sfn2008

sfn2008 RN

Telemetry Step Down Units. Travel Nurse, Home Care

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All Content by sfn2008

  1. Question about RN scheduling

    I am a retired Travel Nurse (2008) and in my travels I came across a schedule for 12 hour shift nurses. It was brillient. Every nurse knew months in advance what days she/he was to work. Nurses were possitioned in one of four shift slots. Team ...
  2. Question about RN scheduling

  3. Lots of Questions ... Few Answers

    nursing school taught nurses to use the nursing process to assess and treat people with health issues under md orders. we were taught that patient safety is one of the highest priorities. protect patients from falls, medication adverse reactions, pro...
  4. Fired because i did not accept the assignment

    The big IF. But it doesn't look like that is going to happen any time soon. California is definatly more progressive ... but even that is not going to be good enough in the long run. Too many people are focused on hourly wages and not patient care lo...
  5. Fired because i did not accept the assignment

    As much as a Union could or couldn't help, that is not the answer. Nurses need the legislation. California is trying to get something going, and granted it is possobly because California Nurses Association and it's bargining power... BUT we need legi...
  6. Fired because i did not accept the assignment

    Any ideas on how to get such legislation?
  7. Have you quit in disgust?

    You are sooooooooooo Right!
  8. What was your job before you became a nurse?

    Telephone Installer. One of the first females to pass Pole Climbing School.
  9. Have you quit in disgust?

    What people? Who? The nurses at allnurses? The BON? The community where your hospital is located? WHOM are you expecting to stand up and take notice? Hospitals have a Board of Directors. Do nurses attend the meetings? As an employee of a hospita...
  10. Code blue: family at bedside????

    During a Code all concern and attention is on reviving the patient. I think it makes a difference if the Code is called in the ED, the ICU or the Floor. In many of the hospitals that I have worked someone from the chaplain's office responded to the...
  11. Have you quit in disgust?

    It has always been my thoughts that we do not have a shortage of nurses. We have a shortage of nurses that are willing to work under the conditions that are being presented. Change the conditions and I wouldn't be surprised if you saw nurses come o...
  12. Fired because i did not accept the assignment

    A nurse recruiter recently told me that termination under these cercumstances should be referred to as "ethical differences". In other words you and your employer disputed what was "safe nursing practice". This seems to be a reasonable explination ...
  13. You know you have a great job when.....

  14. When to enter meds on MAR

    I disagree. I don't identify with the control issues. I feel we should identify and meet NEEDS. Let me ask, how many times would you have liked to just sit and TALK to your patient because you knew that that is what they NEEDED, but you couldn't beca...
  15. When to enter meds on MAR

    True, there are many that NEED a professional to administer medication and deliver treatments. And there is definatly a need to protect one patient from the medication or treatment of another. I agree to this. My question was "what is the percentage ...
  16. You know you have a great job when.....

    A young Dialysis patient was "stuck" in an acute care setting because there was a LONG delay in his ability to get follow up care. He had been on our unit for over 3 weeks and was going "stir crazy". One day while I was quietly speaking to a family...
  17. travel nursing nightmare

    :redbeathe
  18. This sounds interesting. Other than your run-in, how is it working?
  19. Request for deceased to stay in home overnight

    Where do I find this kind of a law? You said that the coroner "overrules" . .. my question is.. when I die if I wanted to practice an Irish tradition of having a "Wake", is this now against the law?
  20. Questions about Travel Nursing

    not knowing the unit patient:nurse ratio, the hospital often has an ideal ratio... but ask to speak to one of the nurses that works on the shift you are being assigned. they are asking for a traveler so that the don't have to work the regular staf...
  21. getting rid of an air bubble in an IV line

    Even if nurses KNOW that a small air bubble will not be a problem, some patients and their families can FREAK... I learned a trick years ago and it might help.. Take the tubing and wrap it around your pen and "walk the bubble" up the tubing. As long ...
  22. Altered LOC--Dx help, please!

    You have described 1. Hypotension, (Alteration in perfussion:redbeathe) 2. Altered LOC, :zzzzz 3. Adverse Effect to a Medication I am even thinking with what you have described, 4. Altered Respiratory Status might have been present. Good Luck
  23. When to enter meds on MAR

    How many people in these LTC's actually NEED a nurse to do the med pass? How many patients in the hospital NEED a professional to do a task that they do for themselves at home (and very well I might add). What do you think the percentage is of pati...
  24. Hospice: Knowledge and Wisdom Worth Dying For

    If you are a Hospice Nurse, could you write to me? I interview for a Hospice Nurse position tomorrow and could use realistic advice...
  25. hospice nurse needs advice

    get copies of everything that is documented about the practice. you are doing your job the way you were taught. but, it may be that your preceptor did not follow up with a policy or proceedure. your intelligence tells you that to put quality patient ...