ProgressiveActivist BSN, RN

ICU

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All Content by ProgressiveActivist

  1. ProgressiveActivist

    Excessive smoke breaks

    I would really like some advice on how to handle this situation. I am working 12 hours nights in a busy ICU. We have a 61 year old CNA - the only CNA and no secretary- who takes a smoke break twice an hour. She is often gone as long as 40 minutes....
  2. ProgressiveActivist

    Ethic Dilemma - Doctors that should retire

    I talked with CNO. I don't know what happened behind the scenes but a replacement was hired and the cognitively impaired doctor eased into retirement. It takes a couple of months for these delicate situations to be resolved. I'm sure they will app...
  3. ProgressiveActivist

    Ethic Dilemma - Doctors that should retire

    The anesthesiologist is responsible for MAC. Do write an adverse event report about anesthesia awareness listing any contributing factors. Risk management will light a fire under your management. I was in that position last year. Tread lightly beca...
  4. ProgressiveActivist

    What would a single payer system look like?

  5. ProgressiveActivist

    workplace harassment..help?

    This is a very bad situation. Get out before you are terminated.
  6. ProgressiveActivist

    What would a single payer system look like?

    In Fact, Argue Experts, Sanders''' Medicare-for-All Numbers "Do Add Up" In the NHS, providers are incentivized through bonuses to keep their patients healthy. There is a big focus on or education and wellness. People do have the right to make bad...
  7. ProgressiveActivist

    What would a single payer system look like?

    Medicare for all is not a radical idea in nearly every other industrialized country in the world.
  8. ProgressiveActivist

    What would a single payer system look like?

    I
  9. ProgressiveActivist

    What to do about coworker not pulling her weight

    Be very clear that this is not an interpersonal issue, it's a clinical issue. Ask your manager to meet with both of you privately. State your case in a calm factual manner. When someone dies in the waiting room, she will blame you. They will say ...
  10. ProgressiveActivist

    Why are so many nurses against unions?

    In 1980 the middle class was strong because one in three workers belonged to a union. Today it's one in ten.
  11. ProgressiveActivist

    Given bad report all the time.

    Ignore the critics who have no clue what it would be like to have 24 medically fragile patients.
  12. ProgressiveActivist

    Given bad report all the time.

    If a coworker programs the kangaroo pump for 70 q 20hrs instead of 70/hr management needs to provide corrective action. A new employee on probation should let management know and let it go and keep it in the vault. No conversations about omigod ha...
  13. ProgressiveActivist

    When a pt "gets" to you

    "If she were my Mother I would understand that her nurse has five other patients who are just as sick and that she is doing the best that she can." Sometimes you have to keep it real. If you spend an excessive amount of time with a patient they will...
  14. ProgressiveActivist

    Bernie Sanders gets NNU nod

    The Nevada Dem. Caucus is and the SC Rep. primary is predicted to be very close. It appears that today marks the beginning of the end of establishment politics in the U.S. in favor of the populist candidates. Stay tuned.
  15. ProgressiveActivist

    New Grad RN.... work options that do not involve a hospital

    Home health and or hospice, with a goal of a case management or middle management within that agency is a viable career path for a new grad. Especially one with anxiety and panic attacks.
  16. ProgressiveActivist

    When the Hospital Fires the Bullet

    Every violent and unarmed ED pt that I have ever seen will get themselves together immediately when faced with a growling barking K-9 dog. This is in my opinion the safest way to deal with an unarmed person who poses a serious threat. These peopl...
  17. ProgressiveActivist

    Hospital hoarders and pack rats

    Some seniors might be living on 11-12,000 a year of social security so counting every penny and being frugal is a way of life. I know it's not hoarding, but if they stash some toilet paper or condiments it's okay with me.
  18. ProgressiveActivist

    Ethical Question

    I think you could change the title to question for allergy/ immunology nurses in order to receive defined responses.
  19. ProgressiveActivist

    Ethical Question

    What is an ID?
  20. ProgressiveActivist

    Ethical Question

    Its not unusual for an MD to order a lot of tests on new patients for baseline information. What's her specialty?
  21. ProgressiveActivist

    peg tube without flush order

    Yes. 30cc of water flush every six hours to maintain patency is standard in the hospital setting.
  22. ProgressiveActivist

    One Liner to Diffuse Escalating Situation With Patient

    Verbal De-Escalation Techniques - National Association of Social Workers Lev - some good tips on how to defuse or de-escalate an agitated person as you requested in the title of your post.
  23. ProgressiveActivist

    Hospital hoarders and pack rats

    mealtime is a big deal with older people. Some save collect and organize their condiments and snacks like it's a hobby or like a little kid. If extra jelly, cereal or teabags for souvenirs makes them happy fine by me. But we don't keep them long eno...
  24. ProgressiveActivist

    University of Phoenix CEO quits

    The Perfect Lobby: How One Industry Captured Washington, DC | The Nation A detailed account of which elected officials accepted contributions from Apollo Education Group or enabled them and which ones opposed Obama's reforms. Vote the bums out.
  25. ProgressiveActivist

    Will I need a nursing manual when I'm an RN?

    Save your money. Everything, including your policies and procedures, pharmacy resouces and Mosbys Nursing are on the hospital intranet and have been for years. Most units have a shelf for the Nursing 2016 drug guide or an eqivalent and Tabers and Li...