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sukiathome

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  1. Somethings smells fishy with the nurse. This wasn't a one time occasion? Guys admit it, you know nursing has it's share of nurses that have "issues."
  2. Listen to your gut. When in the ER if you don't feel almost delight at the thought of : I can't wait to see what walks in the ER doors. Or you don't absolutely LOVE the prioritization of various acuities of patient cares................listen to your gut. Don't beat yourself up.
  3. I've told a doctor that was throwing a big hissy fit in front of the patient and his wife The patient was terrified (bleeding profusely from a recent nasal surgery) his wife was sobbing hysterically in the chair. I stated to the Temper Tantrum ENT Surgeon: Please step out here with me for a moment I need to show you something. In the hall I informed him to get his act together, lower his voice and STOP throwing items around the room! He can scream after the situation is under control. The patient is scared and the wife is watching everything. He looked at me with wide eyes and said "I didn't realize I was doing that" I also informed him he could scream and yell at me even but only once the patient is out of the room. NOT IN FRONT OF THE PATIENT OR ANYONE ELSE! He got his act together and went into the room like a big boy. I never had a problem with the surgeon again. My Supervisor and Manager witnessed this from a bit of a distance. They were used to his antics. Mind you, I also was still on my 2nd week of orientation in a busy ER. The Manager came to me and said: "you are off orientation" "you know how to handle surgeons."
  4. Nursing today requires you also be a good MANAGER. The nurse must constantly manage the care of the patient and her multitude of a million tasks to accomplish. So, do not think for one minute you will not be managing. You spend your day managing people and things to get done.
  5. you got it! They are still getting through. I am adjunct faculty for a nursing program and I could tell you stories! Students that have absolutely no business NOR any desire to be taking care of people. They still think they will meet and marry a rich doctor. Forgetting most of the smart doctors today are going to marry another doctor!
  6. I think it is a conjured up financial mess putting out the myth that there is a nursing shortage. I've met so many "nurses" that absolutely HATE what they are doing. Give them less than one full year..................I have yet to meet a new nurse that is not claiming she is trying to find her way OUT of this career called nursing. Nursing is NOT what the J&J commercials portray it as. I hate when people start spouting off their mouths about the high respect nurses get. That is just not true. Nurses get the blame when things go wrong. Nurses get sued. Nurses get written up for the stupidest things. Nurses that truly care about the patients often get dumped on by administration. Why? Because management and administration knows the nurse will do right for the patient. That often means not getting their lunch. Not going to the bathroom. Taking the verbal abuse by doctors. Charting while they are off the clock just so they don't get in trouble by getting overtime. Most of you nurses know what I am talking about.
  7. Nursing Shortage??? Say what? There is absolutely no shortage. I know graduated nurses from 2009 still unable to get one job. No interviews, nothing. They are doing flu shots here and there for low pay.
  8. What makes you think doctor's offices will be hiring more RNs to teach the patients? They have removed RNs and even the LPNs from their offices! Why? Because they can work the MA (with significantly less education) for much less. Plus they can get the MA to do things that RNs know better. Have you ever had some education from an MA? I have. What a mess. All the doctors I have used in my area the MAs have no clue. Sorry but that's just the facts.
  9. Our OR nurses have lost all of their assessment, IV and patient management skills. The ones I work work have no desire to obtain a patient history. They don't even want to touch the patient. They are used to the anesthesiologist managing the patient. Read a monitor? Are you kidding? They put the leads any old way on the patient. They have no concept of what other areas in the hospital do. then again, I have no desire to work in the OR. I enjoy patient care, patient management. I'm ok with it. Let them do what they like to do. I've seen some OR nurses not question a 84 year old going right to the OR without blood work or an EKG on them. They don't get it.
  10. OMG! Our circulators cannot "touch" the patient. When the mgr wanted me to "orient" an OR nurse how to "assess" and pre op a patient; she almost lost it when I informed her: Ok now assess the patient. She said "you mean you expect me to actually touch them?" "why?" I kid you not! But I understand that the OR is a totally different ballgame. They do NOT manage the patient. Anesthesia does. They do not make the decisions. Anesthesia or the Surgeon does. You really can't expect them to do what a PACU nurse does. They work OR for a reason. I enjoy patient care. I enjoy being in charge of my patient. I have yet to meet one OR nurse that does. They want to circulate. Let them do what they do best.
  11. that is the difference then. Most PACUs do not work with the above. ICU will help no matter where you work. It gives you a better understanding of the complexities and how to make rapid decisions. (on your own) I've worked with a few nurses that never worked ICU and everyone of them want to automatically call "a CODE" or "a rapid response" In the ICU you learn how to handle problems before they become CODES or you are the rapid responder. Our manager now realizes this and will NOT even interview anyone if they do not have ICU background.
  12. sukiathome replied to janpacs's topic in PACU
    I would NOT feel comfortable giving any child Versed in PreOp then not watching them. Even our adult patients are given Versed by the Anesthesiologist JUST prior to going back with them to the OR. I think you might want to speak up for the safety of the patients.
  13. We unfortunately have nothing. They put anyone in the PACU to work. Very scary.
  14. About 40 minutes. We have to move them out and get them out because the next "bunch" of patients is on their way out whether we have the room or staff there!
  15. You were manipulated. Hiding of the policy book? Manipulation and now she can say whatever she wants. Start looking for a new job today,.

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