maxthecat

maxthecat

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All Content by maxthecat

  1. Sick of core measures

    The concept sounds good. My gripe is that if and when they are implemented at my hospital, I'm certain that the nurses will be held accountable if a physician doesn't order something, not the...
  2. Lack of respect for nurses

    I think part of the problem is that the public doesn't see the critical thinking, doesn't hear the conversations that take place between doctor and nurse, doesn't realize the knowledge based...
  3. Should I walk away from this?

    Well, you're almost done and you've got a lot of money invested. Best thing now is to grit your teeth and finish. In the meantime research other areas of nursing rather than adult med-surg. Other...
  4. Patient Complaints In Spite of Good Care

    Sounds like you are well out of there and sounds like the facility that you work for next will be getting a wonderful nurse. Ironically, managers like the one you describe usually end up with terrible...
  5. Do you ever feel like you short-changed someone?

    Please understand that you are doing the best you can in a system that sets you up to fail. Yes, your patients probably are not getting the quality of care they deserve on a consistent basis. But...
  6. I don't mean to whine...

    Sounds to me like they want you gone, for whatever reason. If I were you, I'd start looking for another job. From what you're telling us, I don't think there is anything to be gained by trying to...
  7. Pain is not a "vital sign"

    I can't believe this thread has gone on this long, but I guess I might as well throw in my two cents.... I think the original poster is taking the "vital" in vital signs to mean essential to...
  8. When to call the doctor?

    This is something your preceptor should be going over with you. Besides general criteria, whether or not you call will vary with the individual doctor. You need to have a set of notes on individual...
  9. I love nursing.. not sure if nursing loves me

    You're a human being coping the best you can in a chaotic field. I'm sure you're not the first nurse who has forgotten something and you won't be the last. We talk a lot about the need to strive for...
  10. Also keep in mind that more and more schools are mandating nursing faculty to have doctorates, not just masters degree. Stopping at the masters level may mean you are only eligible to teach...
  11. I used to work in NICU and thoroughly enjoyed it. However, I don't think it's where you want to be if you are planning on CRNA. There is just no comparison to the breadth of procedures and diagnoses...
  12. Med Errors- would you report one?

    I should have added to my previous post that although my fellow nurses and I don't officially report, we talk to each other privately, so individuals are aware of errors and near misses, and of course...
  13. Med Errors- would you report one?

    I'm pleased to see that most of your facilities use a non-punitive approach to med errors, use reports to track trends and investigate systems. In the past I have worked for those kinds of...
  14. Thinking about a bachelor's degree in psych

    Welcome! I really don't think getting a bachelor's in psych would help you as an RN. We have folks with that credential working as techs for much less money than a nurse. If you want to learn more...
  15. Infection Control

    Do any of your facilities allow patients to bring in pillows, blankets, stuffed animals from home? My facility forbids these and I was told it was for infection control purposes. However, children...
  16. Charge Nurse did CNA work. Learned A LOT.

    I wish I had a good answer for you. I don't. But I just want to say that in my opinion a lot of the sloppy care is due to hospitals and nursing homes expecting more of nurses and CNA'a than is...
  17. If the nurse reacted as you say I agree she was out of line. I would probably have said something to her charge nurse. To address another issue that has come up in this thread--if customer service is...
  18. The Older Psych Nurse

    It has been said that if a staff member is unable to fully participate in psych codes, restraints, etc., then they should not be working the floor. So what happens to the older psych nurse who may...
  19. floating between departments ie med/surg to nicu

    A lot depends on how closely allied to your home unit the department you're being floated to is. For example, if I work NICU and I am floated to Mother/Baby, I will be familiar with the doctors, with...
  20. Patient Allergic to Armband?

    Good suggestions! Thanks,
  21. Patient Allergic to Armband?

    For the first time this week we had a hospital patient who could not wear our plastic armbands because he stated he had an allergy to them, red and itching. Policy states that all patients must wear...
  22. Patient Allergic to Armband?

    Our problem is policy states armband must be on the person--can't be on bedrail, clothing, etc. But thanks for your
  23. Stressing myself in the ER...do I suck or what??

    If I were you, I would ask what skills I need to work on, whether I am progressing at the expected pace, why I am not progressing to trauma bay. I'd ask charge nurse, supervisor....whoever you think...
  24. Pt. nonresponsive on transfer to SNF

    Are we sure this occurred because of non-caring? Or could plain ignorance and incompetence be the problem? I am a psychiatric nurse and I grow tired of having to defend the competence of those in my...