edrnbailey

edrnbailey

emergency, neuroscience and neurosurg.

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All Content by edrnbailey

  1. Can a nurse refuse to participate in a code?

    Basically this nurse placed her own religious beliefs onto the patient and refused to render care. How would she feel if the roles were reversed.
  2. Can a nurse refuse to participate in a code?

    You can not refuse treatment to a patient based on your own beliefs. This is no different than making a patient receive treatment against theirs. As nurses we are our patients advocates. It is not our place to pick and choose which treatments or bel...
  3. Husband and wife working together

    $1.00/hr equal $2000 a yr. Is that enough difference for changing your life and schedules? This is only something the two of you can decide as a family. If it is more about the progression to management in your career then you will need to sit down...
  4. Precepting the Preceptor

    Thank You Ruby!!!! I have been the preceptor and the oriented and witnessed the good and bad of both. I am even guilty of not being the best preceptor and difficult orientee in my career. What I have learned is all nurses are people and all people...
  5. A Paradigm Shift in Nursing Practice

    As a nurse in a non- socialized medicine socieity/country I can only speak to how that system is run. One of the primary components facing nursing here (USA) is lack of recognition so to speak for nursing care and nurses. Nursing care is "built in"...
  6. Floor nurse, please forgive me....

    All of which is very true. I may not even listen for bowel sounds if chief c/o is unrelated.... This was my humble attempt at making a funny... (obviously not the best) in an attempt to return to board to a lighter more positive tone... but you are ...
  7. I started my nursing career on neuro/neruosurg step down unit. It taught me everything I know. Neuro is a field that is either loved or hated, there's no in between. These patients are challenging. The brain/spinal cord controls the rest of the bo...
  8. Floor nurse, please forgive me....

    I worked on a neuro step-down unit for 4 years before transferring to the ED. And I thank God everyday for that experience! Those years and the patient's there taught me to prioritize and good (great I think, but don't want to toot my own horn) asse...
  9. Floor nurse, please forgive me....

    Stargazer, Never discount the need for last BM even as an ED nurse.. when working up acute Abd pain and or n/v this part of the assessment is important to ED nurses also... We all remember our first acute or significant CONSTIPATION patient and what ...
  10. Floor nurse, please forgive me....

    " I told her I would feed the patient his breakfast and make sure the meds were reconciled so she wouldn't have to do that." In actuality most ED nurses would love to have the time to feed their patient. I don't when I've had the opportunity to spen...
  11. Floor nurse, please forgive me....

    The intent is duly noted and appreciated. For some all they can see is the negative. They must justify their own negative thoughts and attitudes by pointing out others. Food for thought.... if the only way to build yourself up is tearing someone e...
  12. How do you get thicker skin?

    There is NO excuse for ANY patient speaking to you this way. You are an educated professional. The size of your hips, buttocks or any other body part is irrelevant to your ability to give care. It is time we nurses stopped making excuses for bad b...
  13. Exercising with a nurses schedule

    Are you working day or night shift.... that alone can throw a wrench into the mix. I too am a runner though I'm only a halfer... When I changed from day to night shift (again) it took me several months to readjust. If you are new to nursing give you...
  14. ER Abuse

    It is!!!!!!!! A nursing home cannot refuse return of a previously accepted resident if he/she has been cleared medically for any condition that would require treatment/care that facility is not capable of providing. They are legally responsible for ...
  15. Please someone help me understand..........

    Kudos to you.... for being the nurse we are all supposed to be and thinking of the patient first. And second kudos for standing up for nurses everywhere; LTC, ED, floor nurses, etc.. It drives me insane when another nurse talks down to/about nurses ...
  16. Career Path

    Just as RN stands for Registered Nurse and is a professional role and title granted with dictional requirements and passing state board of nursing examination, ACNP is not a "cert." is the initials for Acute Care Nurse Practitioner. FNP stands for F...
  17. When is a patient your patient?

    This works well in most areas of nursing.... EXCEPT the ED and other transient care areas. There is little report to be received on a new patient. If they present via the front door the "report" is simply the triage. In many ED's the triage nurse...
  18. HIPPA violation??

    "This varies state to state ... and the only answer that matters to the OP is the one that applies to his/her state. Ask someone in your department if you are unsure." This does vary from state to state. It is more than just a HIPAA violation or the...
  19. What certifications do you have???

    nolamomx2 certifications vary depending on what area or specialty you will be working. Basics include BLS, ACLS, and PALS (if working with pediatric patients). ER specific classes include TNCC, ENPC, and eventually CEN. All of these require some e...
  20. Can an ER Nurse to an ER Physician?

    There is no comparison between the two. Nursing and medicine come from completely different perspectives and ideological views. I have several friends and co-workers that are NP's and PA's. Some started with nursing and pursued advanced degrees, a...
  21. Paramedical Examiner

    As a former EMT-P and a current RN, part of the discrepancy in pay is related to the job title. Paramedics make less than RNs, therefore even contract paramedic examiners will be paid at a lower rate. I am in no way saying this is fair or right, ...
  22. What certifications do you have???

    The CCRN is designed for critical care nurses. That being said, depending on what type of facility you work in, small community hospital vs. large teaching facility, ED nurses definitely perform critical care nursing. The CEN is not the ED's "versi...
  23. ACLS and Advanced Airways

    As an ACLS Instructor this is worse than scary. What organization is her certification through? It does not really matter if "she will never use it" or if "it's not her job" She will be held liable and accountable for the knowledge implied with ho...
  24. Online BLS

    If you complete the first part online, print and save the certificate at the end verifying your complettion. you will also need a copy of the certificate to turn into the instructor at the skills checkoff portion. Any BLS instructor can complete the...
  25. Walden University BEWARE

    How true!!!! And unfortunately I was determined to play in my younger years.... LOL I am working at correcting those sad, misguided adventures now. I just have to work a little harder. Your post also reminded me of my mother's saying, "hard heads ...