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Getting nurses to come to your inservice
Oh I forgot one more thing. Please dont tell us that if we dont do these inservices it will negativly impact our yearly evals........most staff nurses i talk to consider that a joke anyway,,,,,I read a stat recently that said the average yearly increase for RNs is 1-3%. This is not a great incentive to get us to show up. You need to tie it to the patients more,,,,delivery of care. Make it practital and relavent to now,,,,dont just fill a square. Someone code recently ,,,,well good time to review codes with staff.....it counts then!!!!
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Getting nurses to come to your inservice
Speaking as a staff nurse...we generally dont want to give anymore time then we have already given to the hospital. Staff educators see this as necessary,I know alot of girls see it as another way for the hospital to get us to volunteer more free time. They already would like us to skip lunch and then when we do get one you want to inservice us during our only free time in an 8 hour period. thanks for being considerate. If you want to get us. Make out data and distribute it and let us read it. Have check off sheets to sign at our own pace. Be around on the floor when we need you. EX: you know pt new chest tube....use him as learning tool,,,,,do rounds on him with the nurses on the floor... we can assimulate the information on a REAL LIVE patient. Keep your ears perked up for pts like that or anything that throws some girls for a loop.
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Minimum PACU staffing, Maximum hospital hours
what is unbearable hours and load?
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Difficult patients and families
Im glad you brought this subject up. This area drives me nuts. We are not there to fetch coffee but to provide nursing CARE. We are supposed to be able to back up from the patient and see the big picture, answer the question of "is this pts progress proceeding along a normal path or is there something impeding the healing process. And if the latter is the case, then what is it? Is thept getting infected?, labs off?, pain? etc" It drives me nuts that while Im in with someone who is cirling the drain another pt will call,who is 2 hours from discharge and very well demands to be seen so I can fluff their pillow. GET REAL!
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Hospitals with IV, or Vascular Access Teams
Our hospital is 250 beds. We have an IV team on 24/7. The floor nurses do flushes but all restarts are done by IV team. It is great. The IV nurses are excellent, one stick and they are in. No more of the pt getting stuck 3 or 4 times. The team is also responsible for all dressing changes on C-lines etc.
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Is no news good news?
I feel the doc should notify either way, good or bad that way I know he as at least looked at the results. Recently my husband went and had his ankle x-rayed and the MD never called back to give him a result and assumed it was okay. Two weeks later my husband went back to MD for a different reason and asked about his x-ray. Well guess what the doc had not even looked at it yet!!!! Luckily it was okay, but what if it wasnt? Very dangerous practice!!!!
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Do you feel that Nurses are underpaid and overworked?
Well I definately think nurses are underpaid. It does not warm my heart that after 20 years of service I can look forward to 65,000 a year. (posted by BC512RN) Personally I think that stinks. No offense to BC512Rn intended. I just think we are worth more. Its not just hospital either, an RN in Occ health with 20 years of experince makes 60,000.