nmred

My hospital recently hired a JCAHO consultant to "walk" through the hospital and advise the department managers of "potential" problems with the units and how to "beef up" the areas for the next Joint Commission inspection. One of the "requirements"...

I was on the internet the other day, just checking my professional websites, and stumbled onto an article on the ASPAN website about Bullying in the workplace. Anyone else seen this? It's an article about how JAHCO will be mandating a violence in t...

I recently had an altercation with a CST in which s/he provoked, and admitted provoking, a response from me (the circulator). The surgeon reprimanded her/him for the behavior. S/He broke scrub and exited the room without mine or the surgeons permissi...

Don't know where the PACU Forum is... but I'm both CPAN and CAPA and I used The Core Curriculum for Perianesthesia Nursing Practice by Litwack. The ASPAN/ABPANC site has a full list of references. Also there are practice test on the website, they a...

I keep my wrappers as well. The scrub should be keeping all sleeves and sterile wrappers. I NEVER toss/remove the trash from the room until the case is completed. Just in case you have to go digging for items.

The hospital is saying the individual does not work under my license, no matter how many pages from AORN, DOL, ASPAN, Federal Code are placed in front of them. I have already thought about having to return and be around all of these individuals. Not ...

My supervisor objected to the incident report, and I'm being punished for it. S/He was angry about the write up, not about the situation. It was clear S/He was angry that the report was seen by her/his supervisors not about the hostility. Alos, it...

I'm glad some one gets it. I still can't return to work (my time off is on my dime), and this guy is still working. He's making money. What about my financial obligations? What about his abuse? Apparently it's being condoned. Abuse is never acc...

I'm not a "Newbie". S/He didn't have anyone in to relieve her/him. The hospital is only saying they had permission to leave to CYA. As a matter of fact the surgeon told s/he to stay and the individual continued to walk out. Let's see, that's ins...

Met with HR, everyone/everything backs my statement except the individual getting permission to leave the room. HR and my supervisor are mandating I receive counciling for calling this disruptive individual a perjorative. In the mean time, s/he is ...

Not a union hospital. Apparently, everything/everyone has confirmed my statement. I'm being punished and s/he's been let off the hook. National Standards: S/He is directly responsible to the surgeon. MD said stay, s/he walked.

S/He threw an object at me. I called him a perjorative. Questionable: the pt at risk. I am not accountable for her/his behavior. Abuse, verbal or physical, is never acceptable.

Start with the DOL in your area. I live in NM and on our DOL webpage there is a statement of forcing personnel to work over 16 hours straight- not allowed. Which means the hospital must have some policy in place with step by step instructions, who ...

Anyone out there with experience in nursing in Norway? I read WHO raked their country's medical system at #11. The U.S. was ranked around #38. I'm looking into immigrating to another country and Norway seemed interesting. Any information would be...

I'm sloowwly learning Norwegian. The problem is I have no one to practice with. Have you worked there? If yes, what was it like?

Thanks for your responses. Just an update: We just had an incident where an ICU nurse was instructed to move a patient to another unit and receive a patient from PACU. The patient had been here 11 hours waiting for a room, had a craniotomy. The I...

We have two nurses on call every day. The problem with that is the nurses complain every time you call them in. They want us to recover in ICU. The problem with that is care is compromised because the recovery room nurse is in a different surround...

I've only worked in 2 PACU's requiring call. The first was a small hospital, ~ 60 bed including the ER. We were left alone. The Policy was "If you asked the Circulator to stay, they stayed". Lots of luck with that one. They complained so much I ...

You'll do just fine. I remember I use to go home every night crying I was so overwhelmed. After about 6 months I was pretty comfortable with "minor" cases. By the end of a year I could recover any patient at our hospital. Best of luck

I second what "The Commuter" had to say. Along with the fact I work in the surgical department. Not only do I work my 40 hours a week but I get to take call about twice a week. That can average around 20 - 30 hours extra. I wonder why on my days ...

Good answer!

Absolutely we do! I think it's a weird mentality of 1) You need to be tough to survive in this profession 2) You can't be a push over 3) It's us against them (nurse vs MD) and 4) This is how I learned and was trea...

Often enough. What I love is when you contact Pharmacy the response you get is " Thanks for following the 5 R's". That's Special My response is something like... I know the 5 R's, can your team read? What really gets my goat is when I have to call ...

For the most part, my life is good. I've had a rough 12 months. Lost two dogs, a job and a friend to Prostate Cancer. Not to mention severing a couple of relationships. But, without the bad you can't ID the good. That's the problem with our soc...

Aspan standard states "2 nurses in the recovery area". It's always a battle. Your hospital doesn't have to comply with the standards. If they refuse then you fall back on "Best Practice Act". Which means you will have to justify why no one stayed...