robred

Congratulations! Enjoying the new gig?? I interviewed last week. Waiting for word..

How was your interview? Are you now working in PACU? I'm an ICU RN wishing to move into PACU and have an interview in a couple of days. I'm told to expect some questions, but unaware of content.

Do you deliver IV fluid bolus on a pump or by a pressure bag??

I think the answer to your question may lie here: Luke 10: 25-37. I think it symbolizes everything about Christ and his followers. It has very little to do with spirituality and religion, but everything to do with humanity, humility, compassion, and kindness. It, therefore, also speaks to the heart of Nursing. God Bless You!

A Catholic Priest, I think.

This happened five weeks ago: July 26th. Questions: -Why was there no action by anyone in the justice system for five weeks? -Why was there action taken only after this was released to the media? -Who released the body cam to the media? -Will the Lieutenant, who ordered the Detective to place her under arrest, be investigated? Does he have a superior who ordered him to give that order?

I'm in a similar position as you; I also want to secure a position before relocating. Have you looked into licensure requirements? Arizona is part of the compact, but Illinois is not. Would you have better success if you secured an Arizona license to submit with your next application?

I recently learned that base rate for 20 years longevity in critical care of a Phx-area hospital network is $40/hr. Other interesting details: Cost of Living Calculator - Cost of Living Comparison Index Tool

Hello...sent you a PM.

I was told the story by a nurse who worked at a military hospital in North Dakota. She related that a patient of hers, who was a middle-aged man, died unexpectedly in the middle night during one of her shifts. Within a month of that happening, whenever that room (313!) in which the patient had been was vacant and that nurse was working, the call light would go on. Again, the room was vacant and it was the middle the night and the call light would go on... By itself. This began to occur with some frequency, but only when that specific nurse was working. At first, it was thought that someone is playing a practical joke on a very mean level, but then others came to witness the same thing and talk to begin the spread that there was a ghost … Likely that man's spirit. Finally, it came to a point, that one night, again, that that yours was again working, the room is vacant and the call light came on in the middle of the night. that same nurse went into the room and said, " i'm sure you died, it wasn't my fault, we have much work to do, please give us some rest." And never happened again.

It does leave one shaking one's head, huh? My take: they hadn't found anyone to take the job and they're under the gun to seal the deal. You were the answer to their struggles. They had a (nearly) signed contract & were going to make a handsome profit. Then, your situation occurred. They don't want to lose two clients: you & the hospital, so....$$$! I had two similar situations as yours. Good Luck!

We use an acuity system as well which is pretty comprehensive. It basically shows that not every patient requires as much care as another while some require MUCH more. If the information is collected appropriately, tabulated correctly and applied as recommended, I believe in it. If each of these steps isn't followed as per policy, both the patient and nurse suffer.

go here: https://www.ncsbn.org/nlc.htm#eligibleNurses

have you looked at http://www.delphiforums.com ? go to the forum called 'travel nurses and specialists.

Hi...I'm a 45 year old male RN who has worked at the hospital bedside in Critical Care/MedSurg with stints in Management for the last 15 years. Gender is a non-issue in my experience. I suggest contact the HR Dept of a local hospital and inquire about 'shadowing' a nurse(s) in areas of nursing which might be of interest. Most are more than willing to respond to this type of request (I facilitated this often when I was a Nurse Manager). While shadowing, ask as many questions about work, environment, culture that you can think of...if this heightens your interest, contact a local community college or skilled nursing facility (nursing home) about enrollment in a Nursing Assistant course. After completing this, you'll know with certainty whether or not you wish to go the next step. Good Luck!

Just a thought...imagine she was unknowingly posting about someone you care about/love. I suspect you would be angry and disappointed. This, in my opionion, is an instance when you must be a patient advocate. A good starting point would be to send these posts to her supervisor. The next would be the BON.

Just curious...you'll have nearly $100k in student loans when you graduate with a BSN? Are you attending a private school? Do you need to borrow for everything? Are you using an scholarships or grants? I expect compensation to probably hold steady for awhile after the implementation of reform. Ultimately, if it is a single-payer system, i.e. akin to Medicare, I would expect salaries to decrease.

