LRichardson

LRichardson

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All Content by LRichardson

  1. RETENTION

    I need some input.. our Unit has experience a ton of turnover in the last year.. as all the hospitals in our area have.. well.. our director is now asking for input on RETENTION.. I have my ideas.. but would love to hear if any of your hospitals have...
  2. Inexperienced RNs... too much.. too soon

    I recently attended a seminar where the following lawsuit was discussed in regards to hospitals using unsafe staffing.. In California, a hospital was sued because a mother's unborn child was deprived of much needed oxygen for 10-15 minutes before it...
  3. Charge Nurses

    I'm doing a very unofficial, unscientific survey to find out if charge nurses in ICUs take patients routinely. Our ICU is a general ICU and our charge nurses have historically NOT taken patients routinely. When you reply please include your state. ...
  4. MICU Wages

    Another curiousity question... do nurses in your MICUs get paid a higher salary than nurses with the same number of years of experience on the floors? for instance, two nurses.. both have 4 years of experience.. one works in MICU for 3 of the 4 years...
  5. Losing momentum?

    OOOOOOOOOOOklahoma here
  6. Wondering about ICU hiring new grads?

    Hojo... i don't know of any programs in your area .. sorry.. as for your question the responses will be varied.. first.. yes ICUs are hiring new graduates these days cuz of the shortage.. and it is possible IF the hospital has a GREAT mentoring p...
  7. Wondering about ICU hiring new grads?

    One of the best internships in the country is at Parkland Memorial Hospital in Dallas Texas... it's tough but worth it.. i've known several nurses who have gone through it and each is now an advanced practice nurse with VERY successful practices.. y...
  8. Ok.. here's a rough draft of my letter to the editor.. i've changed it a kagillion times.. first it was too emotional.. then it made me too vulnerable to my institution and i got scared.. then it was too long.. so i narrowed the topic to just staffin...
  9. Hospitals in Trouble

    Welp... my part in this is to fight it on many fronts.. cuz this is a battle.. mmmm i'm thinking of Mel Gibson's war cry in Braveheart... gut wrenching.. torn from my throat.. AAAAAHhhhhhh first.. i've contacted my state ANA and am in contact with ou...
  10. Securing ET tubes

    We tape our ETT and use a bite block... we tried the holders and had a horrible time doing complete mouth care.. oral secretions were almost impossible to get out.. as well as the slippage that someone mentioned earlier.. We rotate our ETT AT LEA...
  11. staffing info needed-urgent!

    Joellen... Our Hearts are 1:1 only during the recovery time which varies from 3-5 hours (baring any complications).. then that nurse will pick up a second lower acuity (yeah right) patient.. Our hospital doesn't do LVAD, we ship them to our s...
  12. getting along with co-workers..

    Linda... I have been in very similar situations... as I'm sure most of us have.. what's worked for me is to ask the person to lunch (no big deal.. just in the cafeteria.. in a quiet corner) and be up front with them WITHOUT placing blame... mmmm some...
  13. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    I'm in Oklahoma City... there is no written policy stating that IABP patients are 1:1... in most cases they are 1:1 but it's not because they are on the balloon pump as much as it is because they are extremely unstable.. however, there are times whe...
  14. Diprivan

    What is the Ramsey scale?? and where could i find a copy/example of it?
  15. No certifications for A.D. grads

    Chris... this rumor went around our unit last year... the cause of the misunderstanding is that SOME not all "specialty" certifications changed their policy.. i can't remember the name of the organization they're all under but the "Medical/Surgical ...
  16. student needs help

    Hawk... i don't know you.. or all of the circumstances surrounding your situation now.. so having said that.. why not take a little break from school and figure out why you allowed the pressures of nursing school (which ARE intense) to overwhelm you...
  17. Why the Prejudice against LPNs

    mmmmm sounds like you've had some bad experiences.... the LPNs that I've worked with have been incredible.. and as far as I know, we haven't had issues of us "not getting along"... however, i do know that LPNs are being phased out to hire cheaper hel...
  18. Why go nursing?

    Carol... gosh.. good question.. here's my scoop.. after graduating with a degree in management i worked my way up in the business world from a customer service rep. to supervisor.. manager.. worked in several different industries.. made great money.....
  19. Charge Nurses

    Tara... OUCH... sometimes i just have to hang my head and wonder how and why we let this happen?? I know it's not a foreign concept in business that the more responsibility you have.. the more you get compensated.. oh well.. good thing i love bei...
  20. Nurse - Patient Ratios and outcomes

    In the last several months our staffing has changed in two ways. First, the charge nurses are now taking a full patient load. Secondly, we are consistently taking three patients. (I work in a general ICU.) I have been tracking ICU acquired pressur...
  21. 10:03 PM

    Oh Vindin.. there's always room for LOVE!!! I loved that post.. and whereever Tina is.. I hope he finds her.. GOOD LUCK IVAR!!!!
  22. Shift report form

    Mary, wow.. that's a lot of information to give in a report.. seems like a lot of it the newer nurses should know to look up themselves.. like meds.. rather than have someone telling them.. just a thought.. as for organization of report.. there are s...
  23. Visiting hours for acutely ill neuro pts.

    gbourne wrote your physicians feel about visiting?>> I work in a general ICU.. so we have a bit of everything including neuro.. our visiting ours are 0830-1430 & 1600-2300.. some nurses like the visiting hours.. most don't Personally, if i...
  24. Base Excess

    Help me out here. How do you interpret Base Excess? We get it on all of our ABGs but no one in my unit will fess up to knowing how to use it.. HELP!
  25. Base Excess

    ahhhhh makes sense.. cuz the speaker I heard mention it was a Trauma nurse.. I work in a general ICU.. and we get trauma.. I'm gonna copy your response and do some more research on it.. so I'll be prepared for our next trauma.. THANKS SO MUCH!!!