ecnav

ecnav

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All Content by ecnav

  1. Is There An "err-free" Rn?

    the bon delves into the practice of those who's been egregious. could it be that your friend has been a bad actor? you should be fearful. the system is as such that anyone, anytime, anywhere can propose a complaint for any reason against you. welcome...
  2. Who's The Boss, Nursing or Management???

    Vent!! - Who's The Boss, Nursing or Management??? Who payes the bills? Management. In the end, someone connected to someone is watching over everyone who's paid to do a service. Nursing is NEVER in charge of anything.
  3. Need Help Now With Decision!!!!

    Skip it. This staffing scenerio is a joke. Your gut instinct is correct...
  4. Is my boss committing fraud?

    moral relevance - ceteris paribus. when did it become so easy to excuse the misgivings of others as they tread upon us? when the world wasn't so crowded we might of permitted the luxury to excuse, but now... ? thank you for the catalyst gonzo!
  5. Trauma Coordinator

    if you message me i can send trauma team assignments. this should comprise all the key players in a trauma arrest - charge nurse or record keeper can play bouncer. don't forget to call on security if needed. triage according to competency. administra...
  6. Is my boss committing fraud?

    Why care if it's unethical? Wow ... a coworker detects unethical behaviour/claims of another who seeks to gain a professional advantage. We should 'keep our nose out of it'? Why? Report her/hiss ass to the credentialing committee. What's fair is fai...
  7. Thats it I give up!!!!!!!

    Keep your license active. You have achieved valuable skills and knowledge. No one can discount this. Search and you will find.
  8. whoops!

    NYS is notoriously slow at renewing. Did you submit evidence of infection control continuing education? Keep calling them. If you're current license is expired ... you'll need to apply for temporary permit while NYS processes you. Persistance! And ge...
  9. Summing up nursing

    I will bet most physicians could very well ... "spike a drug, load a pump, and titrate a gtt, let alone running 20 drugs or more at once to strike an intricate balance that leads to a heart beat with perfusion, a blood pressure, cerebral perfusion, e...
  10. Any nurses with chemistry or biochem degrees?

    In hard core critical care your chemistry/physiology knowledge will be an advantage. Medical & pharmacologic research often employs RNs with baccalaureate level studies in the sciences. If your good at the sciences, consider an advanced practice ...
  11. It is me or them!!! I can't stand it anymore!

    you have to change. seriously. i know this quick response may **** you off. they -the cna's- know they've got a sucker of an rn/lpn. advise the don that you are about to level the playing field and that pt care/safety is #1 rule. then, start you're n...
  12. i agree with michael. i've seen them employed typically after the fact: whenever medical anticoagulation fails... try surgical. preference is obviously, toward less intervention moving toward more, as indicated. individuals present entirely uniquely....
  13. intensive care

    icu 1:2 is standard. csu is 1:1. ccu is 1:2. intensivist staffing makes all the difference. i would ask: how many md/do intensivists per pt? what is the experience and certification level of nursing staff per pt: bsn, ccrn, msn...? ratio of hospital...
  14. Have you ever reported someone to the BON?

    have not yet but, i certainly would if i witnessed or knew something, grievous. each of us has an obligation to society - not to management, not to coworkers, not to the legal system but, to the truth. coming to the aide of someone who is being injur...
  15. Good job. Move on
  16. HELP!! Need advise!

    calcifications is the body's way to 'wall off' a potential problem. not something to get terribly excited about but absolutely get a second opinion from a separate practice that uses a different radiographic imaging system. in other words, new practi...
  17. Thats it I give up!!!!!!!

    i feel you. take a time out. i'm about to go see a career counselor myself. i need to understand how i can make this bizarre profession work within my self-concept and expectations. nursing has been like a really bad marriage for me. you stay for the...
  18. Non-GI C-diff

    Translocation? Absolutely. Enteral organisms will travel...
  19. It's not on you. If the pt had acute distress you would have suspended the transfer pending further evaluation. Otherwise, transfer the twitching foot. Did you document your nursing diagnosis and supporting assessment? :heartbeat
  20. Am being treated poorly

    She knows what's she's doing. People will resort to most anything to gain an 'edge'. That's nursing culture in a nutshell. She is dominating you. Simple. Anything goes.
  21. A p/t with atrial flutter

    ok, you've presented a typical case. atrial flutter. you see it on the ecg... flutter waves, now what? is the pt symptomatic? what's they're level of consciousness? impaired? then intervene per american heart association guidelines. start bls and rep...
  22. under the influence at work/sleeping on the job

    is she under the influence at work? is she endangering anyone - her child - herself - her patients - coworkers? is she in compliance with the governing policies of the facility and state nurse practice act? addiction is serious business too. maybe sh...
  23. Is nursing the best job ever?

    Nurses can be scary to work with. The nursing profession - where there are professionals - is an awesome vocation. Helping people in need... what a blessing! Helping 'needy people', well, that's another thing entirely.
  24. Excellent. Must be a good program.
  25. student nurses are not 'legally' responsible. they have no license or permit. students operate under premise that a licensed professional is guiding, assessing, and validating. the clinical instructor is ultimately responsible. if student charting is...