Steve123

Steve123

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All Content by Steve123

  1. RN patient ratio in dialysis

    Steve123 posted a topic in Dialysis, Renal, Urology

    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...

  2. Pain Medications

    Steve123 posted a topic in Nursing Professionalism

    I am happy to notice that doctors prescribe much less pain medications now then they did even five years ago. Some nurses say that new approach makes some patients to suffer unnecessary. Well, lets...

  3. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    . I've seen nurses who wouldn't give PRN valium because the pt. wasn't displaying "anxiety". I just don't have that mainframe. If it is ordered and they request it by name I will generally give it,...

  4. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    Yes. I read in New York Times several years ago that someone became addicted after taking few pill of Percocet after tooth extraction. If you want to know more barrow from library books "American...

  5. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    What I can say... the less opioids the better. if your friend's mother develops opioid induced constipation (it is not fun at all) neither your friend nor your friend's mother should complain... One...

  6. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    Thank you for your input. So called "pain scale" is criticized a lot on doctor's forums but most nurses still believe in pain scale. It is my personal

  7. I hate the politics in nursing

    Steve123 replied to cwill2015's topic in Activism, Healthcare

    I hate politics in nursing too. But I also understand that if nursing organizations do not participate in politics, RN's wages were on the level of phlebotomist. Or may be on the level of LPN while...

  8. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    That's exactly I wanted to say. it is better one patient to suffer from pain than prescribe opiates to 10 people unnecessary. You may disagree, but emergency situation has been declared and this...

  9. Pain Medications

    Steve123 replied to Steve123's topic in Nursing Professionalism

    In war time someone has to die to protect the nation. Now we have opiate crisis and emergency situation has been declared. By other words, it is better to undertreat one patient than over treat many....

  10. CDC now banned from using "evidence based" and other words per White House

    Steve123 replied to babyNP.'s topic in Nursing News

    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"....

  11. CDC now banned from using "evidence based" and other words per White House

    Steve123 replied to babyNP.'s topic in Nursing News

    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...

  12. Legal elderly abuse

    Steve123 posted a topic in General Nursing

    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...

  13. Legal elderly abuse

    Steve123 replied to Steve123's topic in General Nursing

    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...

  14. Irritated MDs: to SBAR or not to SBAR?

    Steve123 replied to Melanin's topic in General Nursing

    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...

  15. When a Confused Patient Smarter than a Doctor

    Steve123 posted a topic in Patient Safety Issues

    Yesterday I had a new admit with new onset of mental status change. The first thing the pt did after arriving to the nursing unit from emergency room - he had a bowel movement. Then I reviewed...

  16. Considering to apply for dialysis nurse position.

    Steve123 posted a topic in Dialysis, Renal, Urology

    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...

  17. rate of pay in ohio

    Steve123 replied to Kell7wrig's topic in Home Health

    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...

  18. I want to return to home care but not sure. Have a queston.

    Steve123 posted a topic in Home Health

    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...

  19. BSN and Obamacare

    Steve123 posted a topic in Diploma, ADN, BSN

    Big hospitals are very rich, they do not know how to spend money so they require all nurses to go back to school for BSN and they pay for tuition. But all hospitals expect to lose money since...

  20. "Should Doctors Fire Their Anti-Vaccine Patients?"

    Steve123 replied to wtbcrna's topic in Disaster Preparation

    Yes, doctors should fire their antivaccine patients. I do not want to be taken care of by an idiot. If doctor fires me for refusing flu vaccine I will know he/she is an idiot. Well, in fact I am in my...

  21. "Should Doctors Fire Their Anti-Vaccine Patients?"

    Steve123 replied to wtbcrna's topic in Disaster Preparation

    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...

  22. Flu Vaccine. Necessary or Harmful?

    Steve123 replied to UnbrokenRN09's topic in Disaster Preparation

    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...

  23. Could Obamacare cause a shortage in nursing again

    Steve123 replied to RescueNinja123's topic in Activism, Healthcare

    Obamacare can cause crash of all healthcare system. Healthcare was going to that direction before Obamacare. Obamacare was supposed to delay it but most likely the result will be

  24. Nursing makes me hate fat people

    Steve123 replied to LifeCrisis's topic in Patient, Colleague 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...

  25. RN->BSN: Is it worth the investment at 57?

    Steve123 replied to healing touch's topic in Diploma, ADN, BSN

    If I were you I would go to work in a nursing home or home care or hospice. You will not need