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heartICU's Latest Activity

  1. heartICU

    ? Regular work week #hrs would be for a CRNA

    Again, depends. At my facility, and combination of 40 hours works. Five eights, four tens, three thirteens, three twelves for 90% FTE, three twelves and an eight every other week. One person does a 24 and a sixteen a week and that's it.
  2. heartICU

    Serum Glucose Testing in the OR.

    Actually, we are pretty aggressive at my facility with glucose levels, at least in the cardiac ORs. Most patients end up on an insulin drip, at least for a few hours, starting with blood sugars over 150. Studies show that tighter control leads to better outcomes, or so I was told when I did my cardiac rotation.
  3. heartICU

    acute care job right out of college

    I am not sure patient acuity has much to do with new grads being hired directly into ICU or not. I think it's a matter of being a larger facility and having more resources available to train new graduates.
  4. heartICU

    What was your...

    This topic has been discussed ad nauseum. Please do a search on the bulletin board to find this information.
  5. heartICU

    Cleveland Clinic will not Hire Smokers

    I agree 100%. As I posted before, we all have choices. I have the choice to smoke, to not smoke, to quit if I do smoke, and to seek employment somewhere else if I do not like the policies/hiring restrictions regarding smoking. Smokers are not a protected class, and this is not the first, nor will it probably be the last, place to implement a policy like this. Would you still scream discrimination if a hospital charged you more for health insurance because you smoke? This policy is not discrimination because there IS something you can do about it. If you want to work at that facility, quit smoking. Make that choice. If you do not want to quit smoking, the facility makes the choice to not hire you.
  6. heartICU

    Cleveland Clinic will not Hire Smokers

    It's not a law. This is not the first company in the U.S., nor the first in Ohio, to choose not to hire smokers. As far as I know, no precedent has been set for this being an illegal practice. Everyone can choose to smoke. They can also choose to work elsewhere. Plain and simple. Something that many posters are ignoring is that current employees are not being fired. Only new applicants are not being considered if they turn up positive on a nicotine metabolite screen.
  7. heartICU

    Cleveland Clinic will not Hire Smokers

    Here's the thing, though. I don't think you should base your decisions on what "might" happen down the road. You can't judge that smoking should be allowed just because someday, someone might try to ban obese employees, and that wouldn't be right. Or someday, the company might not hire people who sleep around, or people who speed. The issue is smoking. Obesity or speeding or sexual behaviors are other issues, and could be dealt with if/ever they come up.
  8. heartICU

    Cleveland Clinic will not Hire Smokers

    Just curious - will you consent for drug testing when you apply for your first job as an RN?
  9. heartICU

    Cleveland Clinic will not Hire Smokers

    This applies to all employees, not just nurses. And, they offer smoking cessation treatment to all employees, and also offer free help to people whose urine screen turns up positive during pre-employment screening. Those potential applicants are eligible to reapply after 90 days. Also - this does not affect current employees at the Cleveland Clinic. Alcohol in moderation has not been proven to have the effects smoking does. Smoking, whether "a little" or "a lot" is detrimental to your health. Some alcohol use, especially red wine, has been proven to be beneficial. As a current CCF employee, I do not have a problem whatsoever with this policy. Yes, there are some economic motivations. Fewer days of missed work, less expensive health insurance for ALL employees, etc. Since it does not affect current employees, I do not think it is a discriminatory issue. Smokers are free to choose other facilities in which to work. The occurence of many diseases is based partly on modifiable and non-modifiable risk factors. I have a hard time understanding the backlash a company (Cleveland Clinic or any company for that matter) would receive for choosing not to employ people with modifiable risk factors. Being denied employment for being male (and therefore higher risk for heart disease) would be discrimination. Being denied employment for being a smoker (and therefore higher risk for heart disease, etc) is not discrimination. In this age of "choosing", you have many choices. You can choose to not smoke. You can choose to quit if you do smoke. [Addiction or not, people quit every day.] You can also choose to work elsewhere. I find it odd that some expect to be able to choose whatever unhealthy behaviors they want, expect their insurance company/employer to pay for costs resulting from those behaviors, yet get upset when said facility chooses to protect its interests by minimizing risk. Excuse me for sounding a bit harsh, but I think it needs to be said.
  10. http://www.cleveland.com/news/plaindealer/index.ssf?/base/business-2/118301973581420.xml&coll=2 What do you think?
  11. Does anyone have any experience with the doctoral program at VCU? I am specifically talking about the PhD in Health Related Sciences, concentrating in nurse anesthesia, NOT the DNAP. The link is here: http://www.sahp.vcu.edu/aboutphd.htm Thanks.
  12. heartICU

    Virginia Commonwealth University - PhD

    Does anyone have any experience with the doctoral program at VCU? I am specifically talking about the PhD in Health Related Sciences, concentrating in nurse anesthesia, NOT the DNAP. The link is here: http://www.sahp.vcu.edu/aboutphd.htm Thanks.
  13. It is difficult. I have not been practicing anesthesia for long, but I have done two - a two-year-old while I was a student, and a patient in their mid-thirties. Let me tell you, it is a hard thing to turn off the ventilator, turn off the monitoring equipment, and walk out. But when I thought of the overall picture, and how those organs were helping other patients, it did help. It's an odd feeling, more than anything.
  14. heartICU

    Cleveland Clinic RN wage???

    Stank hole? Nice. FYI - Everyone around the Cleveland area pays for parking, at least if you work downtown. And UH, down the street from CCF, also charges employees for parking. The wages are not that bad - they are market wages for Cleveland. Benefits are fine-very comparable with area hospitals. Yes, it IS a big hospital, and needs more nurses (what hospital doesn't?) I have worked there for seven years, and I enjoy it. I know people who came from other hospitals, and also those from CCF who went elsewhere, and they all say the same thing: the work is the same as at other places. Too many patients, that are too sick, and not enough nurses. I think the variety of practice options at CCF is a strong point, as well as the wide variety of shifts. In the past seven years that I have worked there, I have seen many positive changes, and I think they willl only get better as they attempt to innovate more to recruit and retain quality nurses. Just my opinion. PM me if you want more info.
  15. heartICU

    Gastric bypass - psycho

    These patients present very interesting dilemmas. We have a well-known bariatric surgeon (two actually) at our facility, and I was discussing the post-op and long-term outcomes with one of them. Interestingly, many of the patients develop drinking and/or drug problems later. These patients tend to have an addictive personality, and when food cannot be used as the addiciton of choice, they often change to something else - namely, drugs, alcohol, cigarettes. This is part of the reason that intensive therapy is often used in conjunction with the surgical procedure itself. MAny people think GBP is the be-all end-all for obesity, but it can bring a whole host of other problems too.
  16. heartICU

    I am pregnant and in pacu ok?

    Should be fine. We hav pregnant nurses in our PACU all the time, and we have pregnant CRNAs who are in the operating room all the time. The only thing to be careful of is fluoroscopy, x-ray, and any OR cases where they are using methylmethacrylate (bone cement). I know you may smell some of the anesthetic gases the patient is breathing out, but by the time they get to the PACU, the amount they have left in their body in small, and poses little threat.