Old.Timer

How about this..... " Just so happens to be your lucky night. Nurse Mary is assigned to all the aholes and she is not of color".

Bingo. Obviously, not enough people at your facility want it. Choose battles that offer a reasonable chance of precipitating change. Doesn't sound like this is it. At least for now. I couldn't help but notice that your avatar was Mickey Mouse in a nursing outfit. The two really don't mix. Disney is make-believe. Nursing is real life. Tolerance and a non- judgemental attitude are necessary. It's not the perfect world of Disney pixie dust, sunshine and rainbows and everyone catering to your needs.

Go to chca.com click on member hospitals to see list with links of leading children's hospital search the various websites using weight management clinic or program and you will find lots of info BUT the poblem is $$ ....very few of the services provided within the program are billable to third-party payors. A few things here and there but not much. Takes a lot of FTE's to run the programs and very little revenue in. Most of the programs are subsidized by the facilites, run on a shoestring budget and included as a "community benefit" in their annual report. Not a ton of opportunites. For the most part, the role of the nurse is to manage and coordinate all the moving parts of the interdisciplinary program and to provide patient / family education. Hope that helps a bit

Your personality may be that you will never believe you are aequately prepared untl you've jumped in, done it, and actually have experience as charge. Sounds like you have insight into your strenghts and weaknesses for the role and that you might be ready to go for it.

Non- Conformist Problem-Solver

She delivers herself like a pizza right to his door at the hospital and he can't go anywhere else. Truthfully, otherwise, he likely couldn"t be bothered to invest the energy and his precious free time on her outside of work.

I'm telling you. You can't make this s** up. LOL. It cracks me up that all of us that have been in the business for years and years are like, yeah.........

I am so sorry for taking up space jus quoting and saying LOL when I've already liked it but that was just too dang good ! LOL

I am sorry, i just can't get on board going out all nursed up begging for money so we can hand out some little cha-cha or trinket or have a food party. I don't get into all the "fill in the blank" weeks with umbrellas and mugs and lunch bags. I would far more appreciate a sincere personalized note thanking me for x, y, z that I contribute to the unit or group etc . That would be meaningful to me. I know I sound like a big grouch........whatever :)

nurse156 and I are of the same generation of nurses. Regardless of your moral belief, this is something that our generation learned how to handle, especially if you worked in an academic facility. That's just the way it was sometimes. You also knew if the docs had any dirt back then because there weren't pagers and cell phones. The answering service called the doc's home phone to reach the senior resident and attending they were on call. So....... if they weren't going to be at the hospital or home, they told the night charge nurse on the floor exactly how to get in touch with them. Didn't want the hospital calling their home looking for them when they were supposed to be at the hospital. Come to think of it , that may be one of the reasons that relationships seemed less advesarial between nurses and docs long ago. We knew all the dirt and they knew it. That might just be an aha moment in the decline of nurse-physician professional relationship........ the advent of the cell phone. LOL

I know I am in the minority but as far as I am concerned, one "ceremony" should be adequate to recognize the achievement of nursing degree which is what the graduation ceremony now is. Beyond that, throw a party to celebrate when the pins come in. However, you can take what I say with a grain of salt ........:) as I was a member of the first clinical group of eight in our BSN program to successfully resist wearing the nursing cap. This was late seventies. From then on, we were forever known throughout the school and in all the facilities we rotated through as the group that refused to wear caps.

With an extra added surcharge for improper use of resources !

I would just make note that you appreciate the opportuity to interview and observe and remain interested in working at xyz facility on xyz unit blah blah blah. Then state that your primary choice of shift would be _____ but that you are fortunate that you schchedule allows you the flexibility to work either shift. Clean it up a bit bviously but something along that line if you really are willing to do either if it came downto that. You don't see the applicants getting the option too often - I might poke around and see if I uncover any reason for openings across the board . Doesn't necessarily mean anything, but it could.

I apologize if I am repeating what anyone else has said since I have not read the thread. There are very few things that I would not let a student do if they appear knowledgeable, adequately prepared and appropriately supervised for the task. A CRNA student only being monitored by another CRNA would be a deal breaker for me. Unless there was additional oversight by a board certified anesthesiologist who has reviewed my case, has been introduced to me , and is in close physical proximityduring the case, I would refuse. That is the norm when a CRNA is handling a case and I would expect it to be the same in the case of a student.

the fly in the ointment is this........ more often than not, in the healthcare industry, administrators and board members determine the organizational goals, priorities, and budgets etc; not managers. based on the confines of that framework, managers then make division level decisions on budgets/policies/programs/staffing etc. if senior administration does not identify something as a problem, it is not a problem :). what you are now observing is not an aberration, it is more the norm than not in this field. staffing concerns, and the resulting consequences, rarely make it to the priority problem list.

The discussion is meaningless without some sort of consistency in use or agreement/understanding re definition for "false documentation". It doesn't make a lot of sense to compare someone fabricating blood sugars, vital signs and weights (which is where this thread started) to a duly noted three hour time lapse between performing a timely assessment and documentation of the findings.

For the most part, with a few exceptions, I have always referred to physicians the same way that they refer to me. If they call me by my first name then I call them by their first name. Has never been a problem. Never.

Nursing, you gotta love the mentality ..... the inservices provided at work, which probably have a more direct impact on day to day practice don't count but courses that are chosen for no other reason than timing, cost, location etc do.

Go ahead and shoot me for not being pc....but it is total BS to use being from another culture as excuse for not knowing whether to report it or not.If someone does not viscerally understand how #@* wrong that is and aren't instinctually driven to do everything in their power to stop it and prevent it from happening again then as far as I am concerned, they are only a smidge above the behavior itself and have no business practicing. End of story. Seriously, for the most part, I take this board with a grain of salt and and definitely don't get this fired up. I suppose for some, they never really get that acute care nursing is different from the corporate world or retail, or sales or PR or on and on and on. People's well-being , both emotional and physical, are placed in your care. The whole "I go to work, do my job, stay out of other people's business" and a general unwillingness to get involved at all costs is what is taking this profession down fast and I mean fast....we are circling the drain.

thank you !!!!!

When the nurse calls and says patient has dementia, is on xyz narcotic and is confused, the doc says d/c the med and doesn't know what else to do, so does nothing. Unfortunately, lot's of patients with dementia fall and hence, become orthopedic patients so ths scenario will repeat itself over and over. I would look to a geripsychiatrist for either a consult or to do some continuing education for the nursing staff. I have found most MD's are open if the nurse calls and says pt x is on med x which appears to be increasing his agitation/ confusion etc, we've had several other patients with dementia do quite well on xyz, would you want to give that a try?

OP here, stopping by to say ....... Little did I know when I started this thread that it would go to 1,000 and counting ......... Congrats to RNsRWe for #1,000 and to all for job well done. :)

DFO's ususally start out as the W&D's ( weak and dizzies ) :)

Congratulations Ashley !! That's very exciting. I'm old school........surprise, surprise :) Wait until you are well ensconed into your 2nd trimester before committing too much energy and thought to any specific plans. My best to you.

The only thing surprising to me is that so many seem genuinely surprised at the accessibility of their info within the healthcare system.