luvRNs BSN, MSN, RN

criticalcare, nursing administration

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All Content by luvRNs

  1. luvRNs

    24 hour open visiting in the ICU

    This question is a 'hot button' one. Having open visiting comes with associated problems, but ALSO comes with advantages. The advantages are that some families can (gasp) actually be helpful. Are there safety and security risks ? Absolutely. I feel ...
  2. luvRNs

    Help ! New grad in icu as a first rotation!!

    New grads in the ICU is a fairly recent trend born of the nursing shortage. This setting often can overwhelming to a new grad. There are two things you can do to protect yourself. One is to NEVER be afraid to ask questions when you are unsure how to ...
  3. luvRNs

    On the Edge

    How wonderful !! As a former nursing instructor, you were the kind of student I dreamed about! What it takes is the will to see it through, to accept the pain along the way as well as the triumphs, and to never forget WHY you chose nursing. As a nurs...
  4. The reason for this is a basic working experience caring for renal failure and associated conditions ( cardiac, hematologic etc) . Unfortunately L & D nurses don't have recent expernience in this type of patient management. Rather than spend $60...
  5. luvRNs

    You know you're Old School when...

    Love this thread !! You know you're old school when: IV's were hung in 'series sets'. All IV's for 24 hours were hung with IV sets connecting one to the other, and all were glass bottles ! Pulmonary edema was treated by 'rotating tournequits' on thr...
  6. luvRNs

    Cardioversion Sedation goes Beyond Moderate-Help

    Re: cardioversion sedation As someone who has worked in multiple hospitals, several questions come to mind. First, is the cardiologist ACLS certified? Many 'say' they are, but don't have the credentials to prove it in a court of law. Second, has th...
  7. Ruby, I'm so sorry for your painful experience. That said, your conversation was family-related, and not staff-related. I was referring to staff talking about patients. One anecdote I have read identifies a staff member discussing her patient in the...
  8. luvRNs

    Mistakes at work.

    Re: Mistakes at work The biggest reason for medical mistakes is related to SYSTEMS FAILURES, not staff failures. In this case, one thing that stands out is two new admissions into the same room, both with foleys. Possibly you need to take extra care ...
  9. Re: I bet they thought they hushed everything up It is so easy to fall into this trap. Really listen the next time you get into a hospital elevator. Research has been done on this one, and it is amazing what is revealed just riding up and down as sta...
  10. luvRNs

    Performance Based Development System (PBDS)

    Scary, isn't it? Also cardiac scenarios where you were supposed to request lidocaine for dysrhythmias.......
  11. luvRNs

    Performance Based Development System (PBDS)

    I was extremely unimpressed with the use of PBDS at my last hospital worked. Staff identified outdated content and questioned it's value. In addition, orientees on several occasions had difficulty with PBDS despite performing extremely well during or...
  12. luvRNs

    what is the worst part of the job?

    Hi Nurse hopeful. I have to agree with the lateral violence comments.It is an issues receiving a lot of attention lately. I also agree that there are many physically distasteful parts to the job. I came home after many shifts to exhausted to move, a...
  13. luvRNs

    travels with Julio

    Julio and I had many adventures. Finally told my boss, who laughed hysterically, and told many of the other faculty. After that, we began to email her from the road: Julio " dear------, luvRNs and I have been traveling a lot, and I think she's reall...
  14. luvRNs

    Abusive Doctors!

    What I hear from you (imintrouble ) is that you have given up and feel powerless. You may be right, but you will continue to be victimized until you try. I've worked in many different hospitals and had multiple experiences with abusive physicians. I ...
  15. luvRNs

    Abusive Doctors!

    More and more attention is being focused on this problem. Threre have been reports in the literature about negative nurse-physician interactions resulting in worse patient outcomes up to and including patient deaths. If fear or intimidation affects a...
  16. luvRNs

    A unit in trouble

    This is lateral violence, and needs to be addressed by your nurse manager. This type of behavior creates an unhealthy work environment and ultimately has a negative impact on patient care. There was a recent link on the AllNurses site to an article i...