Unfortunately, likely due to whatever emotional angst the family members are enduring while their child is seriously ill, you have been assaulted ("specific, violent threats angainst me"). My opinion is that you should avoid involving the management and file a police report today. My heart truly goes out to you...if you do a search here, you will find time and again in which a violent act was perpetrated by an upset family member. Even JCAHO has taken this seriously as they only recently released a requirement for all acute health care facilities to develop plans to manage hostile work environments in our hospitals.... http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_40.htm . While this addresses the issues of hostile environments among staff/physicians, etc. it shows the seriousness of violence in our emotionally-laden workplaces. Please let us know what your future holds for you.

Here's my take on this: If the very depressed, but not incapacitated pt gave consent to surgery, but knowing the risks of surgery expressly noted on his Advance Directive that he did not want a tracheostomy...I wouldn't want to be neither the family member nor physician who signed the consent form. Given his expressed wishes under those circumstances which were not adhered to, I would think he would have a very strong malpractice lawsuit not to mention allegations of battery.

Incident report. Be sure to include names and quotes of what was said by the wife of "the head of Trauma Services."

Well, you have a little taste of nursing in an acute care setting. I've been a nurse in that setting for more than 12 years now and, quite frankly, I think I began to find a comfort level in the last 6 or so (years, that is). Fortunately, nurses aren't all relegated to work in hospitals...so, please reconsider throwing in the towel and try other settings...home care, long term care, primary care, camp nursing, and the list goes on and on. Take Care and Good Luck!

As a Rapid Response or Medical Emergency Team member, would you please answer the following: a. how many beds does your institution have? b. what, if any equipment do you take along to a response, i.e. no equipment, cardiac monitor only, select meds, entire crash cart? c. Have you come upon a situtation in which an RRT was called but deteriorated to a PNB (code) situtation before or upon your arrival? Can you offer details of any specifics about the management in this situation? Thanks for your input!

Other than ISMP, this is one of my favorites....http://www.webmm.ahrq.gov/index.aspx click on the tab, case archives. If the facility you have offers case study reviews or discussions more popularly known as, Nursing M&M, get to them!

I think this falls within the patient safety category of which one cannot 'let sleeping dogs lie'. Just for the sake of argument, let's say that the ED physician decided to let the admitting manage the hypokalemia and the admitting was told errouneously or misunderstood the k level to be 3.6 instead of 2.6. If I found myself in this situation I would NOT accept another nurses's word or even another physican's at face value. I would personally call and verify with the admitting that he/she knows that the K+ is 2.6. If he/she chose to still not supplement it, I would call my supe or manager. Case in point: I once had a pt who was a post-op day 3 with an NG to LIS that was pulling alot out who had 40meq in his hyperal who developed alot of ectopy on tele. I called the hospitalist to update him and was blown off. An hour or two later, the pt had an RonT and went into VF. We resuscitated him successfully and found his K to be 2.5 (it was 3.1 some 16 hrs before). This was a rude awakening to me and I thanked the Lord for watching over my pt....cuz I failed to. Unfortunately, the hospitalist didn't offer anyone an apology. The lesson here: Don't accept an answer when you know that it is an inappropriate one. In the end, your manager was within her right to be upset.

A few things first: 42 y/o male, critical care nurse with 12 yrs experience. Add on another 5 as an AF medic. And since the 'stigma' seems to be an issue: I'm straight, married, and crazy about my wife (she's not a nurse, btw). I'd like to ask where you have gotten you're insight into the 'stigma' from. If the cources are movies/TV, well, you are losing big-time. Yeah, males are 1/10 of the workforce. Yeah, I make a fair income at best (not what you make I'm certain), but I do some amazing things in the course of my day that you can only think or wonder about currently. And, yes, some even involve poop. As for the rest of it, go here to get a global view http://www.mollieb.us/chenevert.html Perhaps it would be best if you follow the advice of your friends---sounds like the safest bet to me. Good Luck!