1Dreamer

Patient came to ER with multiple complaints (frequent flyer) every test imaginable completed with exception of exploratory surgery. All test negative. When told he was being discharged and no meds his response, "I know my rights. I have the right to be pain free and if you do not admit me and give me x amt. morphine I will sue you and this hospital." Pt. admitted and given x amt. of morphine.

Just started working in ER and have found out that their staffing ratio is 9:1! Is this the norm? Thank you in advance for your advice.

Need advice on how best to transition from a nurse with ICU and Progressive care unit experience to Emergency. What tips can you give me that would make the transition smooth? I want to be an asset to my colleagues not a hindrance. Thank you in advance for your assistance.

CapeFear Valley is chaotic to say the least. One of the most disorganized hospitals I have ever worked. Fayetteville is called " Little Vietnam" because of the crime ate. I have been blessed to have never had a problem and majority of my co-workers have had no problems.The staff is very welcoming and helpful to Travel Nurses. You will meet many travel nurses there as we are about 50% of their staff. Keep a positive attitude,be friendly and keep repeating " I can do anything for three months."

Worked with a Surgeon several years ago who would place foley catheter into abdominal wound site and have staff place contents back into stomach via NGT. One of the most Asinine things I ever saw. I totally agree never place NG secretions back into pt.

I have been saying the same thing for a few years now. I too have witnessed numerous times where the nurse who provides the most competent care but does not coddle the patient gets the most complaints. I have seen patient's and their families praise nurses and doctors who give inferior care just because they smile and give repeated scripted responses. Eventually insurance companies will implement this protocol so they too may cut payments. This in turn is going to drive up healthcare cost.

ICU and I have a compact license. How hard is it to get a CA license? Thanks.

My first assignment ends soon and was looking for advice on a good place to go to next. What hospitals and states would you recomend? Thank you.

I find that a green or pink mouth swab soaked in coke a cola will loosen bad crud.

Thanks for the feed-back. I appreciate it. I will say that most of the people I work with are great. Find it odd thought that travelers are orienting full time staff. Guess that is the norm. I am going to stick it out and try another assignment to see if traveling is for me.

Yes,I value mine what about you? Curb the attitude! This facility has a very high rate of travelers and a difficult time keeping nurses. I have never worked at any hospital large or small where the average nurse has worked 3-4years at the facility. I was told early in my career " No one can protect your license but you." Experience has reinforced this and I will not endanger it because others are willing to put theirs on the line!

High acuity patients that need to be on Step-down or ICU(drips,cardiac status ect.). They move patients quickly out of ICU and step-down because they need the beds. 2-6 RAPID responses a night. Have 6-8patients with 75% (at least)being total care,multiple wounds with average of 3 of the patients on drips. This does not include patients going for procedures.This is most shifts. Patients are assigned not on acuity but on location.

My first assigment is at CapeFear Medical Center in Fayetteville,NC. SO far it has been rough and I worry about my license. Has anyone else worked there and what are your views? Wondering if Traveling is for me.