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Quaffetti has 15 years experience.

Quaffetti's Latest Activity

  1. Quaffetti

    New Grad Jobs ?!

    Have you tried Prov Everett? I have seen a few new grad job postings on their site. Also, try the smaller hospitals like Cascade in Arlington and Valley General in Monroe.
  2. My experience is that once a doctor tells a patient they are discharged they have little to no interest in listening to the nurse when she/he comes in to give discharge instructions. It's more like, "yeah, yeah, the doctor told me I could leave an hour ago...get me out of here."
  3. Quaffetti

    9 patients responsible for 2,678 ER visits.

    Perhaps they could put these patients in jail for failing to pay their medical bills. Really, this is just abuse of the system. Of course a day in jail is probably as expensive as a day in the ED.
  4. Quaffetti

    Obama likes nurses

    Unfortunately everyone seems to like nurses, but few understand just how stressful and difficult our job is. And even fewer care to try to make things better for nurses. Of course, that takes money, and there isn't too much of that floating around these days.
  5. Quaffetti

    PT rooms too small??

    Mama d must work in the same hospital as me. Our computers were put in as an afterthought, and sometimes you cannot even get around the end of a bed without gouging your back by one. Plus, we have one wing that was originally offices, but they decided to make them into pt rooms. Not single rooms, mind you, but double rooms. These are just tiny offices and now we have two pts in them. There was a time last week I literally had to crawl over the patient's bed to get to the other side to see his chest tube. Yeah, that looks professional.
  6. Quaffetti

    Critical patient @ change of shift, which nurse is responsible??

    There is no way I would dump that on an incoming nurse. I don't know legality, but it is definitely not morally right. Nurses coming on their shift are busy enough getting their patients assessed and all, they don't need that. How long can it take to give a report? 5 min max?
  7. Quaffetti

    Respiratory Therapist?

    I love our RT's. They are always the first people we call when our pts get into trouble. I have nothing but respect for them. But I guess it's time for the RT/Rn "joke." When god was deciding who was going to be an RT and who was going to be an RN he put all the candidates in a room filled with waist deep poop. Then he hurled the most humongous lugie of sputum ever seen into the room. The people who ducked down into the poop became nurses, the people who stayed up to be showered in sputum became RT's.
  8. Quaffetti

    RN's are getting burnt out why?

    You know what I think the problem is? I think it's that, no matter how hard you work as a nurse, no matter how good the care, you always go home feeling like you forgot something, or could have done something more, or whatever. There is never that feeling of self satisfaction that goes along with completing a job, because in nursing, no job is ever complete. For example, if you have a patient that crashes on you and you do everything right and get the patient stable and everything's good, they're still going to remind you in the next staff meeting that "patients are saying on their surveys that they didn't get their teeth brushed." You just can never do enough. I think that's the reason for burnout. You know, like if you were an architect, once your building was complete, you and your crew would all go out to a bar and celebrate a job well done. That never happens in nursing.
  9. Quaffetti

    Pay raise with the current financial crisis in the US

    I would be asking to see the pay of the administrators, and what their raises were. Including bonuses, travel, etc. I'm thinking that could easily make up for a nursing raise. Our hospital just announced they are laying off 100 people. I would imagine they could lay off one CEO and spare the other 100 and be even at least.
  10. Quaffetti

    Is cath lab considered critical care?

    If you mean would it be considered critical care experience, I would think no. At our hospital it is a procedural place. Pts are not held there, the procedure is done and then they are transferred immediately to the floor either to cardiac tele or icu, depending on how big their hit was. Our cath lab hires people without ICU experience and many of the procedures they do are on people not having MI's. They may have had a positive stress test, or the docs cannot figure out what's going on so they cath them. Although there are also a good number that come through the ED as STEMI's as well. So I think the experience is intense and all, and requires a high degree of specialty, I don't think you could go from working in the cath lab to working in ICU without a lot of additional training.
  11. Quaffetti


    Our precepting is so disorganized it's a joke. The first time I precepted a new nurse I had no idea. I walked in for my shift and was told, "oh, by the way, you'll have a new resident with you." I had no idea what to tell them, what to have them do, etc. Now I've been around for awhile, and I have still received no formal training as to how to precept. Plus, half the preceptors on our floor have less than a year experience themselves, which to me is like the blind leading the blind.
  12. I've worked cardiac tele for 8 years and I don't think I've ever given that drug. The only drug we commonly give where we watch the QT is sotalol.
  13. Quaffetti

    The Economy and your job as a nurse

    I hope you don't think this "every man for himself" attitude is only present among nurses. People do things when they're scared that they would never do under normal circumstances. I mean, we accept that of patients all the time. How many times do you hear a nurse say, "Well Bob is really angry, but it's because he just got a diagnosis of cancer." The threat of being unemployed or not being able to support your family must be at least as scary as having cancer (and please don't think I'm making light of having cancer). The only person you can control is yourself. So keep a good attitute and continue to support your fellow nurses. I'm one who believes good karma comes to those who deserve it.
  14. Quaffetti

    The Economy and your job as a nurse

    I live near Seattle, and our hospital is still hiring, although they are not renewing any traveler/agency contracts. Our CEO has been pretty up front with us about the economy. They plan to lay off 25-50 staff, none nurses. But things I never considered, the hospital system our hospital is a part of has money in the stock market just like I do and has lost a whopping large amount as the stock market has crashed, limiting thier ability to fund things. They are also really begging us to limit our overtime, saying if they could decrease the overtime in nursing from 8% where it currently is, to 4%, that would equal those 50 layoffs they have to make. So while I know sometimes overtime is unavoidable, I also know nurses who deliberately stay late for the extra money. I think we, as nurses, need to do our parts to help our hospitals out. I know I have, in the past, had a kind of bad attitude toward the hospital about things like working short, and too heavy of pt loads, and while I'm not excusing that, I think when I see people around me losing their jobs it makes me see that I am very fortunate to have a fairly secure job and I do understand the hospitals' financial position a little more so I'm a more willing to work a little harder and try to do my part to help the hospital weather this tough economic time. But right now, yeah, we get low census occassionally and there aren't many extra shifts. I think people are scared, and so people are conserving vacation time, putting off retirement, etc. Fortunately our hospital is so large that low census doesn't come around too often.
  15. Quaffetti

    RNs caught lying

    Well, sometimes things are accomplished without the patient realizing. As the above poster said, once I've helped someone get up and go to the bathroom, I have essentially checked their skin, as I've seen it all. If I tell them what their meds are for, that's education. Telling someone about a procedure they are about to have is education, telling someone to protect their groin after a heart cath is education. Hospitals encourage this. They always tell us, "you do education all the time; make sure you chart it." Also, you can tell a lot in a little bit of time spent with a patient. Obviously you know if they've listened to your lungs or felt for pulses, but many other things are observed just with nurse/patient interaction.
  16. Quaffetti

    Seeking direction in health care

    I would think engineering jobs would be just as plentiful as nursing. Maybe you need to relocate. My husband is an engineer and has never had difficulty finding a job. If you enjoy the care you give your daughter, outside of the fact that she is your daughter, then you may enjoy healthcare, but any career that pays well is going to take minimum 2 years of schooling.