone Ever USED Their Malpractice Insurance?

    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 Florida.
  5. Has Anyone Ever USED Their Malpractice Insurance?

    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 you against the Board of Nursing. That is an Admini...
  6. 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 be met. If you pass the examination, offered by ...
  7. 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 prospective employer is if you are on probation from th...
  8. 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 your attorney has asked for and received everythi...
  9. 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 care, nursing judgment, and just how nurses feel a...
  10. burnout

    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 return to work? I thnk the answer to that is yes. A...
  11. 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, that is where the complaint stems from. I must as...
  12. IV drips question

    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 drugs, but are you having a problem with calculating...
  13. Yelling Doctors, How do you handle them?????

    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 the nurses' station and was going to write his progr...
  14. Yelling Doctors, How do you handle them?????

    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 actual hospital policy to call a physician for medica...
  15. Yelling Doctors, How do you handle them?????

    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 like calling the doctor at 1 AM for a sleeping pi...
  16. 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 helps.
  17. 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 patient care today. What are the differences? How ...
  18. 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 going to happen to screw it up. How do we get out of...
  19. MD ordered placebo for pain PRN~would you give it?

    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 a Board Certified Pain Management Physician. I ...
  20. MD ordered placebo for pain PRN~would you give it?

    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 anything in the chart showing the patient is really drug ...
  21. 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 look at the "team" and the patient. Keep up the...
  22. 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 those decisions, so the family will not be stuck ...
  23. Doing Research; Need Some Assistance

    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 ago, and was not even asked if I needed any assista...
  24. Is there a best unit for new grads?

    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 more. Before going to the "high tech" units, get ...
  25. Will ADN RNs eventually be "phased out"

    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 best