- The Wage Gap Myth
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Can I Refuse to Work If My Facility Does Not Have Proper Personal Protective Equipment?
I took no oath whatsoever to anything or anyone. My first obligation is to myself. You will never pin me on any fictional obligation to martyrdom. If you're so desperate to make a martyr of yourself go into COVID rooms without any PPE. But leave me, my job and my life out of your unrepresentative, unsubstantiated garbage.
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"My Nurse"
I'd be thrilled if any of our surgeons felt connected enough to refer to us in a possessive sense. It might imply some sort of bond or familiarity that we don't have
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ICU or IMU telemetry?
I work with several nurses who came to my facility from various HCA facilities. Not one of my former cowerkers who have left have gone to an HCA facility. As best as I can tell, that company is emblematic of everything that is soulless, evil and wrong in healthcare today.
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SHHHHH, dont tell anyone I'm a RN
What about his unprofessionalism? How is it okay to just deny someone income that they need to live for no cause? Your employer is not your God and should not be treated with unearned devotion. Clearly they have no regard for the OP. I suggest that a reciprocal degree of consideration is merited and not one iota more.
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Just Say “YES” to Nurse Staffing Laws
The ANA comment "Professional nurses’ and other staff members’ skill levels and expertise" comment sounds suspiciously like dumping more patients on more skilled nurses. Your hard work will once again be rewarded with even more hard work.
- Effect of 12 Hour Shifts on Patient Care and the Nurse: A Need for Change.
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Millennial Nurses Have Issues
Millennial nurses are lazy? Yes. Yes we are. And I proudly include myself in this category. Hospitals are run by lazy, unethical sleazebags who cut us to the bone and always expect us to do more with less, and then pat themselves on the back every time they squeeze another penny out of the budget at the expense of our health and happiness. We nurses, and nobody else, are constantly expected to be endlessly self sacrificing and altruistic in a way that nobody else in our organizations are. *** that noise. I will show the same level of dedication and work ethic as the management (and don't give them the undue credit of calling them leadership). Millennial nurses job shop and the like? Hell yeah we do. Career advancement is a thing of the past if you're a good nurse (can't have someone in a leadership position who might do the right thing and spend extra dollars). Raises that keep up with inflation plus CPI are long gone. Vacation time is a pathetic joke if you are clinical staff. Your reward for hard work is even more hard work. Yesterday's above and beyond becomes tomorrow's 2/5 unsatisfactory evaluation. What's worse is that all of this is being perpetrated by a generation of management who had it so much better and have consciously altered the way of things into a system they know they'd never want to work in themselves. Millennial nurses have a lot of problems. They're called boomer managers, and we won't miss them when they're retired or dead.
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Transvascular Aortic Valve Implantation
The newer medtronic corevalves seem to me to be more prone to causing asystole. Probably because they extend into the ventricle more and can depress onto the purkinje system more. To the OP, watch for a newly emerging left bundle branch block, that is a strong indicator that the valve is impinging upon the conduction system and is at higher risk for asystole. Bundle change should always prompt you to get a 12-lead
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Ebola - do you have the right to walk away?
You're damn right I have the right to refuse. I am under no obligation to die for my profession. I may suffer career consequences, but I accept that as fair.
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Nursing and the Ebola Virus
If ebola spreads into the region I am going on hiatus. The ugly truth is that ebola kills healthcare workers. I don't see myself as being under obligation to die for my profession.
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"Houston we have a problem" This just got very real
AP Enterprise: Records chronicle how Ebola kills Reading this and seeing some of the commentary on his Sx, it looks pretty ugly. As someone who has been hit by projectile vomiting (thankfully not by projectile diarrhea though) I can say that those crappy yellow or blue gowns aren't going to do jack against something like that. I doubt that anything less than one of those pressurized spacesuit getups will adequately protect against spraying vomit and feces.
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"Houston we have a problem" This just got very real
I bet you hard cash that human ebola is droplet spread instead of pure contact like they claim. However, here's the kicker. There is a non-human strain, ebola reston that is VERY airborne and has a higher lethality. So a close cousin to the current strain of concern is known to be airborne and now the human zaire strain is undergoing more viral replication and mutation in the past months than in the entire prior span of it's existence. Life finds a way.
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First Person To Person Spread Of Ebola In US
Of course they're saying the worker was careless. They're still telling us that everything is under control and that it's purely contact spread. To say anything other than worker carelessness would undermine what they've said before.
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Student Uniforms
All white shoes are damn near impossible to find for men, that is the ugly truth. The other real problem is that they are never good shoes. You basically condemn your students to spending their days with hurting feet and maybe backs too. No facility I've ever heard of still requires pure white shoes (hell, they show stains and wear worse) so why should you? When I was doing my BSN I slowly started to "forget" my pure white shoes and wore a comfortable pair of stability runners (for flat feet), expecting every day that I'd get called out on it. Never did and never lost a point in clinical evaluation for it. I don't think anyone who is still capable of providing relevant clinical instruction actually cares about shoe color anymore. I can't imagine why it even matters.