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wjf00's Latest Activity

  1. If the "Boss', 'mentor', and CN are against you???? Is there a chance you may draw something from their concerns? I don't know, but if they all are expressing the same concerns, maybe you might look at that?
  2. wjf00

    "I am sorry - I refuse to float to Peds!"

    Good for you, that was good nursing. What get's lost by those who say you should "Just go"- is the patient advocacy. Your responsibility to safely care for your patients should always outweigh staffing problems. Floating is only 1 option, why not transfer patients to another hospital or call in registry, or hold patients in ER. If any nurse feels not competent on the unit-just refuse to go.
  3. wjf00


    It might be enough... do you have an expensive gambling habit?
  4. wjf00

    why are jobs being posted if there aren't any?

    Maybe the postings are for nurses who are about to be fired and don't know it yet.
  5. In California, leaving without reporting off, is abandonment. Have your employer put the policy in writing, if a policy does not already exist. Then file a lawsuit (see Industrial Welfare Commission Wage Orders) for unfair labor practices and you will be paid for all missed meals. It makes no difference if you took a break or not. Once you clock out, the time is yours to do whatever you please, if you are not allowed to leave, you must be paid. Also, being 'on-call' by pager, phone, etc. during lunch is paid time.
  6. wjf00

    advice for barcode scanning of infants

    Same problem where I work. Typical situation where the "Joint Commission" works against good nursing care/judgement. The bedside nurse weighs: Pt needs uninterupted rest periods to facilitate growth and developement vs risk of Med error. One size does not fit all, so the bedside nurse considers med given (Glycerin suppository vs Dopamine) vs individual patient needs, and makes an individualized decision. Not the JC, they just issue a 'one size fits all directive' without considering individual patient care needs. Blame the JC for this one, they want the band on the patient-period. Frankly, when those idiots come around, I tell them to get lost, I have patient care to do and they are in the way.
  7. wjf00


    Any one with a license has the same accountability for patient care and safety. Your manager has a license and they have the same responsibility as you. What your manager can hide behind is "I did not know the seriousness of the situation":uhoh3: To remove this 'fig leaf' that so many managers hide behind, inform them that you have a serious safety concern (And ALWAYS document). Inform the manager when something concerns you. "This is unsafe and against my best nursing judgement, if you proceed you will be assuming accountability for negative outcomes related to" [ fill in the blank-concern]. Pick your battles carefully, and be sure it is not "I don't want to do it" vs "I fear for the patients safety/well being'.
  8. wjf00

    Male Nurses in the NICU

    I am one of 7 males in the NICU where I work. In fact I have worked in 3 different NICU's and have never been the only male. Anecdotally I would guess that the demographics in NICU would match the percentage of males in nursing overall.
  9. wjf00

    Jobless in California

    A big part of the problem from what I have seen is the sharp decline in 401K. In fact NO ONE I know of has retired in over a year, many have abruptly cancelled plans to retire or even come right back to work. Those nurses that can, are increasing their hours to make up for falling 401K, unemployed spouses and grown children suddenly living at home again. More nurses are going from Per Diem to full time than I ever remember. So while the decline in the economy is not directly impacting nurses by mass lay-offs such as in other sectors of the economy, the need to keep working or increase hours is decreasing the demand for new or replacement nurses. New Grads are in a tough spot. It may be little consolation, but once (if) 401k's rebound, there will be a pent-up rush of nurses who have been waiting to retire. If a spouse is out of work, it is almost imperative to increase working hours. As other sectors of the economy rebound, the workload of the employed nurses should ease. This too will create openings for new grads.
  10. Please be aware that nursing jobs are 'cyclical'. Currently, it is very difficult to find a job as a new grad. Make plans that are realistic for post-graduation. Likely that should include moving out of California to find a job. While the whole of the economy is way down, it is unrealistic to expect nursing to be an exception. It is very sad to see all the postings from new grads who simply can not find work. It is time the nursing programs prepare students for the new reality's of the job market for new grads- nursing jobs for new grads are few and far between.
  11. wjf00

    A Healthcare Bubble?

    While everyone is aware of the real estate bubble, few see a potential new 'bubble'. Does anyone beside me sense a 'healthcare bubble'? While my prognosticating is laughable (like my football picks), I am going to go ahead and predict an impending bubble with the near catostrophic burst. Look at it like this, the economy crashes-people cut back on preventive healthcare and anything looking like 'elective' procedures. Hospitals and clinics go into 'lay off' mode. Ratios expand for those remaining, and nurses begin to drift away from the bedside. Now down the road the stressed workers and unemployed start to feel the effects of forgoing the preventative care. The hospitals and clinics are caught short on staff and the 'new grads' in limbo can not be trained fast enough. BINGO it all hits the fan.
  12. wjf00

    Scope of practice

    RT is not nessasary per their scope of practice as a previous poster wrote. However, they are a very valueable member of the healthcare team. I personally think IRREPLACEABLE member of the healthcare team I change vent settings and change out equipment up to my training while RT is at lunch if they are ok with it. Some RT want to do it themselves which is my preference, but everyone needs a lunch, so if they are short and want a break I do it. RT is VERY needed, anytime I hear a manager talk about replacing them with RN's I protest. First off, RT's offer another professional to collaborate with and solve problems. Two minds are better than one and better yet, a professional with a set expertise adds much to the discussion. secondly, RN's get more money, so when management displaces RT, it is never 1:1 with an RN- ultimately this means more work for RN's. I love RT and want to personally thank all of them who might be reading this post.
  13. wjf00


    12 hour shifts are capped by the CNA contract. Mostly 8 hour shifts at Kaiser. Studies indicate errors increase after 8 hours. So the majority of shifts at Kaiser in No. Cal. are 8 hour. Thank CNA, for strong patient advocacy.
  14. wjf00

    Before a Code Blue!

    Some downsides to the rapid response teams: ICU nurses get more work shifted to them, often without any increase in staff. 'Sicker' patients get shifted to the Med/Surg floors under the notion that' The RRT's are always available Erosion of the Med/Surg nurses critical thinking skills-especially newer nurses taught to 'Just call the RRT anytime you have any kind of concern'. Increased workloads amoungst Med/Surg nurses based on the mistaken premise that RRT is always available. A lot of hospitals use this as a scheme to cut staffing.
  15. wjf00

    Scheduled meeting with manager, HR and union rep

    Being a union rep myself I am curious why the union rep did not contact you. I insist the manager tell me what the meeting is about. Then I call the nurse and talk to them about the subject of the meeting. Talk to your union rep., they can move the meeting if you want it sooner or later. If it is serious, the manager is OBLIGATED to place you on administrative leave (called investigative suspension some places). That is, if the manager is acusing you of a serious breach of practice, she cannot allow you to work until your practice is validated as safe. That you worked in the interim makes me believe, it is highly unlikely you will be terminated.
  16. Enlist. the military will train you.