hdhnurse

hdhnurse

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All Content by hdhnurse

  1. Nursing Experience FNP

    When you are looking for FNP employment is there any consideration given to prior nursing experience? I begin the FNP program this fall and I currently have 20 years nursing experience. Right now I am working as house supervisor at my local hospital....
  2. Nursing Experience Question

    When you are looking for FNP employment is there any consideration given to prior nursing experience? I begin the FNP program this fall and I currently have 20 years nursing experience. Right now I am working as house supervisor at my local hospital....
  3. Nursing Experience Question

    Thank you for your answer. I just wondered if a 20-year seasoned nurse would have a better chance of procuring an NP job compared to a nurse with just one or two years of experience. I would think that nursing experience would count for something. ...
  4. Med/ Surg Patient to Nurse Ratio

    rural hospital ......medical surgical unit that has everything. (peds, geriatrics, tele, post-op, criticals, etc,) Our ratio on days is 1:6-9 nights 1:8-9 primary care...one aide at night for as many as 20 patients. The ratio for aides on days it abo...
  5. Hospital Security

    I know how you feel....our security has just been downsized. They used to come on duty at 8 PM but now they don't have to report until 11 PM. The hospital is not secure at all....anyone can wander around the entire hospital all hours of the night wi...
  6. How can we protect the nurses?

    Does anyone know of any laws that are in place to protect nurses from the threat of violence? How would I go about finding any info on a hospital's responsibility to ensure a safe working environment for employees? I work in a rural hospital that has...
  7. How can we protect the nurses?

    Thanks for the replies....I talked with my nurse manager today. She took some notes and said she will bring it up at the next admin meeting. I asked her to keep me updated but I am not going to really hold my breath on that on. My nurse manager said...
  8. Rural comprehensive med-surg that treats everything from peds to vents, telemetry and geriatrics. In Ohio, days 5-7:1.
  9. How can we protect the nurses?

    How does the hospital where you work handle security issues? Is the certain areas of the hospital locked down at off hours? Do you have security 24/7?
  10. How can we protect the nurses?

    My husband suggested contacting the local news to have a reporter come in a do like an expose. He said that would be sure to get the attention of admin. Of course, if word gets out that I blew the whistle my job would be tanked. I am the sole suppor...
  11. IV Dilaudid problem patients!!!!!!!!!!!

    Let me make another point.....Every patient that I admit to my floor I have to ask them if they are a smoker. It they say yes I am required to give them a smoking cessation packet. Smoking is an addiction....smoking kills and it is hard to quit. So ...
  12. IV Dilaudid problem patients!!!!!!!!!!!

    Dilaudid is highly over prescribed and it is a dangerous drug.....how many of you have had to narcan a pt. after dilaudid? In our facility we have done it several times.....for those of you who say not to question just give it. This is dangerous prac...
  13. Does anyone know if there is an official title for a medical surgical floor that houses everything?....What I mean is we have telemetry, cardiac drips, pediatrics, geriatrics, general illness, post-op, occasional psych and everything that no one else...
  14. Comprehensive Medical Surgical Floor

    Our hospital is a critical access hospital and we only have three floors. The first floor is OB, the second is the Med-Surg and the third is geriatric psych. But on the med-surg floor we get everything as I have mentioned. We even have ventilators b...
  15. Does an empty bed justify admission?

    I work in a small rural hospital that is a critical access hospital. By standards of operations we are only allowed to have 25 "regular" beds at any given time.(this includes the ob dept.) However we can have unlimited observation patients. So due t...
  16. Does an empty bed justify admission?

    Just wanted to give an update on the situation at my hospital. I worked yesterday for twelve hours as a nursing assistant...I am an RN but they are constantly pulling us to work in NA capacity since they are short on NA's Horrible day. I had nine p...
  17. Does an empty bed justify admission?

    First of all, the house supervisor also has the title capacity manager. A couple of them were questioning admissions due to the patient's conditions (for example we have no icu and sometimes the patient is better off transferred) These house supers g...
  18. I have been a nurse for 11 years and in the past year or two I have noticed that we are giving more and more Dilaudid IV for complaints of pain. It doesn't matter what kind of pain, the house doc just orders Dilaudid 1-2 mg IVP Q 2 hr for pain. Is t...
  19. What is the pain med of choice?

    I do want to make it clear that I am not against giving people pain med...I administer dilaudid every day to people who are really hurting. But this is what really gets me..we have the patients that we know are drug seekers..their tox screens are po...
  20. What is the pain med of choice?

    In response to the question "why was she admitted with bronchitis and a Headache?" We have this ER doc that admits everything...He doesn't want to deal with anything himself so he sends it to the floor. She was probably acting out in ER and got shi...
  21. What is the pain med of choice?

    Wow..Narcan as an allergy??? Now that is a professional drug seeker!!!
  22. What is the pain med of choice?

    I wonder where this increased use of dilaudid is coming from. Was there something written in a medical journal that is encouraging the docs to prescribe dilaudid? I know it is making our lives on the med surg floor a living hell....I have a girl the ...
  23. California Hospital Nurses Need your Input please!!

    My hospital is governed by a board made up of township trustees......I believe a lot of things are kept hidden from the board by admin. When we have a board member as a patient we do everything we can to try to get the to see how dire the situation ...
  24. Hi all, I would like some specifics on the nurse patient ratio in hospitals in California. How is a typical med surg floor staffed? Do you have 5 patients and an assistant? Or do you have 5 patients and primary care? Do you have a HUC and do you have...
  25. California Hospital Nurses Need your Input please!!

    Suzanne, I work in a rural part of southern Ohio....Our hospital is going through some major "financial" trouble or so they say....We are being pushed to the max and all the nurses are just about at their wits end. Acuity just does not matter in the ...