JUDERN-BSN

Congrats on ur upcoming graduation... But u need to keep doing ur questions at least 25-50 with rationales daily until nclex... As fOr transitioning it went pretty smoothely for me but I know other class mates that took a while to adjust... U just need to find the area u r most comfortable with... I now work on the 2nd floor at lmc and I am proud to say I enjoy it and I'm already a charge nurse of the 31 bed telemetry unit... Don't hesitant and do all u can do during ur preceptorship and ull do great...

This my new screen name... I graduated in 09 right on time... I rocked it... The faculty is amazing... But u need hard work and dedication... Hit me up if u have other questions

Thanks everyone my mind is racing and I can't wait to show my fellow floor nurses this forum tonight.... Keep it coming we need all the advice and opinions we can get I will definitely keep u all posted about tonights meeting.... Again thanks and who else is going to advocate for us nurses but ourselves

Of course its all about the numbers and making himself look good administration... just the other day we had a patient with hepatic encephalopathy on top of an underlying dementia, he was boxing with the staff we were trying everything to redirect and reorient him I was as charge helping my fellow nurse with this patient, we called the doctors got orders for restraints and meds, I call my manager to let him know of the situation, he was very frustrated that we had someone on restraints, he had told us from the beginning "NO ONE ON RESTRAINTS, ON ONE ON one to one", I told him we had no choice this guy was out of control... and he was a hazard to himself and others. His solution well tell the nurse to go sit in the room with his notes and watch him... I was shocked I said what about his other six patients he cant sit there. OK so that day was a horrible day to begin with, and during all that that same nurse had someone that we rapid responsed who we intubated and stablized who went PEA while waiting for an ICU bed to open, we coded him and well he didnt make it. But my crew, we awesome we helped each other through and through, can you imagine what it would have been like if we werent so together!!!! Well I made sure that all the right protocol was legit and kept the other patient on restraints anyway. I come back a few days later the combative pt is still there with no restraints no meds to calm him NOTHING, still combative, still wandering, I could just feel that this guy is going to fall and its going to be the best day ever. Well he did fall after grabbing his tray and throwing it at us in hallway he fell while throwing punches at us. The best incident report EVER!!!! well what can I tell you, we are going to get together tonight and discuss our situation we are hoping that if we all stick together we just might be heard even its at least stays 7:1.... any other thoughts.... or anyone know how to contact anyone who can help us, we live a city where people are scared to fight back because its all about who you know here and if you whistleblow you are going to get retaliation and we cant afford to get fired.... thats the mentality here and with my group of nurses, we r young want to chnge that...

Thank you for your support, yes I think it is a dangerous situation too, we are gonna try to talk to admin. and bring them ideas, but we also well aware that those who are willing to stand for themselves usually get shafted... we hope this doesnt happen but what else can we do, we are trying to be pt advocates and we are advocating for their safety at the moment by decreasing ratio... we just dont know how to go about it yet

sorry i had already posted this on another thread but I wasnt getting any hit and iam impatient at the moment about this situation

I work on a 31 bed telemetry unit. we are currently at a ration of 7:1 with a charge nurse who take 3 pts. We have drips on our floor/post cabg/dialysis, and whenever there is no room in ICU we take them when the Dr. downgrades them also if a pt on any other floor except for icu who is started on drip is sent to us, of course unless the drip involves titration or if the pt is intubated. Normal Day to Day Scenario, I might have all 7 on tele 1 to 2 might be post cabg, and i most likely have a couple on drips. I have 7 assessments, 7 different charts to check, etc etc, Problem: they want to change the ratio to 8:1 with a free charge... I like the free charge thing BUT.... if we are running around looking like a blur to our patients now i can only imagine who this is going to work... and for get it if a pt goes bad. We have all expressed our concerns to our manager and he said "you can tell me whatever you want Im not going to change my mind you are wasting your time"... we feel dismissed and are very scared of the consequences if anything were go down with a pt. We have not had anyone from administration come and talk to us or make us aware of these changes let alone get our feedback... My fellow nurses are meeting tomorrow at someones house to see what our next move should be, I feel we need to stick together and stand up for ourselves and protect our pts, and our licenses. Please can some of you all tell me you thoughts I would love to know what others think

I work on a 31 bed telemetry unit. we are currently at a ration of 7:1 with a charge nurse who take 3 pts. We have drips on our floor/post cabg/dialysis, and whenever there is no room in ICU we take them when the Dr. downgrades them also if a pt on any other floor except for icu who is started on drip is sent to us, of course unless the drip involves titration or if the pt is intubated. Normal Day to Day Scenario, I might have all 7 on tele 1 to 2 might be post cabg, and i most likely have a couple on drips. I have 7 assessments, 7 different charts to check, etc etc, Problem: they want to change the ratio to 8:1 with a free charge... I like the free charge thing BUT.... if we are running around looking like a blur to our patients now i can only imagine who this is going to work... and for get it if a pt goes bad. We have all expressed our concerns to our manager and he said "you can tell me whatever you want Im not going to change my mind you are wasting your time"... we feel dismissed and are very scared of the consequences if anything were go down with a pt. We have not had anyone from administration come and talk to us or make us aware of these changes let alone get our feedback... My fellow nurses are meeting tomorrow at someones house to see what our next move should be, I feel we need to stick together and stand up for ourselves and protect our pts, and our licenses. Please can some of you all tell me you thoughts I would love to know what others think