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  1. turnforthenurse

    Is this real? Vein light

    Yes it is! We have on in our pediatric unit but I've used it a few times on adults. It really works!
  2. turnforthenurse

    Want to Begin Exercising? Check out Your Local Church

    I do not belong to a church. I work off my stress at the gym. I feel like gyms are a lot more affordable nowadays than they used to be. It's important to make time for yourself, even if it's 30 minutes a day.
  3. turnforthenurse

    Hard and Soft Skills

    This is also why a lot of employers are having mandatory "personality tests" for potential employees. This is pretty sad if you ask me. I would rather hire someone with a good hard skill set vs. someone who "smiles more" and therefore they will make a better employee. I feel like the skills of nursing are going down the drain. Take this for example. When I used to work on the floor, we would have a frequent flier, known for her drug seeking behavior...she would get her 2100 meds, which would include things like Seroquel, Xanax and 2mg Dilaudid tabs...but would also have IV prn anxiolytics and opioids. She would ask for everything (including her prns) all at once...as she kept dozing off mid-sentence with her SaO2 dropping. The nurse taking care of the patient refused and told her that she would have to wait, because you know, the nurse was afraid this patient would stop breathing. Patient complained to management, management spoke to that nurse and basically told her that the next time a patient asks for all of those meds, you give them, even if they are falling asleep mid-sentence. You gotta keep them happy. Medicare needs to get their priorities straight.
  4. turnforthenurse

    Tying Patient Satisfaction to Medicare Reimbursement is Problematic

    This has happened in other areas, too. We were basically told by management that it doesn't matter if a patient is somnolent, if they are due for their pain medicine or Xanax or whatever, you are to give it. Why? Because it's for "patient satisfaction." Screw your professional nursing judgement.
  5. turnforthenurse

    Tying Patient Satisfaction to Medicare Reimbursement is Problematic

    I think it only counts if a patient submits a survey. And I agree, KnitWitch. Forget my professional nursing judgement. Give the somnolent patient their dilaudid, klonopin and benadryl all at the same time because "it's good for satisfaction scores." Let the patient go downstairs and smoke even though we're a non-smoking facility. You're on a 1500cc fluid restriction but it's okay to have all those soda cans and juices at your bedside because it makes you happy. You're diabetic? Go ahead and eat all of those sugar-laden snacks at your bedside, it won't mess with your blood sugar!
  6. turnforthenurse

    The Slow Code: Justified?

    I have never heard of this before but it is very disturbing. Meanwhile, nurses are once again the most trusted profession for 13 years in a row....
  7. turnforthenurse

    The 'De-Skilling' Of Nursing

    And don't forget HCAHPS. This idea of "customer service" over my professional judgement is also leading to the deskilling of nursing, IMO.
  8. turnforthenurse

    Is My Nursing License At Risk?

    I think part it comes from nursing school, because instructors constantly remind students "if you dont' do this, then blah blah blah" and suddenly everyone fears for their license. I am a "newer" nurse (17 months of experience) but I have feared for my license before because of a patient issue. In fact, it was a safety issue. This patient was admitted for acute ETOH intoxication and also had Dilaudid and Ativan prescribed PRN. The patient constantly asked for those meds, often together...patient was oriented and totally with it, just doped up from getting those meds around the clock. The real kicker was when this patient would keep going downstairs to smoke, numerous times during the day and at night. I told the patient that if they were to get pain medicine or something for anxiety, they could not leave because it was a safety issue...but they left anyway. Then started to refuse telemetry monitoring. I notified my supervisor and the attending MD and all I could really do was document everything to cover my butt. What if something happened? Thankfully nothing didn't. I know most hospitals automatically sign the patient out as AMA if they leave the floor especially to go out and smoke. Most hospitals are also non-smoking facilities. My facility does NOT sign out a patient as AMA. I think that issue has been discussed many times but no one ever follows through with it because it is bad for "satisfaction scores." And besides, if you are well enough to be going downstairs to smoke, you shouldn't be on a progressive care unit...
  9. turnforthenurse

    Different Types Of Coworkers

    I work with a chronic complainer. Thankfully though, most if not all are true team players and we have an unselfish nurse manager AND director :)
  10. turnforthenurse

    The Disrespect Of Nurses

    If I were in that situation, I would have called security immediately. Shame on the higher ups for allowing that behavior. And I agree, I think it's all about the satisfaction scores.
  11. turnforthenurse

    Deep In The Dark

    Thank you so much for sharing this inspiring story!
  12. turnforthenurse

    No Nursing Shortage At The Present Time

    Yup. Believe me, I wasn't thrilled. They also trie floating me to nursery and I have NO nursery experience what so ever except in clinical which was again, 3-4 years ago. They do need to give proper orientation if they are expecting nurses to get floated to these highly specialized areas, but again, that costs more money and in this recession I doubt hospitals will be doing that.
  13. turnforthenurse

    No Nursing Shortage At The Present Time

    Studies have shown that it is more financially feasible to hire more nurses so that we have adequate staffing levels vs. risking the liability of NOT having enough staff and causing problems; yet, nurses all over the place are understaffed and overworked. I work on a progressive care unit where the ratio is supposed to be 1:4. We do have some very stable patients that are just there for observation and are prepping to go to for a stress or a cath the next day....but we also have some pretty unstable patients. We get patients with drips, some we titrate. Regardless, these patients need more monitoring which is why they are admitted to our floor. But because of staffing and the hospital budget, we're starting to take 5-6 patients each. But it's not just our floor. It's the whole hospital. Med-surg ratios are typically 1:6 but now they are finding themselves taking up to 8 or 9 patients...ICU nurses will be taking 3 patients instead of the 1:2, sometimes all three of those patients are on vents! And again, the shortage comes from the lack of staff! And instead of hiring new nurses, they start floating us all over. I got floated to postpartum a couple of weeks ago and I am a PCU nurse!!! I was doing OB-GYN assessments. I haven't stepped foot on that type of unit since my OB-GYN rotation in nursing school which was like 3-4 years ago. The nurses I was working with that night were very helpful but still. They are trying to make up for short-comings by floating staff elsewhere, but in turn that either makes our unit short-staffed or we get nurses who cannot work with certain medications (we get a lot of med-surg RNs floated to my floor and they're not supposed to push meds like hydralazine, labetalol, metoprolol or work with drips like amio, dopamine, NTG, etc...)
  14. turnforthenurse

    No Nursing Shortage At The Present Time

    When I started my nursing program in 2007 and upon graduating in 2010, instructors constantly talked about the "nursing shortage." The shortage comes from the lack of available jobs and hospitals having to "reduce cost" - thus increasing nurse to patient ratios, leading to unsafe staffing, etc.
  15. turnforthenurse

    NurseTales, or, How To Ruin A Perfectly Good Dinner Table Conversation

    I try to not tell gross stories around my family/non-nursing friends but sometimes I can't help it...as for my nursing friends, they get the complete unedited version, with blood, vomit, and poop, oh my! Nothing seems to phase me. Last night I scarfed down my food and then came back and saw that my Fleets enema that I ordered at 0030 was finally verified at 0230...so I gave that and the patient had a NICE BM