Flying ICU RN

Let me illustrate to you something about the futility of worry in any given situation. * If you can in fact change the situation, there is no need to worry. * If there is nothing that you can do to change the situation, then there is still no need to...

Consider yourself to be implementing the testing/experimentation phase of the scientific method, in proving/disproving your facilities orientation procedure. Now, take your "evidence based" results to management in the form of a formal memo, if you t...

That was extremely well done. Out of curiosity regarding background, I could not identify the author

Precisely the leadership that is absent within the "toxic" work environments for every poster regarding this issue that you will ever see.

Because the patient and family are laymen, and you are the professional, a very basic premise. You have to push it (whatever the issue) right up to the line of refusal of treatment by the patient or proxy. A caveat, the proxy is not the proxy until ...

My favorite hospital viewing device.

A great deal no, you can lay it all squarely at the top. We had a saying in the Navy, "The Captain of the Ship Sets the Tone."

Now that was a lot of flak. Terrible numbers for those crews, I hope your grandfather did come home.

Yes, but in the second part of post #5, I'm referring to criminal, or professional wrong doing, not a minor faux pas with your employer over time and attendance and such. I should have been a bit more clear, my apologies.

I hear you. Just another unfortunate example of how everybody, from the corner bank to the tax man, and everyone in between, have their hand in your pocket. I boycott what I can whenever I can. Professional sports teams? Those idiots wont get a dime ...

Agree with all said here except for one thing. Remember that it's their bat and ball, it's their game, and their rules. If you want to play, you need to sign the mitt when asked with one exception. When an admission of wrongdoing violates your fifth...

Write-ups in general Whenever suddenly presented with a write up of any kind, always print the words "See employees written response" in plain view of your signature. Then write something brief in response and submit it later (a day or so) when clear...

Yes of course, I'd forgotten OB, L&D. Out of sight, out of mind I suppose.

Follow the money (insurance premiums), NP with the collaborating physician would likely be at most risk. In ICU, once they get to us they are more closely watched.

Good for you! Now it's a personal sell. Remember that, you're there to "sell" your candidacy to become the ICU nurse patients need in a complex health care system,..dazzle them! Situational questions, yes perhaps. Don't look for the complex answer, t...

For the very reason above, a better plan would be to "eyeball" the patient together, after the initial information exchange.

What does your dog look like? Unscientific theory here, but what your dog looks like, says a lot about the owners underlying personality. Boundless curiosity and energy,..... Emotionally spent, forever tired. Overcompensation

This is entirely dependent on how the individual nurse defines (sees) their job/function, and how he/she goes about performing that function. My personal nursing mantra has always been "timeliness of appropriate interventions." To do this effectively...

Taped report is an absolute waste of time on both ends, never mind it is in direct conflict with jcaho published hand-off procedure guidlines. A nurse needs no time to prepare. (That's school nonsense) A nurse needs ABC's, and prioritization skills. ...

What is required, is dogged perseverance.

Know your responsibilities, prioritize and fulfill them. This includes prioritizing of tasks of those under your charge and re-directing as necessary in a cool headed and professional manner. My first year was LTC with several staff under a green RN'...

After 17 years in this business I can honestly say without bias and with a high degree of certainty that there is an epidemic of "Doctor Envy" among non-physician health care workers. The comparisons of apples to oranges never cease. One need only co...

Sounds to me like you are baking the same cake everyone else is. Now add a mortgage, spouse, children, auto, daily expenses, stir gently, and bake @ 350 deg for a lifetime. Congratulations!

Anyone want to buy a share of my most valuable holding?