pgotm

Fentanyl is used the most. We are teaching hospital, and they don't like propofol, plus there is a nation wide shortage. Precedex is rarely used.

I want to have a vent 1:1! :) Wow that is awesome!

I want to come work, where there are aides! :)

Cooling blanket. I had a septic patient that got up to 104. I was nervous but with tylenol suppository and cooling blanket, it took all shift for the temp to climb back down. I thought we wanted to bring fever down, so we don't fry the patient's brain.

They aren't discharged until they are out the door! :) That's my personal opinion. They can have their paperwork, but I still treat them as my patient. They get all the same treatment.

Time to put in some applications for somewhere else. Do you really want to continue to work for this company? Best not to risk your license for their stupidity!

Always assess, pt's can change at any time. You would rather know that you charted an accurate view of the patient's condition whether it be positive or negative. And of course if you ever have to go to court, your documentation will paint a pciture of the patient's condition. Remember each minute is promised to no one. Here now, gone the next.

Working in Risk Mgmt, I think you need to have your policy revisted. This is not ok in any US hospital in America. If it is, this is a crime! I would contact your administration or risk department for guidance. I think there is some ignorance on someone's part, just not sure who.

If something happens to you, you will not be covered under workman's comp. May want to check in with local labor board about working conditions. Attempt to find greener pastures if possible.

Be happy doing what ever you want. Just be sure to research your local healthcare market. Where I live in Vegas, most hospitals don't have LPNs. Not sure about outside of hospitals, also the job market is tough for new grad RN's. Some out of school for a couple years with no jobs. But congrats on going back to school! I stayed home with my daughter for 6 months, and wish I could of afforded to stay home longer. :)

It is always better to give than receive.

giggling in my office, nice way to start the day.

i work in risk management, and cringed the whole time, reading your post. unfortunately i'm sad to hear that you gave in and signed the consent. imagine a patient in the same position doing that, and along the way, communication was broken, and another patient became and rapid response, and your nurse responded. during all the chaos, of helping that patient, she forgot about telling you that a new consent would be seen. your wheeled in to the or, and next thing, you have a wrong site surgery. you signed the consent for the surgery, validating that indeed that was the correct surgery to perform. you were aware of the risks and benefits. the surgeon and the hospital have very good high priced lawyers, that will do everything to protect them. i would speak with the risk management office and administration at the facility you were at. there are serious issues. i would hope that the md had informed you of the risk and benefits, and that the anesthesiologist, had come to speak with you first, before consent was signed. then that the correct site was marked prior to any narcotic, or anesthesia. joint commission has checklists, that facilities should tailor to their needs, that were invented to prevent these type of incidents.

I work Risk. :) Our policy is to have the detective come to risk. We get a copy of their business card, and give them the information they need. They are in a way covered to get information depending on the situation. It's almost the same when the state comes in. We get their information and give them what they want. I have had a couple incidents where they (State or PD) called the hospital. At that point we have them send over their official letter head, and the information that they are requesting. But the best thing to do is to talk to your risk mgmt dept.

I need that kind of DON!