Pookafert

I absolutely love my hospice hospital liaison job. I have spent twenty plus years in the emergency and critical care environment and it was a time for change. The feeling I get from getting someone home to where they want to be and with the people they want to be with when all else fails is the same as when a resuscitation is successful. Of course I also now work for an incredibly supportive company with the resources available to accomplish complicated cases. I have never worked for a better manager either.

That was fun and I was pleasantly surprised. I have to apologize to the OP for asking a complex question and giving a not serious answer and spiraling this thread away from the question. I just had a long day and took the opportunity to make myself laugh. I do sincerely apologize to the OP for that though...I hope someone is able to legitimately answer your question. What really surprised me though was that with all the responses only one person stooped to name calling! I was wondering who would actually take themselves a little too seriously. Asked and answered. Thank you to the rest of you for providing a break from my day.

As most of us realize, with apparently a few exceptions, IV tubing comes in a standard length of 150 cm and will be a constant and the patient size the variable. So I still maintain my previous answers.

It's a physics thing. Compare it to the planets. Little Earth has less of a gravitational pull than big ole Jupiter. Therefore objects are not as firmly drawn to them. So...yes really.

No they won't get it too fast. They are smaller and have less of a gravitational pull to suck it out of the bag.

You could always just after being released on your own transfer departments and have to be re-oriented to that department. If you are in a large hospital you could drag this out for a long time. You could even change hospitals or move to a different city and start all over again. The stress of making a mistake in this field and hastening their journey to death can be overwelming and very real. It's not like working at a fast food place and a mistake burns a burger.

When has nursing been all about "medical" care? Doctors care for the medical aspects. We as nurses have to adapt their orders to the individual needs, support systems and beliefs by incorporating these into the process often involving very little "medicine".

Why not? You break the rules in a car and you get a fine...you are determined to be a liability to you're insurance company and your premiums go up. You break the rules in the hospital and you get a fine...you're determined to be liability to your insurance company and your premiums go up.

Everything happens for a reason... I started out in a metropolitan ER that was known for it's acuity of non-trauma patients. I recieved my CEN (the only one in the department), was the final step preceptor (all new hires had to be evaluated by me before coming to the floor). I also established the geriatric education program and was respected and trusted by the physicians. A position finally opened up in the PACU (usually a nurse has to retire to open a position) which I had always wanted since I became a nurse, I applied and was accepted. I thought all was going well when my manager called me in one day and told me (without specific reason) that I wasn't working out and had a choice to quit or be fired-I was taken aback. Hindsight being what it is I think it was because I clocked in-worked-clocked out and went home-never involved in politics and this agitated the power click of nurses. I called my old ER manager to come back and she had the assistant manager tell me I was not a good fit in the ED, he later called me and said that she was angry I had left and was holding a grudge. Off to the burbs...returned to a suburban ED...didn't like it from day one..low acuity, non-teaching. Now at a level I trauma center, major teaching facility in the PACU...LOVE IT! Long road to get there but I view each step as learning and meant to happen. Never stop looking, never give up...something good will happen!