lilmiz

Anytime you deal with the BON you should get a lawyer, and hopefully one that specializes in dealing with the BON. As well as experience with defending nurses.

?Nice! Love it!! Hahahaha

I found it funny, ironic and oddly prophetic…. Like it ??

My employer has their own form for religious exemption, but if you are having to provide your own. The short and sweet of it is; provide a statement as to what your beliefs/ religious affiliation are. How taking the vaccine would be detrimental to your belief, or religious affiliation. Be specific and don’t use generalizations. Also get a signature or statement from your religious leader, or another whom you practice with. If you have have a specific place of worship provide address and/ or location. Best of luck to you!! Oh and sorry that your question wasn’t answered seriously by a few rude inconsiderate attention seekers.

Seriously!!! How sad that evidently even “nurses” can’t seem to have a educated discussion about Covid, the vaccine, or the experimental treatments and/or drugs (either new or established) that are being used. Instead a lot of name calling, misguided self righteousness, group think, and arrogant statements. Where’s the critical thinking, healthy amounts of skepticism and curiosity and problem solving? If we are going to uphold the trust of our patients, and still have pride in ourselves as nurses. I think at least for starters we should put any information or research we want to share, as well as any public statements we make through the Venn Diagram model. If it passes that then at least, at the very least our premise or statement is mostly logical. Next we must check our emotions and bias at the door. Realistically the likelihood that one side is completely right and the other is completely wrong (using current social attitudes) is extremely unlikely. So; Humble pie tastes horrible, irony’s only funny from the outside, and Karma is a b#%!&?. One last thing “ It is the mark of an Educated mind to be able to entertain a thought without accepting it” Aristotle

I can’t believe how far off the tracks our healthcare system has gone. I have been working as a ICU travel nurse since the beginning of 2019. I left my last staff job due to ridiculous short staffing, tit for tat write ups based on administrative whims, absurd expectations for charting, mandatory on call, education and meetings. I haven’t dreaded going to work as much as I did then, until this assignment. I have never experienced anything else like it, first of all the ratio is 3:1 which I thought was strange. The women who interviewed me stated that if I have a 3:1 then they would most likely be Step-down, as its a smaller community hospital and they often have to blend ICU and sicker step-down patients. My first day I knew it was going to be a mess. They required the agency nurses to attend their “new employee orientation”, take their quizzes, and do 80 computer modules! Why, for their “files”, after 3 8hour + days. I was given one day off, then on the floor on my own for next 3 nights. The second night I was scheduled as charge! They use meditech, have no tech on the floor, the vitals don’t crossover we have to manually enter them. There’s no rhyme or reason in patient assignments either . My third night I had a ED admit; a fresh vent on levophed. Three other patients including; a restrained pt, a very needy heparin gtt, and a dialysis pt. And it definitely hasn’t gotten any better, they have three core staff at night the rest of us our travelers. But admin will “round” on white boards, audit for pt rounding forms, fall risk, suicide risk, skin, that we asked for their family history on admission and flu and pna vaccination status! Are you kidding me, all we do is run all night long, cleaning, toileting, turning, passing meds ect. No one ever gets a chance to eat or drink unless it’s while you’re trying to chart. Thank goodness I am only there temporarily, but I feel terrible for the staff who have to live and work there. The hospital is part of a large corporate group, so paperwork and administrative wants come before patients, staff, and relief staff. I am so done with this regulatory BS.

32.63 base pay 4.00/hr diff for Friday/Saturday, 2.00/hr nights and 2.00/hr for Charge and preceptor. I am ICU RN 10+years experience, in Albuquerque NM

I wish I could say that this isn’t the culture of the monster that is healthcare nowadays. Unfortunately you have just described what I have watched evolve in the last 10 years of my career in ICU, sadly this is becoming the norm from little rural hospitals, to regional hospitals, to large city hospitals and sadly to level one TSICU teaching hospital. It’s not everywhere just yet but I am worried for our profession as well as the patients because this practice is not sustainable. Take your time and really investigate your new job prospects and keep fighting the good fight??

No med error there you did exactly what was ordered and what should be the priority, treatment of the patient. It is awesome to hear critical thinking is still out there and budding, time and encouragement will allow you to grow. So even in ESLD where liver is completely scarred and full of nodules barely functional acetaminophen can be given in reduced doses 2g in 24hrs. Max acetaminophen dose for healthy adults is 4g in 24hrs or 2 extra strength tabs q 6hr. You did just fine, also look ? beyond the labs what happened to your patient in the last 24hrs she gave birth by cesarean section right; so bleeding and a drop in overall blood volume just occurred and what organ is responsible for oh things like clotting factors and production of RBC’s. That’s right so a small elevation or bell curve should be seen in labs related to primary condition or insult to body.

