blackvans1234

Women want a sugar daddy, now if they'll admit it is another thing. My dating life was crap before becoming a nurse and it still is.

Are these two job titles essentially the same? This specialty really needs some standardization, as I've seen Nurse informaticists that solely gather data, and Nurse informaticists that work directly on the EHR and implementing changes based on facility goals. Thoughts?

I love all of the ''I'll pressure bag the blood, give it over 3 minutes'' comments without actually knowing the clinical situation. Probably some 100 year old with ESRD CHF with an EF of 10%. Id love to be a fly on the wall when the patient goes into flash pulmonary edema.

Hello everyone! I'm a nurse with over 3 years bedside experience, and 5 years as a CNA. I have my ADN as well as an associates in general studies. I hope to transition to informatics, but honestly I have no clue how. Currently I work in a 400ish bed hospital. I was thinking about reaching out to the director of IT or someone along those lines to network and p.ossibly shadow We only had super users when we implemented our new system, so there is no way to gain experience by going that route. I searched for positions online such as ''clinical analyst, informatics nurse, informatics nurse specialist, and clinical informatics coordinator" to no avail. At my facility, they have a few openings under the ''IT/Telecom" Listing, which are: Quality performence improvement data analyst, Help desk technician, IS project manager and applications manager. Please give me some guidance! Thanks so much!

Not sure, but this isn't the only field where ''those on the inside'' get away with lesser punishments. IE police doing things against the rules and not being punished to the full extent.

Missing eye drops as a med error? That's comical. Maybe the patient was off the unit, refused them, not available from pharmacy. Also sounds like you're using a paper MAR - Electronic MAR would show you (until you left) that the medicine was overdue. Giving 1mL (whole vial) vs .5mL (half vial) is a good learning experience. Again, many electronic MARs will alert you that the barcode (whole vial) is too much medication, and that is your reminder that you should only give half. Antibiotic timing is something that I don't have experience with- our OR sends their abx record to the pharmacy who then profiles the timing for the subsequent dosage - again this would show up continuously on my electronic MAR when it is due / overdue.

A rapid response for pain medication is inappropriate. The nurse should follow their chain of command (Charge RN -> Manager -> supervisor). Its almost universal (USA anyway) that a rapid response is for an acute change in patient condition, IE something vital signs related/assessment related. In my hospital MD's don't show up to the rapid response (DUMB!). Now if you're patient dropped their pressure, high heart rate, Sa02 with 10/10 abdominal pain then that is different than patient with a ''toothache''. If my patient suddenly looks like they're about to die with a Sa02 of 56% im going to call a rapid, even if there are ICU nurses at the ready. When ICU nurses start writing orders/intubating patients then I guess I could depend on them. If your afib patient throws a clot and has a CVA what will the ICU nurses do then?

oy, sounds like a bad idea. so does 4 runs of k = 4,400mL? (1L + 100mL of k X4?) Also, how fast do you run the liter bag with k? 1 hour? #bolus #diluting the k anyway haha.

I bet you 100,000 dollars that instead of spending time writing papers to get my BSn I spent the same amount of time learning, discussing the problems, complications (and how to recognize them) my stepdown patients face, that the mortality would be lower too. I think that traditional BSN programs give more clinical hours which may make better nurses, however you have these accelerated 5 week/semester courses and people are getting their degree faster than ever which takes away from the bedside hours- IE less experienced nurses. Or you have RN-BSN where all you do is write papers. Literally, all they do is write paper after paper. Its a joke really.

If you become a nurse and work in that environment you will eventually understand why there are lapses what you believe should be done.

Isn't it ironic how Per diems get the short end of the stick, however when there is a need you're the first one that they beg to come in.

Recently read this on a yahoo article about corporate CEO's Long story short I feel it could extrapolate as a tough but good question to ask during interviews (if you dare ) "How does this unit (hospital) measure success in its nurses?" Also a classic, for the manager(s), "Can you give me two examples of changes you have made directly as a result of feedback from your staff nurses?"

I focus on the fact that I am expected to do unrealistic amount of tasks for an unrealistic amount of patients. ..And that three years ago, the ''normal'' number of patients I have now was the ''worst day'' the staff nurses used to have. All of that plus more documentation, more micromanagement, more administrators trying to find ''rules'' that we break.

I worked as a CNA in a hospital for 4 years, and just passed my 1 year anniversary as a staff nurse on stepdown in a second hospital. I have changed my perception of my job, and the overall treatment // respect of nurses in the hospital. I have adopted a saying that I have been faced with multiple times (both directly and indirectly) "It's not personal, it's business" Which is why I am moving a few states away to another stepdown unit, basically the same pay, however I am being given $10,000 sign on bonus after one year. Chances are after one year I will leave. I doubt the grass is any greener. Alas, I will follow the money, "It's not personal, its business".

Another learning point would have been to identify under which parameter the MD would've liked you to call back (or not) My conversations generally go like, "So I'll give the 5 cardizem IVP, I'll call you back if the hr sustains ____" OR "Okay so the patient is 130s, asymptomatic with a BP of XX/XX, Im going to give the 5mg cardizem ivp.What parameter should I call you back for? (insert suggestion here). This is commonplace when we have patients that have frequent PVC's, NSVT, etc (I'm talking to you CHF'ers!)