trauma_burnout71

I tried not to give in but I just can't resist. The last time I checked nurses have nothing to do with the cost of healthcare in regards to procedures, that belongs to the suits. To think that I would treat any patient differently because they pay with cash is ridiculous, I tend to be more sympathetic towards the uninsured because I know that as soon as they leave our care they typically won't recieve further care, where the ones who can afford cash payments will surely continue with their care after discharge. What would you do if we as nurses decided to take your advice and find different jobs? Who would care for your loved one? The truth is, those of us that are here are the ones with passion for caring for the sick and injured, and there are not enough of us left. Nancy Nurse: I have walked in your shoes and contrary to what others might think, what you describe is a common ICU shift. I applaud you for your passion! With that being said, I wish I had time to sit with my patients and their family, and when I do have time I take advantage of those moments. Before you are quick to call us arrogant or pompous, consider what we might be juggling at that moment.

I say go for it! I have worked in a regional trauma center in tx for 6 years and we recently hired 10 new grads, yes I said "10", now after 6 months there are only 4 left, but those 4 are productive nurses. Understand that the other six worked in what I feel to be the most extreme of conditions so in their defense they really didn't stand a chance. But don't be reluctant, go in fully charged and you will be successful.

I some states assault on a healthcare provider is a felony! It's a terrible reality in our profession and sometimes the only voice on your side is your own, I recommend you use it.

There is a naval hospital on Okinawa, that might be a starting point. I haven't been there for 12 years so not a lot of info, but definately start with your military installations. It is trult a beautiful island, enjoy!

How do you stabilize the patient and maintain airway and ventilation while also assessing, stabilizing physical trauma and the degree of his burns? Great question! Let's keep it simple, believe it or not simplicity pokes it head up in even the most chaotic of moments. A-B-C's; TNCC outlines exactly how to care for this pt. By maintaining your airway you have in fact began to stabilize this pt. Burn pt require a specific hydration schedule based on weight and % of burn to body. We don't just open up the fluids on these pt's, the can develop fluid overload leading to pulmonary edema rapidly. Simplicity- broken bones are second to airway. Remember, "Life over Limb" Good luck and Great enthusiasm.