Charles S. Smith, RN, MS

Culturally our society views death in a final way. There are many cultures that view life as a mere stepping stone to the treasures on the other side. If you have difficulty with the concept of death maybe you will want to do some reading about oth...

There is a clear and distinct difference between documenting an occurence for which the institution might become liable and documentation of nurse behavior that is used for management sanctions. Documentation of medication errors, patient incidents,...

The educational standard for PTs as cited by their national association is the Master's Degree...Those without MS degrees in most areas (some rural areas excluded) do not command the same wage as you stated. PTs are moving toward MS entry as the pro...

Frustrated...I am an independent contractor, along with 35 other talented capable RNs, in a professional practice group.. We recognized our own restlessness, dissatisfaction with both hospital and agency nursing and took matters into our own hands an...

Your frustration comes thru loudly and clearly and is not misplaced. But...PT and OT organizations actually changed their educational foci a while back and the minimum standard is now the master's degree...anything less and the person is a tech. I ...

CEN35 makes some good points. We never really know just what the baseline functioning of our LTC patients really is, when the last time they actually saw a physician, when was the last comprehensive assessment done and what were the results. Fortun...

Kday..have you considered having your hospital sponsor you in a SANE program? We have SANE programs here in Richmond and hospitals are sponsoring RNs for the program.. Don't sweat the GRE..not a big deal. Take it once for the experience and if you ...

Shredding paper with patient sensitive information is not a new phenomenom here in VA. We have been shredding for years now. There are two methods available depending upon the facilities in the area....1. a large bin emptied daily and taken to an ...

Looking forward to hearing from you Bonnie... chas

Yes, Yes, Yes! Take your nursing skills and turn them into nursing business! You will have many opportunities to thrive and succeed well beyond anyone else who is employed! Contact me for information (look at my profile). I have been independent ...

Great support from all the colleagues on this post. This is the type of support we might give to all of our nursing buddies, not just the ones in trouble... As a legal note...any removal of any part of a scheduled/controlled pharmaceutical from its ...

We all have choices about where we work. We all have choices about how we present ourselves when we work. If we go in to be a part of the solution, pull our weight, be a part of the group (even if it is only for 8 hours), everyone wins, especially t...

Consider Independent Practice and choose your own financial destiny... chas

the downside is if you swallow too slowly you get a stiff neck... chas

Actually, the association occurred as a direct result of the nurse/patient relationship and could influence the care of the patient or lack of care of other patients. The ethics still apply regardless of the relationship to the patient. Such is the...

Respondents beware! Filling out any survey form may "imply" consent and your data may be included in research reports. Only fill out surveys where you given the facts about how the survey results are to be used, how your anonymity and/or confidenti...

I certainly have been in the same boat. My solution to solving the dilemma for me is to ask the next question and the next question and then offer alternatives to the patient. Asking questions will help the patient begin to have some clarity around...

I had a conversation the other night with a co-worker. I experienced our conversation as innocuous at the beginning, but soon realized that what my co-worker was doing was "fishing" for information. I wanted deeply to trust my co-worker, even thoug...

I am curious as to how a healthcare professional can argue with a patient about how that person EXPERIENCES pain? The pain a person feels is her/his pain and is not based on how we think pain is reflected for that person. The numbers are NOT absol...

Gather your facts, leave them alone, go to HR and management as you said, contact your State Board and a lawyer to protect your license. If necessary, file a job harassment lawsuit after you are gone. Best of luck...not a great place to be right now...

Thanx to all who commented. Let me assure you that the issue was dealt with skillfully by all, handled and done with and no hard feelings. The reason to write about it is to have some catharsis, not absolution and to use it as a parable of sorts to...

thanx for sharing this scale..pretty insightful chas

Contact your Board of Nursing. Some Boards will sell the lists to you. best regards chas

Mind mapping is a simple tool used to draw out the key components of problem solving. MM has many forms, the circles, the tree diagram. In essence, MM allows you to take a large problem or concept and break it out into component parts. There is a ...