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Flying ICU RN

Flying ICU RN

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Flying ICU RN's Latest Activity

  1. Flying ICU RN

    DNP vs MD

    Whoever said that, is at the moment most certainly poorly educated, but is about to get one hell of an education!
  2. Flying ICU RN

    Ever Refuse a MD order?

    An excellent question to ask, bravo! The "Prudent Nurse" standard is a legislative catch all phrase used to determine whether or not there is culpability on your part in a malpractice claim. The standard essentially compares your actions to those of a similarly trained "Prudent Nurse" under the same circumstances. What one "Prudent Nurse" would do over another for the purposes of this thread is in itself, a likely subject of debate. However, consider that a Judge (as well as a jury) are in fact laymen where medical issues are concerned. Therefore, presented with evidence and expert testimony, what the layman would consider prudent, is your safest bet.
  3. Flying ICU RN

    Ever Refuse a MD order?

    The standard to meet is if the situation is obvious to the layman which is the basis for the Prudent Nurse Standard. Otherwise it becomes an issue of Medical Opinion which is a losing proposition for a nurse.
  4. Flying ICU RN

    "You cannot have BSN or MSN on your nametag?"

    As an interesting side note to foreign labor issues, the final impetus for my jumping ship from aviation to nursing was my inability to immigrate to Australia in 1991. Continental Australia Airlines informed me that I had just barely "missed the boat" on a recent change in that countries labor sponsorship laws for my profession. So I have experienced the very "manipulation" you noted, only in reverse. It would be interesting to see where one could go now as a U.S. licensed nurse (if anywhere at all) but the motivation is now removed.
  5. Flying ICU RN

    Ever Refuse a MD order?

    Refusing, is perhaps too strong of a word. I prefer to use the MD's as tools to circumvent the limitations of my clinical privileges.
  6. Flying ICU RN

    RNs, are ya stressed out? Need a good cry?

    I can't imagine having to leave my seven year old child, knowing that I might not return. Simply unimaginable.
  7. Flying ICU RN

    mistake - unable to fix

    Precisely! What did not happen.... You didn't forget to DC the PICC line altogether leaving the patient to spike a fever of 101.5 @ 02:00 on the night shift nurse, who delayed calling the physician another hour hoping the Tylenol would work, but has no choice because the patient is tachycardic with the temp now 102.8! Everything is relative in life.
  8. Flying ICU RN

    "You cannot have BSN or MSN on your nametag?"

    The theory being (for those who support it) is that you effect the supply and demand side in favor of the profession as a whole. The flaw in this line of thought is precisely as you pointed out and is a diservice to the public good. The counterpoint to that in turn being that the public good is served by the purported higher quality of personnel. And so on and on the debate. However, in the end the politicians (legislative branch) are not as silly as they would seem. They will keep the floodgates open for people such as myself to fill the trenches. Incidentally, all this is very relevant to the original post as it pertains to the very meaning of the alphabet soup in the first place.
  9. Flying ICU RN

    Back to Traditional Nursing Uniforms?

    Yes indeed a lack of "progressivism." But mostly, it's indicative of my age. The image is from the 1975 Jack Nicholson film "One Flew Over the Cuckoo's Nest."
  10. Flying ICU RN

    Back to Traditional Nursing Uniforms?

    I suspect you are in fact correct. There's no mistaking this look for anything other than seriously competent professionalism.
  11. Flying ICU RN

    Back to Traditional Nursing Uniforms?

    I've been told that I'm "highly professional" by patients and family members nearly as much as I've been mistaken as a physician, and I have never worn a lab coat. I don't think it's what I wear.
  12. Flying ICU RN

    "You cannot have BSN or MSN on your nametag?"

    that would be fine if the current "apparent" (and false) nursing surplus was in fact sustainable and permanent. as an accrediting body they could under such a circumstance successfully lobby the state legislatures and effectively "close the doors" on the influx of new students. not unlike other allied health professionals. however this would perhaps serve the "profession" but be contrary to the public good, as we (rn's) now number 2.6 mil with a projected growth rate of 22% through 2015. do this and you effectively close the doors on people such as me. what perturbs me is nonsense that is spewed like this….. i dare say that my (and many others) very existence contradicts this notion. so alphabet soup on a nametag notwithstanding, my experience has been that i am not the average bear in the woods.
  13. Flying ICU RN

    What do you call the Doc?

    Anyone having earned an MD, Phd etc, is entitled to be addressed as Dr. if they so desire. As it is anyone else's to be addressed as Mr. Ms. Mrs., etc. It is proper etiquette to let the other person (whether CNA or MD) take the lead on how to be addressed.
  14. Flying ICU RN

    Back to Traditional Nursing Uniforms?

    My personal favorite is the supply guy who looks freshly scrubbed to perform a transplant.
  15. Flying ICU RN

    Back to Traditional Nursing Uniforms?

    Well,... might as well make this nice little outfit UNISEX.....
  16. Flying ICU RN

    "You cannot have BSN or MSN on your nametag?"

    That is utter nonsense. Professionalism is a "State of Mind" not a title. I have known Janitors who are professional.
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