luvRNs BSN, MSN, RN

criticalcare, nursing administration

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All Content by luvRNs

  1. Three points for consideration : 1.Caring for ALL patients is ethically a part of our role. I remember during the appearance of AIDS , several of my colleagues refused to care for these patients. This is slippery slope thinking at its' worst. What i...
  2. luvRNs

    The Face of a Medical Error...

    agree with music in my heart. DON'T share details here until all is resolved. DO share your pain, and WE will share our support. BTW, my ( system) error resulted in a patient death. New equipment, no inservice, four of us in the room, but I was the ...
  3. luvRNs

    The Face of a Medical Error...

    how beautifully written, and how painful to experience. I too have been there. What I laud you for is your ability to accept the responsibility for your part AND to recognize that systems errors are at the heart of many of these unfortunate experienc...
  4. luvRNs

    Performance Based Development System (PBDS)

    I respectfully disagree with my houtx colleague above. I have also worked in facilities with PBDS and as a director often had to step in to " save" excellent staff who would have been terminated due to PBDS performance. I am a masters prepared nurse...
  5. luvRNs

    Nurse Educators / Faculty

    Agree with SDGA about the salary. I left after tenure and doubled my pay. that said, i OFTEN had to cover semesters for a tenured colleague who made 20K MORE than me due to seniority but was crazy. My work load became half or hers AND mine for less p...
  6. luvRNs

    Nurse Educators / Faculty

    Interesting article, but I do see one glaring problem. I am a former Nursing educator who had tenure at a community college. I was appalled when I first began to teach at the limited clinical expertise of some of my colleagues. It gives credence to t...
  7. luvRNs

    Nursing BURN OUT!!

    you got some really good feedback here: vacations, exercise, eating right, and work-life balance. i have a couple more. 1. "pulse check". do you dread going in today? yesterday? tomorrow? if so, you need to change jobs. many people stay "chained" to...
  8. luvRNs

    Will it return to a good work environment again?

    Kudos to you for advocating for your patient.You're the type of nurse I would want caring for me Keep going to work with your head held high, and stay above the backlash. When the rank and file discover they can't rile you, and that you continue to ...
  9. luvRNs

    union vs. non union

    It does have pros and cons. The cons include: 1. good AND poor performers get treated exactly the same. Can be frustrating if you're really good at your job to watch someone who isn't. 2.difficulty getting rid of the poor performers above. This often...
  10. luvRNs

    travels with Julio

    I often had to travel to remote clinical lab sites in my role as a new nursing instructor. These trips involved taking a mannekin from the home campus on 300 to 500 mile car trips, teaching a skills lab, and returning the next day. On one trip, I t...
  11. luvRNs

    how do you feel being a nurse

    Ok, OK, befroe I get started, there has to be a disclaimer. There ARE bad days in nursing ( MD's yelling, nurses eating their young, un-ending diarrhea, nasty patients or families, missing holidays etc) That said, being a nurse has been one of the g...
  12. Had this happen twice, and I repsonded both times. Both were "red-eye" flights so I have to wonder if there is a connection on that one:rolleyes: The first was diaphoretic male who passed out. Second was a middle-aged owman with similar symptoms. L...
  13. I'm confused.... why did you stay on the unit for 17 years if you really disliked it that much ?
  14. luvRNs

    To the RN I just had hospital orientation with today....

    I totally agree. As an older nurse my first job was on a med-surg unit. In those days primary care didn't "exist", and most hospitals used team nursing. Three of us ( RN, LPN, aid) cared for 21 patients. They 'had my back" and I had theirs. The car...
  15. luvRNs

    Do nurses age more quickly than average?

    Interesting thread :) I agree that there is more genetics to aging than job. I also agree with fiveofpeep that it can age your hands.That said, there are many positives to balance out the negatives! They include: 1. knowing who are the best docto...
  16. luvRNs

    Sliding Scale vs Tight Glycemic Control?

    I agree with Hamster's response. My use of the term 'tight control" was misleading. She is correct about both studies. Many institutions are now re-defining their goals based on these, and are now aware that glucose control is not a " one size fits...
  17. luvRNs

    Sliding Scale vs Tight Glycemic Control?

    The evidence is mounting substantially that tight control is really the way to go. The key is blood glucose variability. If a hospitalized patient is kept within the parameters, ICU LOS and overall mortality both go down. Still under investigation is...
  18. luvRNs

    STRESS!!!

    As a former ED nurse in a level one trauma center, I agree iwth the deep breathing. There is also one VERY IMPORTANT coping mechanism that hasn't been mentioned yet . It's laughter In our ED, the harder the day got, the more we'd do silly things ...
  19. luvRNs

    Taking it personally?

    Sorry for both of you. This is an unprecedented time for nursing employment. I can suggest a couple of things that will help you become more competitive. first, polish interview skills. There are many sites online that can help you do this. Same for ...
  20. interesting thread...... don't let go of personal baggage from the past. life experiences are what makes us unique and can enhance our care of others:redbeathe here's my experience. several years ago i experienced a severe traumatic fracture of my p...
  21. A few thoughts ..... If Rob is as valuable as you say, then you don't want to lose him by maintaining the status quo with other staff. It sounds to me like the other, older staff are the problem. Many nurses have not had assertiveness training. Teach...
  22. luvRNs

    hematoma after CABG

    As a former open heart nurse, sounds like the physician needs to be called. Two reasons to call; If the hematoma is actively draining then what is the patient's coagulation status? The second concern is that there may also be an underlying infection...
  23. luvRNs

    When asked for advice

    INTERESTING topic.... Here's a cautionary tale..... I was an assistant head nurse on an open heart unit. My mother-in-law had a PTCA catheter break off in her right coronary artery during a failed PTCA. The open heart surgeon asked me to go with him ...
  24. luvRNs

    Last name on namebadge

    Love this !! when I was a nursing director, I used to introduce myself to new staff as "Cxxxxxx, otherwise known as "they". When you hear people say 'they' it's often 'me'. I want you to associate a face with that name, and to feel free to question ...
  25. luvRNs

    Studer Group

    Agreej cole45. Have always employed these Studer concepts in my admisitrative practice and they REALLY work. Overall the program is a good one if you 'filter' the knowledge and adapt it to your circumstances.