Altra BSN, RN

Childish, at the very least. If you ask me to change an assignment, the reason better be related to the patient and/or family.

Health care is a highly regulated industry, and its administration is highly political. HouTx has excellent suggestions above about the nitty gritty actual work of the political process. Some homework for you: do legislatively-mandated staffing rat...

Great satire ... if only!

Too much being made of nothing. I thought about this for a minute, and can name people in all roles up and down the payscale in my department who use this phrasing: when the unit clerk calls us "my nurses" ... when we refer to "our residents" ... e...

Proud 21st century diploma grad here. I have since completed my BSN.

Awesome. Thanks for reviving a great thread.

I have followed this thread with interest. The 2 Level I trauma centers where I have worked both have a dedicated trauma assignment every shift ... but this assignment is rotated among all department RNs who have been in the dept. > 1 year. I bel...

It's totally not for me to dictate what size bag someone brings to/from work ... but I'm having a hard time picturing "educational resources" that I would be responsible to lug back & forth with me every day. References on gtts & IV meds? Sh...

Are these fluids being ordered after labs have been resulted? The above responses have given a variety of reasons why fluids might be given during a work up, until we have lab evidence of a lack of anything actually clinically wrong with the patient....

Ruby Vee makes an important point above - the standing for long periods of time is what will dictate your shoe choice in the long run. The floors of hospitals and other care facilities are typically some kind of tile over a concrete subfloor - it's ...

OP has given some indication that some of her clinic's patients have been at the hospital for other appointments by the time they arrive at her particular clinic to be seen. I also work at a large tertiary care hospital with virtually every specialty...

OP, it has been hard to follow some of your posts. Are you saying that: 1. You have been the staff member to raise concern about medically fragile patients in your clinic? 2. Clinic management is re-evaluating the practice of providers continuing ...

So, this means that you have read detailed case studies of these nurses, including their social histories and been able to conclude that on the job exposure, of which they do not have a clear memory, is the most likely source of their infection? Some...

We must be reading the OP differently, because I am not sensing this kind of self-aggrandizement in the OP's posts. What I am reading, is a disproportionate worry about leaving the clinic at the end of the workday when there are still patients being ...

Understood. You are correct that medical response to those occurrences is the responsibility of the hospital, if the individuals are on hospital property at the time. However, do not infer that to mean that the clinic, or you personally, are respon...

I have worked in hospitals that had a separate "psych ER". In one, it was organizationally a sub-unit of the emergency department. In the other, it was a program operating under the psychiatry service. So I don't necessarily see a bait & switc...

Agree ... and I also suspect it is a metaphor for the frail condition/restricted mobility of many of the patients in OP's clinic.

Though the OP may not have articulated her concerns well ... I suspect she is referring to the hospital/healthcare organization as a whole.

I hesitated before replying, thinking that my reply was coming from my own assumptions. But truth be told, many other responders have also interjected a whole host of assumptions here as well. Don't most of us see patients, in any setting, who are f...

Dehydration & rhabdomyolysis --> multi-organ failure.

OP had apparently accumulated enough prior points for calling out/being late that the points for the "no call no show" on the class day triggered some corrective action.

Agree with the others - check your dress code policy first. But if the policy does not prohibit any colors ... inexpensive clip on hair pieces or extensions would be a good way to try it out before committing. Temporary hair washes can be OK for a c...

I work prn in a MICU - land of c.diff, tube-feed and liver-failure related diarrhea, and never-ending secretions around ETTs and trachs. For brevity, I will side-step all the ethical reasons not to alter a patient's appearance and focus on the nursin...

I have worked with several people who were military medics and transitioned to civilian nursing. Some suggestions: Research schools in your desired area, and apply to several. Many have wait lists, so the path may take longer than you originally ho...

First, a general comment. Life is too short to go through it being pissed off much of the time. You only have a finite amount of energy - if it's all negative, this narrows and limits your perspective tremendously. You might consider how this impa...