Geeg

There won't be a draft because then one has to admit that there is a war going on. The hospital associations will just keep lobbying to deskill nsg and janitor will be giving your meds. Heck, the nsg homes are already getting the med tech thing passed in some states to bypass the more skilled LPN/LVN.

There are no LTC ratios in OH or any other state. The only ratios that are mandated by law are for acute care hospitals. The laws are on the books in California and a handful of other states that I can't recall.

I just realized you are in your 20's. I would go to the Columbus area, since OSU is there, and there are lotsa people in your age range there.

I worked as a nurse in OH for 15 years. There are many more nsg schools in OH than CA, considering the large population in CA. There are state schools with programs. There are also some small colleges and universities with programs too. Cleveland can be a good option, because there are nsg programs there as well as the surrounding 90 mile radius. There are programs in Akron and Youngstown, also. Please note that alot of these areas are economically depressed, with the exception of health care. I don't know if you are moving with a sig other who needs employment too.

What does the state board of nursing have to say? I doubt that A LPN can titrate vasoactive meds?

Everyone becomes a medical pt in the end. That is, once surgeons can't or won't cut them anymore.

Hi. I used to work in Cleve, for about 20 yrs.... Pts in the units now, would be dead 10-15 yrs ago, consequently the current floor pts are the ICU pts of 10-15 yrs ago.

Once again, I think the answer is more nurses. I can't help but think that some of these less flagrant errors can be attributed to too many patients and not enough time.

Remember Divide and Conquer. It is to the hospitals's advantage when the nurse are at war with each other and have no energy to fight admin. I think that is why nothing gets resolved very well in the hosp environment.

Amennnn. It is all the insurance industry's doing. Sure lawyers can be easy targets, but they are not the villains here.

I used Accutane, it did work well for me. It has been around for at least 25 yrs, have you searched for any long term studies re side effects? Have you tried Retin A?

Sorry, I don't think there is an upside. We all know that reconfiguing is a euphemism for cutting staff.

Starting evey sentence with "I'm sorry but............."

Unfortunately, the healthcare system is using a business model: do more with less. Crank up the output with the least expenditure possible and hope nobody realizes that the quality stinks!!!!!!!!

In general, night visitation should be discouraged. I have had plenty of intoxicated visitors, and the majority {surprise} arrived at night.

You need and deserve more orientation time. Go to the manager and express your concerns again.

Was the student nurse a female? He probably gave her the time of day because she is young, cute, and not onto the fact that drs aren't God, yet.

Diprivan can have profound cardiac effects also, especially in a pt with many comorbidities. Or, the pt who has just had a huge bowel prep and is dehydrated.

Self schedule is an oxymoron. I worked in a place with self scheduling. We could work whenever we wanted, after...........we fulfilled our obligation for every other wknd, mandatory # of Fri/Mon, and night rotation. Needless to say, it got to the point where the big choice was: "Do I want Tues or Wed off?" I didn't call that self scheduling.

Atlanta: sounds like the unit needs you more than you need it.

I am no peds nurse, but I think if there is a significant developmental problem that parents would be all over it. If there are true endocrine problems I think there would be systemic effects, and this "genital glance" would not be uncovering some glaring overlooked deformity.

Whenever admin brings up professionalism, it is usually to persuade nurses to take on more responsibility for less or no compensation.

Was this situation referred to Risk Management?

Where was the stent put in? Was the pt in the OR? Were they attended by anesthesia? I think there needed to be ongoing assessment and treatment of this pt after they left ER. If the procedure took place in Radiology, I can see how the acidosis was probably ignored.

Unbelievable, so the docs have rigged it so you can't get a birth certificate, basically, unless they attend the birth. What happens if you have the baby in a cab, so you can't get a birth certificate? I wonder if the cabbies are doing C sections to avoid liability? LOL.