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eriksoln

eriksoln

RN
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  1. eriksoln

    Float ICU RN to Med-Surg?

    Funny. A friend of mine went from school to ICU, sited patient ratio and "more respect from management" for it. He lasted about 7 months and is out of nursing now. Last I hear, he became a counselor at a youth group home. The thing about crash carts on M/S units..................hilarious, but sad too.
  2. eriksoln

    Nurse arrested over saline hospital deaths

    I actually agree with not wearing your uniform in public, especially if you are at the bar. Problem is, to have the policy described above (you come and leave in street clothes) would cost the facility money. Just as you said, they give you allotted time to change clothes. Very few U.S. business minded facilities would pay a cent for this. Much better to just let your workers deal with figuring it out themselves. If someone does something in uniform outside of work.........immediately fire them and wash your hands of it. I have to point out though: The pics of the girl in question were in street clothes. Or am I wrong? She was in her home clothes chugging down a bottle of w/e. That's why I'm surprised people are saying they'd be fired for this pic. It didn't reflect on the hospital at all.
  3. eriksoln

    Float ICU RN to Med-Surg?

    I remember one of my clinical instructors talking about how the old idea of nurses who could go anywhere and do everything is slipping away. More acute patients, more technical equipment, deeper/more complex rules and policies, more complex treatment plans............all make every nursing field it's own specialty. Problem is, despite the increasing challenges that face nursing, decision makers are more interested in reducing staffing than they are in meeting said challenges. Unless a certain quality parameter is mandated of them, they won't meet it. Nursing has become specialized enough that yes, if you expect your staff to float here and there, you should have training in place that makes said floating safe for the patients. If you expect M/S nurses to go to tele floors, give them the low level tele. classes so they are not completely clueless. Want your ICU nurses not to be scared out of their wits of less acute unit ratios........maybe don't have pt. ratios that stretch even your most experienced M/S nurses to the brink. But, this costs money. And, it's easier/less hassle to just let the staffing be unsafe and point the finger at the nurses when the system fails. Why bother with all that.........I mean, we are here for billing insurances, not for good health.................. I feel for the OP. I can't say for sure what I would have done in her shoes because I'm on the other end of the spectrum. I can say certain things are out of my scope of practice if they take me from M/S to ICU. If I were in her shoes, I probably would have gone, done the best I could, and if anyone complained followed with a simple explanation that "I've never done M/S nursing, I'm not going to be able to perform the role like a well oriented/experienced nurse. I'm willing to help and do my best, but my work isn't going to be top notch. This isn't my specialty." My guess is, they would have given her a lot of dirty looks and clicked their teeth at her, but not fired her.
  4. eriksoln

    Float ICU RN to Med-Surg?

    It wasn't an unsafe assignment though.........it just wansn't comfortable for you. There is an ocean of difference between "unsafe" and "comfort". Your complaints fell into the "I am not comfortable" zone, not the unsafe zone. What were they asking you to do that you were not qualified to do? A cardiac gtt. that you are not qualified for? Any equipment that required certification that you had to use? What? Your complaint was that it was too many patients. To juggle more patients requires time management and hustle, things you should have already mastered as a travel RN. You can not in one sentence say you are qualified to be an ICU nurse and in the same sentence pronounce you can not do M/S nursing. Thats the way RL nursing is. It's the "ivory tower" thought process at work. Not saying its right, but it exists and you will have to have encounters with it as a CC nurse. It is assumed that, since you can handle "X" acuity level patients in the ICU, you can also handle the lower acuity patients on a M/S unit. That is how the decision makers think. This is not accurate, as my OP pointed out, but it's how the people signing the checks see it hence, right or wrong, you'll be dealing with it your entire career. Giving "that's too many patients" as a reason to refuse an assignment will get you fired every time. And no state BON is going to accept that or back you up. That's one of the fallouts of CC nursing.
  5. eriksoln

    Float ICU RN to Med-Surg?

    That, in effect, is the decision you have to make. If you feel it is unsafe.............you must make the call and stand your ground. Hospital supervisors and admin. are not going to watch out for your license for you, and if something happens, they have no problem throwing you under the bus for it ("Well, she should have known better than to take the assignment, where is the autonomy in her practice if she accepted the assignment?") I must add though.........when you get pulled, you don't get oriented. How would you be? They don't know you are going to have to go there till that night, so the only option is to "orient every nurse on every unit just incase". Not going to happen. People barely get oriented to the units they call home much less.............. Its not any different for staff nurses. I get hired on a unit, get oriented to it and work there till my 90 days is up and I can float. When my probation is up and I can float..........when the day comes that I have to.........I go to w/e unit they need me on. I have not been oriented to it. I can only simply go there and make the best of it. Not being oriented to a specific unit is not grounds for refusing to work there. On the other hand, if you assess dangers in your assignment outside of your scope of practice...........thats a different story. But you didn't even go, so you can't say that. Your only argument is that you are not used to that many patients. You say: "I am not oriented to that unit and am not equipped to handle a patient load of 9." They hear: "Thats too much work, I'm not going to do it." At least, if you don't even go to see what your assignment is like, thats how they take it. As a travel nurse, I refused to float only one time, and it was the exact opposite of your situation. They wanted me to go to a heavy cardiac unit, and I was strictly M/S at the time. I went, listened to report, and found out I was given many patients on cardiac med. drips, and one was new onset a-fib. I called the supervisor, told her I was not taking the assignment and I could be found on my M/S unit if the problem were fixed and she needed me. I didn't get fired, not even written up. But that is because I could state what the dangers of the assignment were and why it was beyond my scope of practice. What on the M/S unit was beyond your scope of practice?
  6. eriksoln

    Float ICU RN to Med-Surg?

