rntj

rntj

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All Content by rntj

  1. 1. Always believe the worst about your subordinates, no matter how glowing a reputation or history of competence they may have. Never give anybody the benefit of the doubt. 2. Never praise or give an "attaboy", and always discipline for any minor in...
  2. Horizontal Violence - EMT's and Paramedics VS LPN's and RN's

    So glad this thread was started. I have been an RN for 10 years. When i worked home health, I found one of my patients unarousable, snoring, with a pulse ox of 76%. I called EMS. They treated me like dirt, acted like "why did I call them?" Even thoug...
  3. Healthcare is NOT a basic human right.

    This thread sure makes me glad I am NOT a conservative.
  4. Healthcare is NOT a basic human right.

    Well, if you deny people healthcare, you are essentially depriving them of their life at one point or another. It always amazes me how strict Constitutional constructionists who want to interpret everything "as the founding (racist, slaveowning, sexi...
  5. Healthcare is NOT a basic human right.

    Uh....yes it is. We have the right to life, liberty, and the pursuit of happiness. Exactly how do you expect people to exercise their right to life without the ability to maintain their health? Life and health kinda go together
  6. Patient requests

    My favorite was the actively withdrawing ETOH pt who asked me if I would like to get in the bed and snuggle with him. Ah, that would be NOOOOO
  7. Day shift vs Night shift

    I've worked days and nights. My unit is the busiest in the hospital and I just don't think I could handle the stress of day shift, although we have 4:1 ratio on days. If you are going to do night shift, I have a word of advice, especially if you have...
  8. The Unwritten Laws Nurse Managers Live By

    As I have said before, I am not trying to paint ALL nurse managers with this brush. This has just been my personal experience. Can't say I haven't ever had a good one, I did have one, but not at the hospital I work at now. It has been my personal exp...
  9. The Unwritten Laws Nurse Managers Live By

    I am sure there is a lot of pressure---as my mother who was a longtime upper management executive at hospitals tells me---but it does seem to me that it is only a certain type of person who wants to be in management, and that is a person who is on a ...
  10. The Unwritten Laws Nurse Managers Live By

    Gonna go part time as soon as I can and go for my DNP as soon as possible. I don't really want to leave because I love my specialty and the majority of my coworkers are like family. But I can't do this floor nursing thing for another ten years, and I...
  11. Sorry in advance for the length of this. So, I have been an RN for many years, working for the last several on a busy, demanding cardiac step down unit at a well-regarded nonprofit teaching hospital. I also have several psych diagnoses, including bip...
  12. "No, I am not going to push your Dilaudid "fast" because you "like the way it feels;" In fact, now I am going to push it way, way slower than I would have" "No I will not call the doctor at 3 a.m for a suppository because you haven't had a BM in 2 d...
  13. Welcome to the ICU

    I tried working in the ICU, hated it. Too much death and emotionality for me. My hats are off to all ICU nurses, I've seen what you deal with, and you can keep it. Hopefully all of you can handle the job better than my sister, who's worked ICU for 13...
  14. Health care a right or privilege

    Personally, I believe it depends on how you interpret the Constitution. We are guaranteed the right to life--how can we have life if we do not have health? How can we maintain health without health care? Also, I believe health care as a right falls u...
  15. Hourly Rounding

    It's crap. Nontherapeutic, disingenuous, insulting BS that does nothing to improve pt care. I refuse to follow scripts in my communication with patients. It is against my ethics as a nurse and everything I was taught. I am an educated professional, a...
  16. How do you deal with explosive customers?

    I say very calmly and with a flat expression, "I will speak with you when you have calmed down." And I walk out of the room. Decided this was the way I would handle these people after I almost got decked by a neo-Nazi w/ swastika tattoos (I am a fema...
  17. Hourly rounding logs

    Personally I think the sadists who came up with this nonsense should be drawn and quartered! I constantly check on my patient's pain, turn all my total care pt's q 2 hrs, but I refuse to use scripts or management-mandated communication as I believe i...
  18. Feeling discouraged :'(

    I feel for ya, I really do. So many nurses also have anxiety, you are not alone. I've been a nurse for 10 years and my chest still feels tight and I get really anxious before going in to work on my first day of the week. The most important thing for ...
  19. Stupid things doctors do?!

    I will not get into specifics here, as I do respect doctors and don't think they are "stupid" by any means, even if they at times do things that may be unadvisable. What I will say I have observed from working w/ residents and interns at a teaching h...
  20. Mistakes we have made

    When I was in my last week of peds preceptorship in my last semester of nursing school, I had two babies w/ bronchiolitis. Well, turns out I gave PO flagyl to the wrong baby. I realized my mistake right away, notified my preceptor and the doctor (who...
  21. I was a CNA for 7 years before I became an LPN, then an RN (have been a nurse for 10 years). I feel it very much prepared me for nursing school and dealing with patients and coworkers. I feel I am a much better nurse because of my CNA experience. IMO...
  22. Pill falls on pt gown...is it safe to give?

    Your instructor sounds like a control freak psych case to me. Hopefully you will have a better one next time, this one's totally batty
  23. RN moving to Tuson

    UAMC is a good hospital w/ probably the best rep in town (in my opinion). the only unit I know you definitely want to stay away from is the GYN surg unit 7W. they hire tons of new grads so hopefully with your experience you will be able to get hired....
  24. Let's See Some Positivity! :)

    If you have a strong "protector" instinct and you like dealing with people (as well as have the brains for A & P, microbiology, etc,) and good critical thinking skills, and ESPECIALLY if you know you want to be a nurse, I'd say go for it! I've be...
  25. Little bit of a rant about a particular pet peeve of mine here. I was taught years ago in nursing school--don't apologize to the doctor for calling him/her. So many times I hear other nurses, especially new grads, do this, and it makes me just cringe...