wjf00

wjf00

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  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. "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 t...
  3. Sacramento

    It might be enough... do you have an expensive gambling habit?
  4. 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 wi...
  6. 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 do...
  7. Safety

    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 ...
  8. 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. 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 the...
  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 t...
  11. 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 ...
  12. 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 equipm...
  13. Kaiser

    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. 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 Me...
  15. 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 m...
  16. Enlist. the military will train you.
  17. What would have happened if you refused the admits? I have never been mandated. I think I would call ER and get a stress admit for myself. Then I would quit.
  18. Help with NICU prioritization???

    Every time I hear the word 'prioritize' I think of a poorly staffed unit. I gave up on prioritizing. Do all the care all the time.
  19. Professional organization that's less political??

    If looking for an organization of Administrators who issue "White Papers", and act as obstructionists to real reform think ANA.
  20. Acuity and Ratio

    Generally speaking vents 1:1 (includes Cpap and Vapotherm as vents. Other ICN 1:2. Intermediate 1:3 Charge Nurse and a High Risk delivery Nurse out of the count And 1 or 2 break relief.
  21. 12 Hr Shifts Kick My Butt

    I have worked both 12 hour shifts and 8 hour shifts. I never got used to 12 hour shifts. I have seen studies that report more med errors and care errors on 12 hour shifts. Most states require overtime after 8 hours. By agreeing to 12 hour shifts, wo...
  22. have you used chemical restraint?

    Vecuronium on an intubated pt to prevent extubation. Pt was severe PPHN on iNO who would expired in minutes if accidentally extubated. Considering the difficulty of reintubation and the likely inability to effectivly deliver the iNO by bag and mask, ...
  23. Clock out by 8am or get reprimanded!!!

    Seems the hospital has 3 choices. 1) Pay the OT 2)pay nurses a salary 3)Intimidate nurses into aquiessing and forgoing what is legally due them
  24. Resignation Do's and Don't

    It may be helpful to your former co-workers on the unit to point out what management can do to improve working conditions. If you are speaking with your feet then speak up.
  25. nurses leaving the floor

    I would have to respectfully disagree with the posters whe blame the 2 staff nurses. When the manager excused them to go to the banquet, the MANAGER accepted responsibility for care of the patients. If the manager did not 'report off' to another nurs...