sarbo1010

Of course, when any adverse event happens it seems to be human nature to find someone to pin it on. Hence documentation is the only thing that will save your butt. Several years ago I had a patient that had been on the floor for >24 hours when s...

you are correct about trusting the pharmacy and I did catch an error in a pharmacy draw of chemo about 25 years ago. a physician gave some chemo to a few patients through the omaya reservoir and 2 of them had adverse reactions. I pulled the syringe...

We had this same problem in Florida when lobbying the Florida legislature about safe staffing ratios about 10 years ago. The legislators simply told us that since our governing body the Florida Nurses association and ANA do not support safe staffing...

I know you are heartbroken right now, but this will probably lead to better things. It sounds like your manager did not communicate with human resources and I would accept that the reason you didn't get hired is because they have filled all position...

Okay, so looks like you did the right thing, but it's not the only right thing. #1 yes her b/p was on the low side, but is that where she lives? Did it drop lower after a dose. This lady is not narcotic naive, so chances of actually doing her in w...

Yeah, it is a requirement, but I think that they just pay a fine, lots of hospitals are still on paper. I travel nurse off and on and paper for me is non negotiable. Surprised to find a large hospital in New York City was still on paper and there a...

Being raised in the paper charting era, I used to lament and glorify the old days of paper charting. I did an EMR conversion last year and OMG paper charting SUCKS. I will never accept a job that is doing paper charting. Just too time consuming tr...

Yes, the diploma nurses were hands down the best nurses I ever worked with. And a masters trained nurse - the worst. I think she just never practiced actual bedside nursing until she finished her masters. I relieved her one day to find that she go...

Amen, and I worked hard for my BSN, I want it on my badge, along with that PCCN that I continue to slave over to keep. It also keeps me current on topics i probably wouldn't normally seek out. This is again a problem with nurses, we need to encoura...

1. How about entering a confused patients room to find them using their cigarette lighter to read something, because patients where allowed to smoke back then. 2. The annual education component where the fire department came and a patient's bed with ...

Run like hell before a fresh batch of patients hit the ED and they change their minds.

Yeah, this does remind me of the time I had a patient with radiation pnuemonitis and sats in the low 80's. He needed steriods and antibiotics but I couldn't get the fellow on call to do anything. On my third call to him he stated "do not call me ag...

thanks for sharing, gonna have to look into this "tile" thing

Often a doc will borrow a stethoscope they find laying around, carry it to another floor, realize it's not theirs and just drop it there. So I would start by sending a flyer out to the other floors. I hope you have some identifier on it - that will...

omg, just reading this thing lets me know I must drive the hsp crazy. I love the floors that are noisy, too quiet makes me nuts. Clutter - I can walk through it, around it, and under it. I love chaos and can toon out any and most noises. My short...

Not necessarily true. I had an interview where the nurse manager told me that the ratio on the floor was 5-6 patients to one nurse but would more than likely be 6:1. We have cna's scheduled but they usually get pulled for constants, they were gonna...

I feel your pain. I have been a nurse for 31 years and can still feel like a fish out of water when starting something new or floating to a new floor. I still remember that first year of nursing. When ever I introduced myself to patients as their ...

i don't wear the long white coat as that was not typically a nurses lab jacket. When I wear the white it is simply a throw back to the day when the color for nurses was all white - I have been a nurse that long and frankly miss the all white look - ...

I have never understood this problem. At a hospital I worked at in Tampa there was a section of the nurses station marked "non biohazard area" and we could eat and drink in that area. Sanctioned by Jcho - Easy cheesy.

I personally would not call a pressure of 170 - nursing judgement, but anyway.... When a doc asks me "what do you want me to do" or something like that. I let them know I am transferring liabilty for this from me to you - it's up to you to decide ...

While a year is a long time to put up with that kind of crap, you may need to just let it roll. I had an assignment in Hawaii and they really dislike white people. They actually gave me a patient admit that had a history of assaulting white people ...

That is easy to say and while in the short run it may be nice, when you return and your job is gone and the entire hospital system has a "do not hire" tagged to your name, what will you do then? Increasingly hospital conglomerates are gobbling up th...

I worked at a hospital in Florida that was actually the first hospital to get a union in Florida. And while it did help us get pay and if you had a problem with management you had someone there to stand up for you, it did not help with staffing rati...

Boy did you hit it on the head. I miss the days when no one under 14 was allowed on any hospital floors to visit. Just love it when mom brings the 2 year old for the entire day, lets them crawl on the floor, and can't figure out why the child is ac...

Problem with a majority of "managers" recently is they are made up of the floor nurses who hated floor nursing after a year of experience and decided to go into management. They now are telling us how to practice and they don't have a clue.