I am thinking about moving to dialysis but I do not know much about this field. I have 10 years of RN experience. What is RN patient ratio in outpatient dialysis? How many dialysis techs help one RN and for how many patients is one tech responsible for?
I started nursing school in 2004. Even in 2004 it was absolutely clear for me that wide use of opioids for absolutely all types of pain was not safe and I did not believe that it was "evidence based". And now a lot of books published revealing that it was fraud from the beginning, not evidence based. Read such books as AMERICAN PAIN and DRUG DEALER MD.
evidence based???? Wide use of opioids also was "evidence based". We all were brainwashed to give opioids to treat all kind of pain. As a result prescription drug abuse kills tens of thousands every year. And it is only one example. Nurses who know history (very few do) can say that tranorbital lobotomy in the 50"s also was "evidence based".
Yes, I am sure, PT's WBC was normal, no fever, no puss around the lesion. No signs of infection. I have a lot of stories like that. I write a diary, it is just one story from my diary, some time I will publish them all.
You've been in the hospital for 1 year. You should know doctors and be flexible. When talking to a mean doctor, start conversation from SBAR, when talking to an adequate doctor, skip it. I once was yelled by doctor for having all 4 rails up. The doctor asked me, "Do you have doctor's order for 4 rails up??? Really you went to medical school to learn writing orders about side rails? The doc reported me to the nurse manager' but the maneger only laughed and said sarcastically? Oh, you already know Dr ///
A confused patient from a nursing home was admitted to hospital with skin lesion. According to the color and irregular form of the lesion it was obvious for doctors that it was skin cancer. The surgery was planned only in 4 days after admission. (Time was needed for pre op work-up and obtaining consent from the family. Vancomicyn IV and continuous IVF were started. Pt was pulling out saline locks all the time. Finally order for wrist restrains was obtained. Pt became even more confused because he couldn't go to restroom and couldn't understand how to use urinal d/t his baseline mental status. Then Vancomicyn through was elevated before the 4th dose. I expected the doctor to stop Vanco, instead he only reduced the dose. I asked the doctor,
-Why does the pt need Vanco?
- To his justify his admission to the hospital, - answered the doctor honestly.
Don't you think it is abuse to restrain patients o give them iv meds they do not need.
For nurses who do not work on surgical floors: standard of practice is 1 dose of antibiotics pre op, not half a week.
I quit home care a year go. At that time they paid 35$ per routine visit and 50 $ for the first visit. Ad a little bit more if a patient had a PICC line. A routine visit used o take me one hour, it included a visit itself, driving time, and documentation. So it was 35$ hr. Then they switched to computorized charting. It was terrible. To chart one visit on computer takes at last 1 hr! and still the same 35$ per visit. Since a visit takes longer now due to longer charting it is 20$ per hr. In Fact, RN's pay in home care is down to LPN pay. That's why I quit homecare
I've been a bedside nurse for 6 years. It is not so bad, but I hate working nights and it is hardly possible to find straight days. So I decided to consider dialysis nurse. What is usual shift in a dialysis center? Is it 8 hrs 5 days a week or 12 hrs 3 times a week?
I worked at Home Care agency prn for 3 years. I liked it and even was planning to go to home care full time. But last year I quit because our agency switched to computer charting. In fact, many nurses quit because did not want to deal with computers. It used to take me 10-15 minutes to document a routine visit on paper. Now it takes at least 1 hr. (That's what I was told by nurses who still stay in home care.) I also heard that some companies have better computer programs and charting takes less time. My question is: how much time you used to spend to document a routine visit on paper in the past and how much time you spend now? When you know computer program very well is it possible to spend on documentation of one routine visit 15 minutes or less?
I guess the more pt are vaccinated the higher reimbursement from insurance companies they get. So it is more profitable for them to fire unvaccinated patients in order to have a higher percentage of vaccinated ones and enjoy more reimbursements.
Good research! You are an independent thinker. Very few nurses are able to think out of box. The majority of nurses think only within so called "nursing theories" and nursing dogmas. I am healthy and I am not going to inject myself with a "small" dose of mercury. A question to those who think that the dose of mercury in flu vaccine is small. Do you measure medication dose in pounds or milligrams, sometimes micro grams?
As nurses we often complain that we are overworked. And what about doctors? Doctor's life looks even more miserable. Here is statistics, "It has been reliably estimated that on average the United States loses as many as 400 physicians to suicide each year (the equivalent of at least 1 entire medical school class)." You can read more about this problem here:
Steve123 replied to LifeCrisis's topic in Relations
Several years ago I spent several hours in an airport in Germany. I saw a lot of people their and all were slim. I started to look for overweight people in the crowd and couldn't find. How wonderful to be a nurse here, - thought I. On my way back I couldn't find a terminal to board a plane back to USA but when I saw a crowd of overweight people I realized where the terminal was.