I completely understand where your coming from as I am a old ASN nurse myself. I was a paramedic and decided to see how the “other” side of things worked as I was completely burnt out. I had to work the entire time I was in school and had 2 young boys at the time (grown and gone now). There was a post graduate bridge program I could have applied to after passing NCLEX but financially and mentally I needed to work so I never did it, then fast forward 12 years and now ASN programs are automatically placed with bridge programs and unfortunately HR and the hospital Administration love buzz words like “high level care”, “committed industry leader “, “highly trained clinicians and staff leadership.” So they are focused with blinders and tunnel vision to pick BSN first and others next. With all your experience you definitely are someone that nurse managers would want on their team, as hard work and resilience is a great asset on the floor. You just gotta get by “talent acquisition” or “nursing recruitment”. I would advise contacting them directly as most hospitals have a department that is dedicated to recruiting. And then look at your resume, how long is it, is it concise and flowing or overly long and wordy. I try to keep mine to no more than 2 pages long with the first page being short billeted sections such as Education starting with post secondary only, name of school, city, year, degree or certification and GPA. Then instead of work history or employment history I use “Experience” as the heading. Then again start with current employment years of employment and then short bulleted list of positions held, and any other group or extra talent I am a part of, such as ICU Charge RN/ Staff RN, code team lead, Unit Preceptor for new hires, and shared governance participant. I try to keep my employee history to just around 10-15yrs back and add notation at end stating entire employment history available on request. Then I use Skills as next header with bullets of around 10-15 applicable skills such as ventilator management, Titration of vaso active drips, cardiac drips, conscious sedation administration and management ect. Then last header is References and I usually put four. That’s it short sweet to the point and easy on the eyes. Otherwise if it continues to be a roadblock getting the interview, definitely try staffing or travel agency they are always looking for talent, and you don’t have to travel outside of your community unless you want to!!! Good luck happy hunting!

One of the many side-effects of nursing, especially critical/emergency care. You will find the longer you are a nurse you will develop strange little neuronal behaviors. Foot in mouth syndrome is usually the first to emerge, along with “I don’t even know what I am saying” syndrome, and then “oh what, I’m sorry I’m just talking to myself.” Along with many others, no worries own it it just means your brain is multitasking and critically thinking and sometimes all of that try’s to get vocalized at once. Wait until you ask a patients family member about their mom or dads medical history ect. And they say that’s my wife or husband! Good times!

I really love this discussion, and I am going to have to agree this whole customer service in healthcare is ridiculous. First of all it couldn't be more obvious that our hospitals are being ran by business people who have no idea what good medical management is. Their decisions are based solely on the bottom line, and legally covering their assets. So naturally they want their "customers" to be pleased. Unfortunately we are not a restaurant or retailer we are healthcare providers and many times that means telling a patient things they don't want to hear or advising them about lifestyle changes that they need to make. We have to tell cardiac patients that they need to lose weight, modify their diet, quit drinking etc. Diabetics that they need to check their sugars and McDonald's can't be a regular thing. We are constantly short staffed, given more and more "checklists" to check our checklists. Told we have a new protocol for all patients. I work in the ICU and I would say 80% of the time at least 2-3 of our beds are homeless ETOH withdrawals or IV drug users with complications. Also a big source of admissions lately has been DKA, and GIB homeless of course. Then we have our frequent fliers who have abdominal pain, anxiety, ptsd, fibromyalgia, and chronic pain. Then there is the actual sick, critical patients. I would say 90% of the homeless patients are entitled, rude, verbally abusive and many times physically abusive. As well as non compliant and exhausting. The drug addicted know that they can come and get their drugs as well as act like we run a hotel/ bed and breakfast. I wish we could just do our jobs and care for patients and not have to worry about press ganey, or hcaps, or DNV surveys in order to get a mineute reimbursement from Medicare/Medicaid. I also hate having to fight for my patients to be transferred to other facilities for appropriate care that we can't provide, and administration is dragging their feet, and asking why the patient can't be managed with us. It's become the twilight zone as far as administration hindering proper medical treatment and guidelines. And one last complaint, as far as nursing direct supervisors and "clinical educators" I have noticed a disturbing trend. Our Supervisers have had less and less direct patient care and floor experience. The clinical educator for Med/Surg and ICU has had only 2years of med/Surg experience as a floor nurse and is supposed to be educating the ICU staff?? Oh and all the charge nurses from the last five years are brand new less than 3yrs experience as a floor nurse and no other hospital experience. It causes the floor to be unorganized and the staff nurses to be overwhelmed and have to seek out help from other departments when problems arise. But they make Admin happy by doing whatever they want and slamming the floor with admissions like a factory. Great customer service opportunities, order for admission bring them on up who cares if the rooms ready, or the nurse is ready, or if the level of care is appropriate.

To infinity and beyond!

How Nurses Bond.... By Having my Back as we walk into the unknown!

I hate the "frequent " flyer who manages to get admitted to the floor by the new doc... and is there for abd pain, nausea and vomiting, anxiety and fibromyalgia. Every hospital has one. As soon as they get to the floor they need dilaudid, phenergan, and Ativan. And they demand doses that are all ridiculous. And when you don't comply then the "crazy " comes out. They start crying, then they escalate to yelling and screaming, then they Start calling family members hysterically and telling them how "we" aren't treating their pain and anxiety. Then they take their "show" to the nurses station and yell and cry about how much pain and anxiety they have and want the doctor right now!!! I even had one throw herself on the floor in the middle of the hall. My second least favorite patient is the one who has the overly concerned and self important, entitled family members that they are obviously manipulating for whatever reason. Such as the "sweet old lady" admitted for aspiration pneumonia, and has he of CHF. When you assume care she is just the nicest person and has no complaints and seems to agree and understand the plan of care. Then the family shows up, and suddenly the patient has been hurting, and her sheets are dirty and no one has given her a bath, and she is hungry and we aren't feeding her, oh and she doesn't know if she got her home meds. And suddenly every 5 minutes one of them is at the nurses station for something. They are too good to use the call light, oh and they have been walking around the unit and why can't the patient be in this other room. And every time you walk into the room you get bombarded with questions about her care, and it's always a different family member! Oh and there is always that one family member that is in "medicine " and asks you a myriad of ignorant questions. And every time your rear end touches a chair to chart it is an invitation for one of them to walk up and try and get your attention for some sort of ridiculousness.