chimama

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 NANDA.

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 noticed lately that some nurses are not questionin...

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 is very nice.I worked everywhere but the CV units...

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 blood.

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 a HUGE risk having someone so inexperienced, eve...

I have always maintained that there is no such thing as a "nursing diagnosis" This entity was created by those who live in the land of NANDA, speak nursespeak,and will not accept the fact that a "nursing care plan" is just and always has been a silly...

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 should I get my panties all in a wad about drug-seekers...

:chuckle Don't guess she knows her stuff that well! I am an ADN with 32 years experience. I have had ACLS, PALS, NRP,TNCC,RNC,and of course BCLS.No one ,ever, anywhere in the world(Ihave worked in Europe and the Middle East) has ever asked me about...

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. That's what we're all about" (you idiot!)

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 stayed for a few minutes till I saw all was under ...

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 forum rule?I have always wondered why don't we just...

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

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 happen. LTC is a lose-lose situation.You will have no l...

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 with them so that you can assist them in acheiving...

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 going to medicate them if I get a low number from a...

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 all she can for the betterment of patient care. If...

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 still not sold on its effectivness and suspet a place...

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 to the corporate level? I only ask because what y...

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 will be ok.

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 used very carefully and reviewed often. Family dyn...

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 there.

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 that being there and having them there is, in most...

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 stupid decision the make their staff feel unvalued an...

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 community.LOL

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 giving someone sterile water iv to correct hypernatremi...