Barley

My nightmares include warehouse-like units (complete with improvised and dirty furniture and linens), multi-floor or multi-building patient assignments (patient 1 in building 1, patient 2 in building 2 down the street, etc), unit rearranged and no on...

While not really related to the shared "project", one thing that really irritates me is the docs who walk down the hallway, and completely ignore me when I say a friendly hello (no hello, no smile, no nod, no eye contact, nothing). I don't know of an...

Why not the executives themselves? Make them earn their big bucks. And if they think it's such a trifling job that won't take away from patient care, then it shouldn't interfere with their executing (executiving?) either.

"...Assistant Vice Chancellor John Howser, said: "All decisions... are being made in a patient-centric manner ..."" If this is what "patient-centric" means (to give nurses extra work without extra time or extra staff), I hope any hospital I ever g...

I don't mind if they call to ask during my waking hours - sometimes I'll answer and say "no I have plans/appointments/etc", other times I don't answer. I DO mind when they call in the middle of my sleeping time to see if I'll come in, especially if i...

This is what I was going to recommend.

I became a second career nurse in my late 30s after being in science research. I was able to quit my old job to work on pre-req's exclusively (I had to take five 3-ish-credit courses) - prereqs took me about 8 months (local community college (highl...

How are demented and/or delirious people strangling others comparable to patients with long toenails, possible buns in the oven, or mild fevers? Should the LTC staff just let this resident rampage until the MD shows up the next morning, or until the ...

In response to talk of burning bridges, I'd say that there wasn't really a bridge to begin with, based on the OP, and thus no reason to worry about burning said bridge. How can you get good references when you're already the least favorite, even if y...

When I corrected some nutritional deficiencies I was having, my energy increased and brain fogginess decreased. Might be worth looking into some physical as well as mental health causes.

Unfortunately I don't know the answer to your question, but in thinking about my own negative experiences with the bureaucracies of UofP, I would encourage you to get something in writing, directly from UoP about something as important as whether you...

Seems like pt care and safety would improve if the resources put into committees were instead put into an extra nurse each shift. Most of the RNs I know and work with would love to be able to be able to improve patient care and safety, but are just s...

Bacteria grow easily on plastics (e.g., there are studies of bacteria in offices, and the plastic keyboards are loaded with microbes). There are however microbe-resistant plastics, and there's a recent study about the use of these plastics for curtai...

Did anyone mention the privacy curtains yet? Not sure how often those get cleaned, and I frequently see those being handled after patient contact, before hand washing.

As an introverted nurse who's career counselor told her not to go into such a public career as nursing, I can relate to many of the comments here. One thing I tell myself when sometimes wishing I had a more outgoing personality is that not all patie...

Makes as much sense as the current situation: some health insurance bureaucrat making my health care decisions.

This diagram seems like a good draft, but I'm supsicious of anything that uses wikipedia as a reference. Also, I dislike the use of a christian symbol for hospice nurse, since we're nurses for all patients, not just christian patients.

We have 6 patients days and nights, but I think it should be 4-5 max on days and 5-6max on nights. For us, there are things day shift has to deal with that night shift does not typically deal with: discharges, patients going off/coming back on floor ...

I had a patient get in my face and yell at me about the fact that his room did not have an in-room shower (the shower for his room was down the hall about 20ft). He stated that staff in the ED assured him there'd be a shower when he was admitted, and...

"Face to face, over the phone, or SBARR... our reports will always be seen as inadequate, our care will always be seen as not enough by the floor nurses. " I disagree. On our medicine floor, we'd be elated if we could do face-to-face, over the phon...

When I signed on for my current genl med unit in NC, I was told the day shift ratio is generally 5:1 and occasionally goes to 6:1. However, I've discovered that 6:1 is the more common ratio during day shift. Our unit's night shift has max 6:1 also.