    These actually are GOOD night shift M/S numbers. Many facilities will have you take 12. Not a few............many. My facility goes up to 8, with the option of stretching it to 10 in the case of emergencies (happens, eh, about 5 times a month). And we still are better than most facilities in the area.
  7. eriksoln

    Float ICU RN to Med-Surg?

    Well. You said "cancelled my contract" which leads me to believe you are a travel nurse. Truth is, as a travel nurse, you have to go "above and beyond" on a daily basis. I could tell you some stories from my days in the business that would make your head spin. It comes with the territory. Fact: Their attitude is "We want ICU nurses who can float anywhere, and you don't provide that, we'll fill the spot with someone who can." The way the supervisor at the time saw it was probably: "I'd rather keep my staff ICU nurses in the ICU, and let the travel nurse float and have a night of hell. Thats what they are here for anyway." My hospital, when everyone was going through a period of low census, issued a statement to the Crit. Care nurses stating they would float "everywhere". If you were in the ICU, unlike before, you could now go to fill in at rehab./Med. Surge./Short stay etc ect.. In the past, that was considered a waste of "expertise". But, the admin.'s attitude was "It's how we are doing it. If you're not happy with it, feel free to find an establishment that suits your needs better." More than a few CC nurses left, pretty much said "The first day this is in effect is my last day of working." They moved on, and the hospital suffered, but not as much as the nurses who moved on would have liked. Sure enough, when CC nurses were floated to less acute units................it didn't work. It didn't work AT ALL. I'll be honest with you, I worked one night when we had an ICU nurse on the unit and..........I would've just preferred to be short. I had to babysit and watch over that nurse all night. She just could not adjust to the different culture. She was used to getting calls back from doctors within 5 min., stat orders were actually treated like they were "stat" by other dept's (stat CT ordered etc), if she was behind and not caught up in the ICU people noticed and avoided giving her an admit.......not so on a M/S unit. These are all things she pointed out, not things I made up or observed myself. It simply did not work. Now, even though the facility retains it's right to float ICU nurses anywhere.......it doesn't happen. Unfortunately, you are like one of the nurses who left before the policy was initiated. They didn't like it, said so, stood their ground and........well, both sides decided parting ways was the way to go. The ones who stayed and tolerated admin.'s learning curve while they took their time realizing what a mistake they made still have a job and don't have to worry about it so much anymore.
  8. eriksoln

    Bedside report/hand off

    Had to do it at a place I travel nursed at. Some days, you LOVE it, others you HATE it. The thing that decides which it will be that day: Who you are taking over for. If you are taking over for chicken little who never stops running around in circles accomplishing nothing, you will hate it. They will put off giving report forever and ever while they pass this med late, fill out this form they forgot, get this coffee someone asked for an hour ago. You end up being behind all day because you stood around waiting for them to realize the sky is not actually falling. Then, they don't have time to do it properly and any advantages it presents you with are lost.
  9. eriksoln

    Mobile Phones More Dangerous than Smoking?

    Actually, I have to admit, I've been considering going back to land line phones. Get a package deal (Cable, land line phone, internet) and drop the wireless bill. It just makes sense. So, I guess I'm biased because I sorta wanna be done with the phone anyway. But I do believe them to a certain degree that there can be problems. Note............."can be problems" not................"will be." Very important point, because that is exactly what the article says.
  10. eriksoln

    RI to use student loans to encourage nursing

    The train of thoughts as I read this went like: "Thats nice of them. Good for the students trying to make it in RI." "Wish that was available when I was taking nursing." "Yeah, why wasn't it?" "I had a job right out of school, so I shouldn't complain." "You know what, come to think of it.........there were a lot of jobs when I graduated." "Even with so many positions unfilled, they didn't go this far to try to convince people to go into the field." "And now, it's hard for NGs to find work." "Hmmmm...........when there were openings they didn't try to help, now that there are not as many jobs, they offer more assistance to nursing students." "Hidden agenda."
  11. eriksoln

    Nurse arrested over saline hospital deaths

    Yeah, the guy who said people would be fired for the party pictures must live in an "at will" state. What's the problem with it? What harm comes to the facility? What was the reason given for firing someone with such a picture? I just don't get it. I believe the guy, just don't get his institution's thought process.
  12. eriksoln

    Nurse arrested over saline hospital deaths

    I'm starting to question it myself. I love posting pics of the kittens and such but........eh, I'm so over it and bored with it. I mean.......I really don't care that the person driving in front of you is going too slow........nor do I think it's news worthy. Same goes for: What you bought at the store, how much you drank that night, how much you do/don't want to go to work today, how your vacation is going, what condition your house/apt. are in, what rude thing your friend/child/spouse/co-worker said to you today, what your kid wanted for dinner today, how far along in your book you are, what you think of the latest reality TV program..........................(infinity). With all these postings on FB and all, is there any reason to get together and hang out anymore? We've already said everything that can be talked about.
  13. eriksoln

    Nurse arrested over saline hospital deaths

    Bingo. On the unit I used to work at, a certain nurse was infamous for stalking people on FB, and if anyone called off or was late or w/e.............she'd be looking to see what you were up to. I almost died laughing when a new employee COMPLAINED ABOUT HER and didn't realize she'd see it (had common people "friended"). The new person basically pointed out how she avoided admits and put them off on other staff. That one somehow didn't end up on the manager's desk:lol2:
  14. eriksoln

    Borders Books Liquidation Sale - Nursing Book Stock Up

    Better that than the song that came to my mind.
  15. eriksoln

    Borders Books Liquidation Sale - Nursing Book Stock Up

    Elthia. I glanced at your screen name, thought it said "Elvira" and now I have this song stuck in my head: Hmmm, wonder if that CD is on sale at Borders.
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