jossjjojo

I agree with you Crunch. There is a time and a place and the hospital is not one of them. That is what you do before you show up at the hospital in labor and if labor doesn't start then you do what hospitals do to stimulate labor. Sounds very suspicious to me. I wouldn't want that doctor taking care of me.

I've been told that they have to have a 20 gauge above the wrist. The will refuse anything less and it's because the vein will not hold up to their power injectors.

ITA. I would not give her the courtesy of waiting until after her vacation. She does not deserve any considerations. I would speak to her superior and make them aware of what was said. I wouldn't call the BON, it kinda puts you on her level, only because I think this DON is just "blowing smoke out of her butt" all talk, no action, there is nothing to report you for. Don't bother the board with nonsense and have your name/licsense connected with it.

Why take the NCLEX-PN when you've earned your BSN? If you can get through nursing school, you can pass the boards. American nurses fail the NCLEX too and have to repeat. Have faith in yourself, study and go for it!

I see nothing wrong with an LPN having the narc keys. A licensed nurse whether RN or LPN is held to the same standards. LPN's and RN's equally have been known to divert narcotics.

Wow, that's sad. You're missing out on some wonderful nurses. It's not the brick and mortar that's important it's what goes into the students head and is retained. I worked hard for my online degree. I didn't find it any easier than going to class. Online school is certainly not a shake and bake education. That's been my experience too. Just 3 times last week I was told that they appreciated my professionalism. I didn't learn that in school, that's just me. Can't get that out of brick and mortar.

No, no issues what so ever. Just checked for accreditation.

It is when there is no pulse or respirations. Exactly

It doesn't matter what causes a cardiac or respiratory arrest, the DNR is valid and should be honored.

You're right, the hemlich is not a cardiac life saving technique, but if the item can not be retrieved through the hemlich or through suction and the patient becomes unconscious suffering a respiratory and/or cardiac arrest then the DNR order goes into effect. Why would you want to resuscitate an elderly person with dementia who is a DNR, if their heart stops, it stops, no matter the reason. If I was the patients family and resuscitated my father from a cardiac and/or respiratory arrest I'd be really upset. Absolutely

I just saw this same question in another area.

If the patient codes for whatever reason and they are a DNR then do not resuscitate. I would do the heimlich, suction, whatever I could but once they "code" it's time to stop treatment.

Oh I realized that. 50mg of Morphine would kill a horse! Therefore I said I would refuse to give it and contact the person in charge. My question was merely coincidental. Was the patient even in pain in the first place?

I would have charted the systolic and charted that you were unable to hear the diastolic x how many ever times your tried and the different locations that you tried. Obviously the patient had one, you just couldn't hear it. I wouldn't call 911 for a low diastolic or inaudible one. If the patient had been symptomatic such as passing out, faint. extremely weak, I still wouldn't have called 911 but would have called the doctor on call.

If I had received an order like that I would have refused to give it and promptly called the supervisor, director, manager or whomever is ultimately in charge. I would not have charted anything about it though. Was the patient even complaining of pain?

It certainly is acceptable. It's the patients level of pain and nursing judgment that dictates whether 1 or 2 tabs will be given.

The degree comes only from Chamberlain College of Nursing even though some of the course are taken through DeVry.

I am so sorry to hear this. There are parts of the country that are anxious for RN and willing to take new grads. I don't know if moving is a possibility for you, just thought I'd mention it. Where I am the hospital is offering $1,500 bonus to any employee who can bring in an RN.

No. Chamberlain is fully accredited and is accepted by such universities such as Vanderbilt, University of New York, UCLA, etc....not to worry. I checked it out thoroughly and then decided not to go because of the current economy. Hope to one day though. It may be pricey but I'd rather be done in 3 semester than in 6 semester. If you compare it to 6 semesters in another college, it's not no pricey after all and saves time as well.

Simply out of curiosity (really) does the doctor refer to you as his nurse? Do the patients think you are a nurse? I'm not judging, I'm just asking.

That is happening where I work too. LPN's are just as capable as RN's. Rather than reducing them to tech's they should pay for their further education and give them a time line.

MA's have their niche in doctor's offices and do a great job. The issue I have is relaying orders to hospital nurses. It's not allowed in many states yet it occurs. I have received several questionable orders from MA's, checked with the doc and they we're relayed incorrectly. I find this practice dangerous. Likewise I don't think they should be allowed to phone in scripts. Yes they go to school yes they may function as a nurse but alas they are not a nurse. Laws need to be tighter to protect patient's. Case in point...a pt had an order for 1mg of coumadin daily in addition to the 4 mg she was already taking. The MA called the script in as an additional 10 mg of coumadin QD, 3 days later an INR or 17.4 and major GI bleeding.

Here's what I'm not getting. I DC IV's all the time. At first they do bleed ferociously if you don't apply immediate pressure. Within a couple of minutes it stops. I still place several folded 2x2's on the site and wrap the site with coban. Goodness, by the time the patient is discharged, taken outside, took a picture, went home, even on blood thinners it would not start bleeding again so badly that it required an ER visit. I mean please..... As far as the picture. It is unprofessional if taken on hospital grounds even if the minor celebrity said it was "okay". But I don't think it's a big enough deal to report it.

Why would you be grandfathered in? I see nothing about granting a BSN for time as an ASN? Doesn't make sense, you have to "earn" a BSN. I am glad to hear that you are planning on earning your BSN!

No, I definitely do not understand why a person would take two years to go to school and end up with just an MA. RN's do work in doctors offices such as for cardiologists, neurologists, oncologists. Even if they work in a GP office they may not make as much as in the hospital but definitely more than what an MA makes. I think the large bolded print comes across as shouting, but maybe that's just me