palmsofvictory

Just btw, this thread is 4 years old at least. Things change rapidly in the EMR world. There's a good chance the original problem looks significantly different now. But the original issues are part of the reason I am now an RN Clinical Analyst and can actively do something to help nurses work/chart efficiently. And I am very happy about that.

Cvp would make the most sense at 15.

Mean arterial pressure.

Isn't map just (2S + D) / 3 ? No way it could possibly be 15?

haha. brilliant. i don't think anyone here was under the impression that birthing babies = CA. that said, i'd feel more comfortable with my delivering wife not having male nurses. and so would she.

Notice the post was started "I would be willing to bet..." She didn't state it as a fact. Your suggestion is noted. And moot. The freedom of others to express their opinions is in no way affected by your hurt feelings. If it bothers you that much, I suggest you stop reading and find something else to do. See how pointless the suggestion game is?

Staffing is very inappropriate in more than one field in 2012. Whoever is responsible ultimately has to be at or above the level where schedules are made, hiring is done, ratios are decided upon, etc. They call those levels "management". Like when people criticize whether or not the US should/should have military missions in Afghanistan, Syria, etc. Soldiers don't make those decisions. Brass do. Rather simple concept, I thought.

Desire for modesty is not a dysfunctional feeling. It is rather functional.

No. This is an exaggerated example of the fact that many ppl (not just nurses) are being asked to do too much these days. (Saw it in the teaching field, see it with my wife and friends in their careers... speech therapists, PTs, etc.) But we can't just keep pretending that it's not happening. I think the OP understands this and is looking for others who are thinking the same thing and willing to say it. We are reaching a breaking point, like the founders with the tyrannical British king. As pertaining to workloads (nursing and otherwise), time is not magical. It is a limited resource. You can only do so many tasks in a set amount of time. If you are a personal assistant to someone and they give you a shopping list and $100, you can only buy so many things for $100. No matter how much they want you to or threaten to fire you, you can't keep adding items to the list and still come in under $100. You either have to start buying really cheap goods (reduce quality/time of care for each pt), take some items off the list (reduce case workload / # of pts), buy only some of the items on the list and lie to the boss (if they will not listen to reason and keep on demanding everything on the list) and hope they don't notice some items are missing (get "efficient" with documentation), buy all the items on the list but use your own credit card (clock out and finish paperwork on your free time til 2 hours after your shift is over), or tell them to shove their job up their #%$ and find a new place to work. It is an allegory. or whatever that would qualify as. If someone gives you a hairbrush, a 2-liter of Dr. Pepper, and a pack of gum and says "You have 3 hours to build me a Corvette or you're fired"... well, they deserve a kick in the nuts at that point, don't they? Good day, friend. :)

For some ppl, this sums it up! hahaha

For folks who like to believe you've "never" deviated from policy and have "always" done the "right" thing in your 5,000 year career... well, I suppose there is a snowball's chance that you're making a "truthful" statement, so I won't call you a liar. I will say i highly doubt your "always's and nevers". I suppose ALL of the people in prison who say they're innocent are telling the truth also. And I'm sure whenever you speed on the highway (which, of course, is NEVER for some of you bwaaahahaha), you IMMEDIATELY drive straight to a police station and notify the authorities that you've broken the law and request that they write you an unlawful speeding citation as soon as they can. And you say please and thank you, too. The world wouldn't be the same without you, for sure. So, for all of those people who are out there maintaining the dignity and integrity of the nursing profession despite all of the "bad, evil" nurses you are forced to work amongst, (*standing ovation*) i have a scenario/question: Suppose tomorrow, your unit manager informs you: "Leadership has decided to make a couple of minor changes on our unit that you need to be aware of and that you will be expected to abide by. 1. Due to budget shortfall, unfortunately we have been forced to let go of our unit secretary and all of our PCTs effective immediately. 2. Your shift patient load will increase by 2 patients. 3. You will now be required to have each patient fill out a "shift feedback survey". You will turn these in to the unit manager at the end of every shift. Both the diligent completion and content of these surveys will be considered when your performance reports are written. We regret having to make these changes, but I can assure you they are necessary. You, of course, will be expected to continue to perform at the highest level." My question is: You will be able to perform in an excellent manner without "falsifying" any documentation, right? (By the way, if your answer is yes, management will interpret this to mean the workload is reasonable since you are able to handle it. After 2 weeks, we will be adding +1 to the shift patient load. Ad infinitum.) Good luck! :)

