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erniefu BSN, RN

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erniefu has 6 years experience as a BSN, RN.

erniefu's Latest Activity

  1. erniefu

    Lazy patient

    A lazy patient needs to be reminded that if they can't wipe their own *** then they can do it in a nursing home or a group home. If you can't show you can wipe your own *** inpatient or rehab, then why should the doctor feel safe about discharging them home?
  2. erniefu

    Just Say “NO” to Nurse Staffing Laws

    Healthcare administration has no risk if a nurse is overworked with 10:1 ratios and a severe adverse event happens. In that situation the hospital is fined, the nurse is fired and suspended by the board of nursing. The nurse bears the brunt of the punishment for a systemic problem implemented by healthcare administration. Healthcare administration only answers to shareholders and no one else. Only when government law is enacted to provide for safe staffing for healthcare workers and real risk of termination for healthcare administration occurs government fines will just be the cost of doing business.
  3. erniefu

    PTO not in the budget for remainder of year

    Companies usually budget for PTO so it wouldn't be a liability for vacation owing. That your manager denies your earned PTO means there are cash flow issues. This is just the beginning of more cuts and you should be prepared for the worst.
  4. I think the most important emergency care you need is to not delay calling 911. Too many times families drive a stroke patient to ER when it was in the best interest to call 911 so an ambulance can take them to a stroke centre.
  5. Very informative. In Canada in my academic hospital we have a dedicated stroke unit with a stepdown nurse from the hyperacute stroke unit that gives tPa (if indicated) and accompanies the patient to thrombectomy, freeing up the ER nurse for the next patient. It has helped free up nurses in ER, allows timely intervention if a hemorrhage occurs after tPa and provides better continuity of care while inpatient. Best of all inpatient strokes can also be handled by the same inpatient stroke team.
  6. erniefu

    Should Hospitals Set Workloads for Nurses?

    Hospital administrators always say that acuity based staffing ensures adequate nursing staff. But the reality is that they game the acuity assessment system such that they can hire less nurses. I have never heard of hospital administration reassess acuity once they get the numbers they want, despite increasing patient complexity, increase in documentation needs, or change in patient acuity. Acuity based staffing is a sad joke until legislation forces hospital administration to hire more nurses based on current patient acuity.
  7. Certainly there are positions that don't involve bedside nursing care (Infection control, public health), but every nurse has to learn to do the nursing process: Assessment, analysis, planning, implementing, evaluating care. It doesn't matter if it is treating a pressure ulcer or reducing the incidence of chlamydia among teens.
  8. If you have religious objections, then Labour and Delivery may not be for you. There are plenty of areas like Med-Surg, Palliative, Rehab that you can work, and I'm sure Duke would not object to transfer you there.
  9. "it is her right to abuse you." It is also your right to e-mail the CEO, CMO, CNO that your supervisor said those words to you and that you expect a formal apology, and to go to the news outlets if such apology is not coming. If your supervisor said those words then he/she can not be supervisor anymore because he/she has lost all respect for the nurses.
  10. erniefu

    Non opioid pain options

    Given that a lot of medical surgical patients are NPO before surgery in ER, I think that it makes sense that dilaudid is ordered as subq prn. Unless there is an abundance of IV Tylenol that can be given. Of course if it is post op care then you can advocate for non-opioid pain management if appropriate.
  11. erniefu

    What was the age of your oldest surgical admit?

    98 year old lady that got endovascular coiling for a brain aneurysm
  12. I think that people have a problem with recognizing how do we quantify qualify of life such that we would make ourselves a DNR. For me, if my palliative performance scale was 40% or lower, I would make myself a DNR. I like this scale because it does not depend on the age, just how one can go about life. Of course no scale is perfect and is subject to human interpretation. The Palliative performance scale, from Victoria, BC, Canada. https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13380
  13. erniefu

    Be honest: do you feel valued by your employer?

    During this Christmas, the CEO offered to give staff a free Christmas dinner to those that worked. Of course, none of the nurses on the floors got one as the dinners ran out before the nurses could get off the floors for break.
  14. erniefu

    No one will give me a chance

    I think that you should go to the career services of the college you went to and ask to do some mock interviews. It seems that the greatest hindrance to getting that first nursing job is the interview, and you had not sought career services for help as an alumni. I myself had to practice and had to refine my answers through several interviews before landing a job.
  15. Magnoliya, I think you should give more specific information about the regulatory changes in SK such that we know what is being expanded so we all can give comment. For those that don't know, here is a pdf of the changes in the bylaws in SK for LPN: http://www.salpn.com/images/SALPN/Ministry_of_Health/Proposed_Amendments_to_SALPN_Regulatory_Bylaws_side-by-side.pdf In summary, a new class of LPNs with specialization (e.g. dialysis LPN) will be created and that expanded safeguard acts (i.e. controlled/restricted acts) are given with the condition that someone that can initiate the act has to be there to deal with complications.
  16. erniefu

    my clinical instructor is disappointing me.

    You definitely have to report these behaviors to the school. It is one thing for that teacher to fumble with the machinery but to leave students unsupervised to attend a Dr. appointment shows a lack of responsibility on her part. What would happen if you had to do start an IV medication and the RN was busy with a code blue? Delaying meds counts as a medication error. You are only protecting yourself as well as your patients from this irresponsible clinical teacher. But I would get the support from your group before going to the school, as this matter is very serious.

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