Gypsy Moon

Gypsy Moon

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All Content by Gypsy Moon

  1. Nurses with PTSD

    Hi, I've been a nurse for over ten years, mostly working in med/surg. I've had multiple issues with different nursing supervisors and authority figures attacking me. It is difficult for me to deal...
  2. Toxic Work Environment

    Hi Dinah, There might be a reason why they are acting like that. Here are some ideas on it: they have bad management could be at any level of the chain of command or even across disciplines so that...
  3. Medications for a dying patient

    Mostly roxanol and ativan. Also consider oxygen as a medication and how it might prolong life as opposed to providing comfort. Along those lines, albuterol. How might roxanol help with air hunger?...
  4. HIPAA Violation, Fired

    In my experience, hospitals have been training people specifically in HIPPA to never peruse charts on patients who are not assigned to us. As you said this happened back in the day of paper charts,...
  5. pep talk please thanks

    Ha, ha, ha. I see this was posted seven years ago and I wonder if you are still a nurse. I have been a nurse for almost 10 years in med/surg. We have some positive things about our job. But it is...
  6. Burning out

    I have been a med/surg nurse for 10 years. I must say that your nurse to patient ratio sounds really bad if you are in a hospital. I don't work full time anymore because I can't tolerate the pace and...
  7. Patient with Dementia's Right to Refusal

    I was discussing this with fellow nurses and the unit secretary today about a patient in the hospital who wanted to leave but was so confused she was only oriented to herself, lives alone, and had no...
  8. I didn't read all pages of the post but in my experience PIV lines will not always give blood return even if they are patent. I didn't read all the research either, but my thoughts on this are that...
  9. Burned out on night shift

    I am burned out on med surg nights also and have been since about the three year mark but still keep ending up with managers who want to put me in that slot. I did go back and recently earned a...
  10. reading EKGs- an advanced privilege?

    Well, I met with my supervisors and they said that it is definitely within my scope to read them if I have the training. They said I could go to the EKG class in January. My one supervisor is an EMT...
  11. reading EKGs- an advanced privilege?

    I am a med/surg tele nurse and can interpret telemetry rhythms. When it comes to EKG's I have always had the docs sign off on them. If I chose to learn to interpret EKG's then I would feel confident...
  12. Air in IV lines/syringes

    How strange, rocephin usually is given over an hour for IV injection. What a bizarre practice for giving IV ceftriaxone. Not just the air injection but the bolus of
  13. Air in IV lines/syringes

    Hi, I was thinking about this today. The D& C may have been the source of the air embolism and not the IV line. See the article by Stephanie Gordy & Susan Rowel, Vascular Air Embolism. Doi:...
  14. Manager Bonuses

    I was wondering if the Nursing Supervisor gets a bonus for coming in under budget? It seems like that would be the only reason to run short staffed or increase patient/nurse ratios. With reimbursement...
  15. Manager Bonuses

    But all of those things being equal, increasing an assignment 50% gives the HOSPITAL 2-3% profit and is that WHY the supervisor chooses to email staff how bad patient satisfaction is and then increase...
  16. Manager Bonuses

    Oh dear toomuchbaloney, So crazy but one sweet, young supervisor laughed that patients come to the hospital to see the nurses. Rather they come to see the doctors. It is difficult to explain I guess...
  17. Manager Bonuses

    Esme, that sounds terrible. My CNA has 15 and I have 8? I don't know about chemo except when I float, they mostly are ambulatory and oriented but tired. I have had a supervisor tell me it would...
  18. Manager Bonuses

    Yes, I don't want to make the company run in the red. But happy, cared for patients would seem like a better goal than a few more percentage points in the black. What kind of patient ratios in Boston?...
  19. Manager Bonuses

    So, on another site, I found average cost per day of hospitalizations for various surgeries of $10,000 - $14,000. And the bedside nurse has 4 to 6 patients. At 4, that is $40,000 / day and at 6, that...
  20. Manager Bonuses

    Thank you for your input. So it could be that there is just pressure on the manager, and not compensation. I was looking at quarterly earnings online and a lot of hospitals are running at profit and...