PHTLS

You don't know nothing about me, kid. Don't make assumptions. Belittle? please. I'm speaking that damn truth. Maybe if you have more experience, you'd understand. As for the turd comment? Well... let's just say it's good thing this is an internet forum..you get me? civilian?

Duh...of course it can be done. But you try doing everything by the book 5 days a week (excluding overtime and doubles) and see if you can keep that up. Don't work hard, use your brain. What? you believe is killing yourself slowly physically and mentally? I've been around alot of burnt out nurses WITH YOUR MENTALITY and I'm getting there.

Listen. I work acute and LTC and you know what? I've notice the habits of both types of nurses the past 14 years. That's 14 years! I know what I'm talking about it. What? you think I'm a post-dot.com nurse?

Hoo-ah! Are you motivated and dedicated? Army Reserves by-the-by. Graduated from good ol' Fort Sam ( Delta Company or Psycho Medics) back in the early 90s as a 91 Bravo. Currently a Whiskey Mike Six. Hoooooooo-ah!

Thank god my co-workers and I are one big family. We don't have crap issues like that at my hospitals and we watch each others back ( CNA'S, house keepers, kitchen, managers, visitors, licensed, docs, and so on.)

Of course! What do these "State" people think? We're super nurses. If you want to be perfect all the time, go get a home health job where you only have one patient to take care of. Better yet, work ICU.

Who cares! just do the best you can. What are you? a martyr?

Either way, 99% of nurses working LTC don't give a rats butt about assinine policies (this is the damn truth too). Here's one policy at my hospital: Never take medication from another resident to give to another resident. My take on this? whatever! if my resident is due for DIGOXIN @ 5pm and his/her meds aren't there, I'm going to "steal" from another resident supply and give it to him/her until I can replace it. Quit being self-rightious and get real! There's no freaking way a human being can pass meds (within 1 hour..what a joke), do treatment, AND PAPERWORK without cheating a little bit. All you people that go by the book would never survive in the hospitals I work at. These hospitals would eat you alive and steal your soul. You can go by the book in acute care, but not LTC. I had a registry nurse work at my LTC hospital and she pre-poured her meds. And guess what? she didn't even go home in time. Also, if I came across pre-poured meds and they're not labeled, you can bet that they'll end up in the garbage. You'e not supposed to pass meds you didn't prepare yourself. That's one policy I follow.

Uhh..yeah. I'm sure we're all going to go out and smoke every day, have a fracture, and leave our pills lying around (label that damn cups) without bothering to tell the replacement nurse what's in those pre-poured meds. Ummm.yeah

Damn right. Ever try assembling an AIDS patient's cocktail meds? Takes me like 5 minutes to get all those anti-viral meds ready along with their other meds (pain meds, psyche, vit, stool softners, appetite stimulants, etc).

Look, you're not in a acute setting( residents tend to be more stable), so it's cool. Just as long as you don't make major medicine errors, you're fine. Now, if the States around...

Well, my manager says that she attended an inservice warning nurses about cell phones screwing up IV pumps, but the telemetry thing was okay.

Well, Tylenol makes you sweat and wouldn't dehydration lower a pt's BP?

]You forgot CNA's

Oh yeah? What meds were these? I hope one of them isn't Colace ordered Q.. ERR..every day.