I was a veteran for 9 years, teacher for 5 in my previous career. In my experience, a single individual who tries to change systemic problems (to me it sounds like the OP is in that situation) almost NEVER is able to do so through official channels. Official channels are usually a farce and only function practically as overwhelming, endless red tape and deterrents for actual change and/or make shining a light on problems = professional/career suicide. Official channels simply alert leadership to employees who are "dangerous" to the status quo... "thanks for letting us know to put a target on YOUR back, you idiot". I've been in meeting with Generals and Colonels before. You might be shocked at the real reasons they are making the decision they do. Real change for the better requires either 1) a large group of people willing to speak the truth and demand change or 2) an individual who has some kind of connection or special leverage. Every time i hear someone say "Have you used official channels of change?", all i can think is: Clueless/naive person. There are so many examples of this: 1. Insurance companies of all stripes usually have a policy to deny 1st (and maybe more) claim attempts outright because it is mathematically-proven to be good for business. Bottom line: $. 2. When you see suspensions/punishments handed out in various situations, often the appeal process goes to the exact same decision maker eventually (usually after several steps required to follow an algorithm of pseudo-justice... meaningless paperwork, hours of time, etc.) Bottom line: justice isn't really justice. 3. GroupOne (Google it and read). Bottom line: yikes! 4. I've known a teacher that won Teacher of the Year one year and was not asked to return the very next year. (Multiple reasons possibly exist). Bottom line: jealousy, liability 4. Endless other examples (Racism, especially pre-1960s being only one. What do you think would happen to someone who vocally challenged Hitler??? Sometimes breaking rules means you are closer to the true spirit of the matter... think Germans who hid Jews and lied to the Nazis when asked. Watch Schindler's List.) Bottom line: read some history, please Corruption exists. Finding a fair work environment is RARE! Just talk with teachers, police officers, nurses, Dr.'s, lawyers, et. al. I have no problem with people LOVING it when they find it, but judging other people who have a corrupt work environment is just small-minded and cruel. Many times you don't know how messed up your company is until you are already heavily invested in it. At that point, jumping ship is a complex task. Besides, sometimes it is a more complex dx than "this place is evil." Could be one or 2 individuals within a decent org. Could be a multitude of things. (If you disagree, tell me why so many perfectly sane, decent women simply do not leave abusive relationships? That situation isn't "2+2" to the individual involved... it's "1. Explain the universe. 2. Define evil and explain why it exists." I had a Master Sergeant friend in the military who told me he achieved more change and did more good things in his career by knowing "dirt" on his bosses than he EVER did by using official channels. He TRIED to use official channels in the beginning of his career and was repeatedly told and SHOWN (read:abused by those with greater power) that, since he had no power as a lower ranking person in his org., being vocal would only make his situation worse. But seeing his boss, the Chief Master Sergeant, at the club with a female who was not his wife... well, let's just say a wise man once said, "Be as harmless as doves and as WISE as SERPENTS." Sometimes the "system" is nothing but a bully. And bullies usually respond to being punched in the face, not asked nicely. For those of you unwilling to admit/recognize that, for some people, consistently documenting the truth means GETTING fired, rather than AVOIDING getting fired. ... well... try, just try for a second and brainstorm if you can imagine how a person might find themselves in a situation where that is reality. Really think about it. If that doesn't work, keep on trying to Get. A. Clue. I have faith that sooner or later you will get it. Hopefully, i am not wrong. It is the hallmark of a tiny mind to not be able to understand that, sometimes, when the head is damaged (read:corrupt), the body is 100% paralyzed (read: screwed). Good day, folks.

I am a male nurse and I think part of the difference is a male Dr. has usually had the chance to build a relationship with the pt over time (appointments, etc.) A male nurse involved in delivery is more likely than not a complete stranger. Being a male AND a complete stranger isn't a favorable combination to pts.

1. Practice Questions like a beast. 2. Pray & ask God's help with each question. Only He knows what these people are thinking when they write 'em! Good luck!! )

Well, I can't say that the Dallas program is any harder than Houston, but I CAN say that we Dallas peeps are wayyyy COOLER than the Houston peeps. HAHAHA! just kidding H-town... I got ♥ for ya!