stablesystole

Testosterone is one helluva drug. Aggression and self-advocacy go much farther than people realize.

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.

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

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.

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.

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.

Take away my 12 hour shifts and I'll be taking away my labor. The quality of life effect of having four days a week not to be at work is immense.

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.

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

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.

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.

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.

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.

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.

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.

I have about a year and a half in a CTICU (3 years total experience as an RN). It's a high stress job and it takes a special combo of smart and adrenaline junkie to work there. That said I am glad that I made the change. You'll see some of the sickest patients that exist anywhere and you'll experience the rush of defying the grim reaper himself. Some highlights include packing open sternum wounds (try not to let the ribs bite you!), reopening chests emergently in the room, and ECMO. One major benefit to this type of unit (at least in a well-run facility) is that you won't have to deal with all of the BS MICU overflow. One major tip if you do go this route. Depending on your prior experience and types of MDs you worked with, CT surgeons may have very different communication expectations. I "grew up" with cardiologists and learned to call with a solution to my problem already in mind and having to pull teeth to get orders that I needed. CT surgeons on the other hand want you to speak to them in numbers. They rarely need your opinion and will come to their own conclusions. Just give them numbers and they'll give you orders.

My first code wasn't one of my own patients. It was a patient who was known to have rhythm problems and we were watching closely in IMC. They went into torsades out of nowhere and we leapt into action. I actually earned lots of street cred that day for diving right into the fray with my two whole months of experience and not being afraid to go to work. The oddest part of the whole thing was that the patient seemed to go in and out of pulselessness throughout the code. I don't know if that was a feature of torsades and I was just unaware, but he actually went in and out of consciousness and left us really uncertain about whether or not to do compressions. First code on one of my own patients was a lightning quick affair. The patient was transferred out of CCU earlier that day after having had a bad MI (intubated by paramedics while en route) and spending a couple days on IABP. Seemed for all the world to have dodged a bullet. The tele tech informed me that they had gone into bigeminy. I go into the room and check the patient over. The only thing remotely abnormal was that the pulse rate that the BP cuff read was half their rate on tele (the PVCs apparently weren't perfusing). The patient felt fine and was giving me the "why are you bothering me at this hour?" look. I left the room to go recheck with tele and call for a 12 lead. Right as I was looking at the monitor I saw an R-on-T hit and trigger polymorphic VT that degenerated into straight vfib within seconds. I hollered out to call the code and grabbed the crash cart right next to me and ran it to the room. Despite the quick response we never got that patient back. The funny thing is, even though I was on my game and did everything right it didn't change the outcome. Still took me a couple weeks to convince myself that I wasn't at fault. Probably didn't help that just the previous night I had had my first patient death (a 90 y/o s/p AMI DNR). Oh well. I hate to admit it, but these days I almost look forward to codes so long as they aren't on my patients.

Okay, so here is where I am. I'm one semester through a nurse educator MSN and I'm beginning to wonder about what sort of future I've actually signed up for. As I delve deeper into the program I am starting to notice a distinct lack of emphasis on anything resembling actual instruction of students. They're spending an unholy amount of time and effort gearing me up to work with nursing theory and generate theories of my own. They're also spending a lot of time preparing me to conduct research and get published. Theory and research, theory and research. Oh, and get published on your own time so you can give glory to your institution. There's decidedly little about actually working with students and fostering the next generation of nurses. So I'm starting to question if this is the right path. What the hell will I actually be doing all day if I follow this path? I don't really give a damn about theory and feel that it is mostly the excrement of people who can't hack it at actual nursing work. I understand the value of research, but I don't personally care to engage in it nor spend any time at all writing painstaking lit reviews for the pleasure of APA nazis. Will I be expected as an educator to spend a lot of my time devoted to these things which I don't want to spend my life doing? Will not engaging in research and not trying to get published be a detriment to my career and making decent money? My nurse educator education so far seems to be doing jack all to prepare me to educate anyone. Is that because education won't really be the main focus of my career if I follow this path?

I'd phrase it as less safe than it could be, as opposed to calling it unsafe. Having worked as a tele tech before I graduated I can say for definite that having a dedicated analyst on the monitors does enhance safety due to the ability to spot subtle changes minutes or even hours before an event would occur. That said, labor costs are the number one driver of healthcare costs so it is not surprising that such a job is a natural target for slashing.The elimination of night shift techs is more worrisome to me. I know that it's a tempting target for budget purposes but they are such an asset for the nighttime management of patients, especially the confused and fall prone and so forth.

The article is either unfocused or missing the point with respect to nurses. The article is essentially telling all the screwups who wasted tens of thousands getting their degrees in worthless majors like art where they might actually get hired. It may also technically be true that healthcare hires tons of Bachelors new grads, but healthcare actually hires relevant degrees and has standards. The two points are unconnected and the author is apparently ignorant of that fact.

So long as you're being paid fairly it shouldn't be a big deal. The monthly outlay may simply be a necessity of accounting or some matter of law.

I can't imagine working nights as 8 hour shifts on a general floor (ICU and other frequent assessment environments are obviously different). You'd get to work and hit the floor sometime after 2300 and have a patient load to assess. None of your patients are getting any sleep at this rate. Underslept patients who then become prone to delirium, sleepy during the day and less cooperative with rehab, so on and so on.

Is there a point at which a BS becomes incompatible with life?

Is it just me or can we make a sincere allegation that TJC qualifies as a racketeering operation?

Welcome to the utter genius of decentralized modern nursing unit design. It's another one of those things thought up by the idiots who either never worked the floor at all or have forgotten what it's like.