chimama

chimama

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All Content by chimama

  1. Career Ladders

    chimama replied to OneChattyNurse's topic in General Nursing

    It is naive to think that a career ladder is a recruitment/retention tool.It is a stressor to the staff and a creation of ivory tower nurses who live in the land of

  2. Heparin Error - Distraught

    chimama replied to tulips79's topic in General Nursing

    So sorry for your error.Don't beat yourself up. I have to ask, because I have noticed a tendency to take things at face value lately, was the mis-communication information out of the ordinary? I have...

  3. Plano, Texas

    chimama replied to par72's topic in Texas Nursing

    I worked several areas at this hospital and enjoyed them all except the CV unit. The doctors were EXTREMELY rude...and this was the opinion of the ER docs also.It is a beautiful hospital and the staff...

  4. Nurses and Blood Draws?

    chimama replied to Curious1alwys's topic in General Nursing

    I have drawn buckets of blood in the past 30+ years! I am the one the Phleas come get when they can't get the blood.I am not overqualified, undertrained, or "bad" at drawing

  5. Have I made a mistake?

    chimama replied to tryingtomakeit's topic in Ob/Gyn

    You poor thing! In the unit I work new grads are given about 6 months of orientation and I have precepted for as long a three months because the grad felt she needed it. I think your manager is taking...

  6. Drug Seekers- the Wrongfully Accused

    chimama replied to canoehead's topic in Emergency

    Why do we care so much about all this? If I am in an ER and a patient tells me he has a migraine and needs Demerol, he should get Demerol. If he says he wants Torodol, he should get Torodol. Why...

  7. What is your biggest nursing pet peeve?

    chimama replied to ferfer's topic in General Nursing

    I totally know what you mean there! I work NICU and I hate it when a parent says...usually during CPT on another baby..."Does that hurt the baby?" I so want to say "Yeah...we are into hurting babies....

  8. Husband appaled when I chose to do nothing

    chimama replied to JacelRN's topic in General Nursing

    I just stopped at a horrible looking accident and there were TONS of people helping. They seemed to be doing the right thing...the girl wasn't actually injured in an acute was, ie bleeding, LOC,ect.I...

  9. Bedside surgery with no sedation

    chimama replied to Kiwi's topic in Certified Registered Nurse Anesthetist, CRNA

    If patient advocacy is the issue then why don't we name names and places?Who was this doc? Where did this torture session take place?Does stating the truth with names and places violate some kind of...

  10. Night Nurses-Pts think we sleep?

    chimama replied to dosamigos76's topic in General Nursing

    They won't let us drink at work anymore!They take all the fun out of everything!

  11. Help am New DON FOR LTC

    chimama replied to nursemid02's topic in LTC: Directors, Assistant

    I have been DON in three LTC facilities. The only thing that is going to change the "culture" of where you work is for you to be able to pay your staff more and start over. That is not going to...

  12. New nurse, working with cancer pts with advanced disease...

    chimama replied to 5150dx's topic in Hospice, Palliative

    Don't think of the situation as a long drawn out death. Think of it as the rest of your patient's life.They are living right up untill the moment they die.You can establish a relationship and a trust...

  13. The Pain Scale - too subjective IMO

    chimama replied to FZ1Tom's topic in General Nursing

    I really don't need a pain scale. I know this is probably blaspheny but I just ask "Are you hurting" and assess my patient and give them pain medication if they hurt. Why do I need a scale? Am I not...

  14. Would you report this?

    chimama replied to DZcarrie's topic in Geriatric, LTC

    DZcarrie has all ready gone the the higher up people. A state reported complaint along the same lines will be obvious, and administration is always thinking along these lines. Certainly she should do...

  15. Neurontin

    chimama replied to ER-RN2's topic in Pain Management

    I worked in a hospital that used Neurontin by the bucketfull and have been for many years skeptical. My mother has post-herpatic neuralgia from ocular shingles and thinks it helps "a little". I am...

  16. Would you report this?

    chimama replied to DZcarrie's topic in Geriatric, LTC

    I understand your frustation and concern but know this...no reporting to the State,esp. in Texas, will be anonymous.What are you concerned about? How has the chain of command failed you? Have you gone...

  17. Any NICU traveling nurses out there?

    chimama replied to Tomskatt's topic in NICU, Neonatal

    They probably won't take you on staff without a no-fault clause. It means there will be monetary penetalies for either you or the hospital to be hired away from an agency unless it is stated that it...

  18. Geri Psychiatric Nursing

    chimama replied to finness's topic in Psychiatric

    In GeriPsych nursing you need to be aware that your patients probably have underlying health problems exacerbating their mental/behaviorial problems. Medications are , not more important, but must be...

  19. Any NICU traveling nurses out there?

    chimama replied to Tomskatt's topic in NICU, Neonatal

    Travel but look at your contract. Demand a no-fault clause in case you want to go on staff. Travel is a great way to assess a facility or area.There are many NICU travel contracts out

  20. Family in room during a resusitation?

    chimama replied to SWFlorida's topic in Emergency

    Heving been both a family member in the room during a code (my sweet daddy who unexpectedly went from being perfectly healthy to dead) and having family members in a code (NICU and ICU) I have to say...

  21. The BIG word - RETENTION!!!!!

    chimama replied to RNPATL's topic in Nurse Management

    I have been an RN for many many years, the last few as a travel nurse and many as a agency nurse. I have seen ,repeatedly, nursing management and hospital administration make stupid decision after...

  22. Increase in minor complaints?

    chimama replied to MrsWampthang's topic in Emergency

    I love the ones who come in because they drank 1/2 bottle of vodka and vomited! Always said I should trach a "what to expect when you drink to excess" class in my

  23. Is it possible to titrate paralytics?

    chimama replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    No it is not possible to "titrate" paralytics!!!Your should never ever ever use paralytics on anyone who is not intubated. Eventually someone will be killed. This sort of thought process is like...