VANurse2010

VANurse2010

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All Content by VANurse2010

  1. staffing ratio in critical access hospitals

    VANurse2010 replied to bouncingbird's topic in General Nursing

    In a perfect world: 1:1 ICU for any devices beyond vents with minimal support, 1:2 ICU, 1:5 M/S, 1:4 telemetry, 1:3 IMU. In a reasonably non-dangerous world: 1:2 ICU, 1:6 M/S, 1:5 telemetry, 1:3-4...

  2. **venting**

    VANurse2010 replied to bdbrdb's topic in Private Duty

    Tell your husband to knock it off cuz his meal ticket will be worthless without a clean

  3. For Profit vs. Non-profit: Do YOU notice a difference?

    VANurse2010 replied to Cola89's topic in General Nursing

    I've never personally worked at a for-profit, but I did extensive clinical hours at one. The for-profit had dangerous staffing (up to 9:1 on med-surg nights), poor morale, and bizarre corporate...

  4. Looking for advice about what happened on my last shift

    VANurse2010 replied to RN171621's topic in General Nursing

    A lot of obese people tend not to notice them. I'm not being snarky - it's

  5. Western Governors University

    VANurse2010 replied to Yvonne RN's topic in Western Governors University

    I decided to do a BSN program online through a brick and mortar school with a respected nursing program (although the school as a whole is not very well regarded) because I figured the next BS shoe to...

  6. What are the rules of what we can tell patients?

    VANurse2010 replied to NursingInChaos's topic in General Nursing

    Their right to know doesn't mean we're the ones who have to deliver the

  7. My preceptor is everything they taught us NOT to be...

    VANurse2010 replied to Live..&..Learn's topic in Patient, Colleague Relations

    I don't disagree with what you're saying per se, but the idea that the procedure had to be a true sterile dressing change is a major misinterpretation/error on her

  8. What are the rules of what we can tell patients?

    VANurse2010 replied to NursingInChaos's topic in General Nursing

    sometimes the primary team has a different take on the imaging and/or have a different idea of the plan of care going forward than what we may assume. Thus, I am cautious with radiology reports unless...

  9. My preceptor is everything they taught us NOT to be...

    VANurse2010 replied to Live..&..Learn's topic in Patient, Colleague Relations

    That depends on the hospital policy of how quickly/by what time assessments are expected to be charted. I agree that it may "look bad" if an assessment isn't charted by late morning, but I had times...

  10. My preceptor is everything they taught us NOT to be...

    VANurse2010 replied to Live..&..Learn's topic in Patient, Colleague Relations

    I don't have time to give a full reply now, but... there are a couple practice issues with your preceptor, however, *you* were in the wrong on several of those examples above and you really need to...

  11. Profession for some...attempted by many..

    VANurse2010 replied to jdruds's topic in General Nursing

    Frankly, I won't argue with you because you don't know what you're talking about, and I'm not even sure I actually believe

  12. Profession for some...attempted by many..

    VANurse2010 replied to jdruds's topic in General Nursing

    If they're not requiring pressors, then they most likely aren't in septic shock. Anyone who has dealt with the true hot mess that is sepsis understands the distinction between SIRS on the floor that...

  13. Profession for some...attempted by many..

    VANurse2010 replied to jdruds's topic in General Nursing

    Don't get me wrong - having vents on a "med-surg" unit is pretty crazy - but there's a HUGE difference between a wean/failure to wean with a trach and someone with an ETT with huge FI02, huge PEEP,...

  14. I don't like pediatric patients, am I normal?

    VANurse2010 replied to Wonder RN's topic in General Nursing

    The only thing worse than pediatric patients is pediatric patient family members. You are not

  15. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    nice try, but that's not what was said at all and you know

  16. The holidays and legal issues

    VANurse2010 replied to OldGrayNurse's topic in General Nursing

    15 years ago I would have accepted this explanation, but now - No, just

  17. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    Not all of your ED colleagues have common sense or

  18. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    I think the point is that the patients are not assessed when admissions roll up at shift

  19. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    Sure there were institutional issues - caused by a lack of communication facilitated by a system that eliminates nurse-to-nurse report. With respect to the throughput of the ED being a patient safety...

  20. The holidays and legal issues

    VANurse2010 replied to OldGrayNurse's topic in General Nursing

    In other words, you have no respect for cultures and beliefs besides your own. Have you considered that some people do not *want* to be blessed by god or to celebrate Christmas or be blasted with...

  21. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    there is actually very good reason that "two busy nurses" should align themselves for a verbal report - one being that the information in the EMR is often not completely up to date and access to...

  22. Safe to take new admit at shift change

    VANurse2010 replied to russianbear's topic in General Nursing

    I agree with this, but there are a lot of "ifs" there that extremely often aren't present in the real world. ED seems to be ruled by the next squad coming in, but many of those squad patients are a...

  23. Concealed Carry for Caregivers

    VANurse2010 replied to ClaraRedheart's topic in General Nursing

    I wouldn't want anyone with a gun taking care of me or a family member, and I feel I have that right as a

  24. ACLS should always be 2 days and in person!

    VANurse2010 replied to Emergent's topic in General Nursing

    Uh, no. Two days for initial certification? Sure. One day is sufficient for

  25. Medication errors

    VANurse2010 replied to fangirl's topic in Patient Medications

    Medication errors are not treated punitively at my facility as long as there's some systems element involved in it, which is the case 99% of the time. In fact, I'd say the majority of the time minor...