prwd2bRN

I can agree w/ many view points on this issue. Ya, you probably need a vacation and ya, people can be childish and ugly when it comes to be asked/begged/ taught about what is good for them. Finally, ya, people also have the right to refuse care and make their own choices, even if they are bad choices w/ bad outcomes. But, please follow me on this... I would like to offer another perspective that I haven't seen here yet. Have you requested a psych eval on this lady? Could she be depressed and / or have feelings of "impending doom"? Maybe, (just maybe) it's not about being a brat and refusing just to get on everyones nerves. Maybe, her issues go deeper, maybe she is yearning to die? May I suggest that you bring this to the attention of the doc and see if he will order a phych eval?

This helps a lot - thank you!

Yes, attitudes from techs can be stressfull especially when your own plate is so full it's over flowing. I have had to change my delegation speach for situations such as toileting patients. I'll start w/ "When you have a chance, would you..." If I get a look or back talk, I'll follow it w/; "It is after all, the patient who we are here for. What if this patient was your family member? I know you would want the best for them, do what you would do for your family." It also helps having a great values statement from your institution. My hospital is a Catholic institution, so our values statement goes along the line of "treating our patients as if touched by Jesus".

Thank you for your input. It's good to get feedback from the perspective of a "been there,done that " CCRN. I think this will be helpful in our stand.

i will apply in the fall of 2009 at ou to hopefully start in june 2010. are there any students (present or past) that know what gpa will be needed to be competitive? hi okie1, i am an ou alum, wishing you the best of luck w/ your education. i attended the lpn to bsn program and their gpa requirements in 2004 was 3.5 or better (of course, the higher the gpa the better). i am almost sure it is the same for the accelerated. i also hear the accelerated program is extremely tough, i hope you don't have to work too. folks i've talked to have later wished they took the part time program or a leave of absence from work. but, whatever your situation i wish you the best. boomer sooner!!!

I work in a hospital based hemodialysis unit. My administration and management are planning on training ICU nurses to do acute hemo treatments. My coworkers and I are concerned :angryfire because after 3 years of doing SLED, the same ICU nurses are still unable to trouble shoot effectively. We anticipate catastrophy! Here are my questions: 1.Are there other hospitals in the nation that has this practice in place? 2.What hospitals are they? 3.Has it been successful for them? 4.Is there evidence based info. for my administrators that will show them this could be a bad idea? Thank you for any help :bowingpur