OC_An Khe

OC_An Khe

Critical Care,Recovery, ED

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All Content by OC_An Khe

  1. Getting tired of working 12 hour shifts......

    I have been on both side of the 12 hour shift "problem". I agree that a mix works well for retention but it is a nightmare to schedule. Some units 12 hour shifts make more sense than others and it is...
  2. Is overtime safe for your patients?

    I agree with Oramar comments. I support all the laws that will ban mandatory overtime from health care and place limits on how many hours per day/week/pay period a person may work. Also you should...
  3. Well this will be different from the introduction of DRGs in the 80's.Because unlike the 80's when the hospital learned to game the system and low quality of care was actually rewarded with more money...
  4. Pressure to join union

    When you are asked , or pressured to use your term, to join the union ask for a copy of the union contract. Read it. Whether you are a union member or not you get the benefits of the contract and the...
  5. nursing shortage?

    There is currently a shortage of RNs willing to work under poor working conditions and poor compensation you describe. Fast approaching is the retirement of the baby boomers increasing the need for...
  6. Blended pediatric/med/surg adult units?

    Alot of the community hospitals are doing this. It does make economic sense. Pediatric admissions are in a significant downward trend even more then adult admissions. Additionally with the advent of...
  7. retirement

    Every employer is different both to the number of hours worked and the different types of prorams they offer. You need to take advantage of anything your employer offers. If they don't offer anything...
  8. U.S. Nursing Salary CHANGES?!

    I know of no serious presidential candidate that is proposing nationalized (socialized) health care. Why even bring up the
  9. With the changes coming in Medicare reimbursements, we will only see an increase in chart audits, not only NN but MDs et
  10. All White Uniform Dress Code?!!

    Did the management of the hospital in the OP even talk with the RNs working at their facility. Remember we nurses are also customers and our input is just AS IMPORTANT. Now that's a novel thought,...
  11. Union

    Employers have for a long time been viewed as paternalistic and will treat their employees in this manner.(the employees don't view themselves as children) In fact it at one time was the...
  12. Code Gone Wrong

    Travel assignments can be either good or bad. But when they are bad they are usually a disaster. Learn from this expirience and look closely at your future contracts to see what type of recourse you...
  13. Thousands Of Doctors Secretly In Rehab While Practicing

    This is a difficult and complex problem that unfortuneately has no good answer. If you take a completely punitive approach then the professionals that are ill with addiction will just try and hide the...
  14. Preventing Pt Falls and success rate

    IHI should have information with regard to fall prevention. Essentially fall prevention comes down to two essential facts. Identifying the patients who are at risk for falls. Secondly having the...
  15. PCA Problems!

    The hard lessons I learned about this profession is that even when we do things perfectly, you can end up with a bad outcome. And looking at experiences in hindsight is also one of the ways we
  16. Die Hard Nurse

    Only under the most dire of circumstances. And I would have to be convinced that the money wasn't going to additional profits for the owners or to pay for some big bonus for the exec that reduced...
  17. On the contrary I think nursing will do just fine, its the business model of health care that will change. It will effect the MDs ( in a negative sense) more than the
  18. Spinoff : What We Do, What We Used to Do

    Yes using gloves were hard to get used to at first. Still find it easier to find veins without them though. PM care including back rubs with either oil or powder. Doing all the house keeping chores...
  19. Question about overtime

    OT is governed by both federal and state laws so the hospital must conform to these. How much OT it allows any of its employees to work is up to the individual employer. You as an employee can't waive...
  20. The question is whether this Bill will go anywhere. If it does get out of the House will it be killed in the Senate by filibuster. Of course if we do write our representatives and Senators it does...
  21. Stay & go to Nursing School or move family for new job

    The advice about Dave Ramsey is good advice. You basically have a long term question (move and stay in your current field vs re-educate as an RN ) to deal with an acute short term problem. No matter...
  22. What can we do to change this to prevent errors?

    In addition to adequate and safe staffing as noted in previous posts there needs to be a cultural change in which errors, that are due to system/ process deficiencies are treated as system error and...
  23. Low census policy at your hospital?

    Either you are a professional or you are not. Hospitals that treat their Nursing staff non professionally and quite frankly like day laborers won't survive in the long term. No I take that back, they...
  24. The question should not be why are CRNA's paid so much but why are other nursing career paths paid so little? CRNA's are well worth what they are paid and in fact maybe paid to little in some areas of...
  25. How long should I work a full time schedule

    It totally depends on your employer. It can be all over the place on both your