ZASHAGALKA replied to RunnerRN's topic in Emergency
ER and ICU nurses generally have the same temperment and the same level of difficulty skill sets - even if the focus is different. I've worked both and find that most ER nurses find critical care...
It's not a LVN vs. RN thing for me, but rather, one of autonomy. I just want to be free to do MY job. The few times I've floated into a team nursing system, I normally strike a deal with the LVN that...
Not true at all. The test is trying to determine 2 things: 1. The level you function at, and 2. A statistical level of certainty regarding that level. Some people - regardless of ability - are just...
ZASHAGALKA replied to Bethy-lynn's topic in MICU, SICU
Actually, I'm on a research committee for our insulin gtt protocol and I'll have to go back to work and actually pull the research, but a major study found that when docs leave the rules much more...
ZASHAGALKA replied to Bethy-lynn's topic in MICU, SICU
I think the OP is getting lot of unearned grief. Nurses, every single day, go above and beyond to 'massage' the system, or else it would break down. The lines are blurred and always have been. Just...
NO, they would simply move their patients out and close down during a strike. Ultimately, that costs LESS money to do so. Without the concern - even if it is just the monetary concern of reputation -...
I understand this. I normally debate the issues. Look, I've never crossed a 'line' and don't have much opportunity to do so in Texas in any case. But, I'm not even sure if I COULD. I KNOW this isn't...
Even so, so much the better for strikers. Insurance companies don't just shell out millions of dollars with a shrug of their shoulders. They don't. They are in business to make money, as well. First,...
I detest team nursing. I would not work in a team nursing model. One of the greatest benefits of nursing is that my shift is MY shift. It is autonomy of professional action. Team nursing trades that...
It comes down to 'differentiation of practice'. Differentiating based solely on education is just silly and has proven for 40 yrs to be an unworkable model. There is so much more that goes into making...
While I agree that seeking the full redress of the legal system is probably not in order, it IS a powerful leverage to seek the actual redress that you feel is adequate. That office HAS to know that,...
ZASHAGALKA replied to nurse4theplanet's topic in MICU, SICU
The options are there to go straight to ICU. But, let me give one caveat: If you choose to learn to drive on the nascar circuit, don't be surprised when some of the drivers run you down. It happens....
ZASHAGALKA replied to SusanRN321's topic in MICU, SICU
I concede the point as I have been unable to find any literature to support my previous assertion. In Texas, at least, one of the decision models for practice is - does the literature support the...
What I said in the above thread: I read the article and pondered about it for awhile. And, I think this economist is right on the money. Let me explain. First he is referring to what he calls...
This issue was previously discussed in-depth: https://allnurses.com/forums/f195/does-better-pay-better-care-170851.html The author has a very valid point. RATHER than indict the concept as it applies...
I said nothing offensive. If you aren't willing to challenge your preconceptions about how things work and why things are, then you won't grow. If nurses REALLY want to exercise power and not just...
Check your labor law, this is not legal in most states. I've seen companies have to pay a ton of backpay for such abuse. To backdate your clock time to a preset time, no matter how long you work, is...
It's not about belittling them. I respect the courage to strike. But IF you are going to strike, you have to be in it for the long haul. It's an honest assessment. Look at some of the posts later in...
I agree with one thing: from their perspective, they probably hire most beating pulses, so an interview is not as important as the fact that you applied. But, I would not have waited 1.5 hrs to be...
ZASHAGALKA replied to nursing4me23's topic in General Nursing
Oh, I understand this. But - because the ivory tower and the ANA polarized this debate with their insults, there can be NO assurances, despite the claims of being grandfathered. Simply put, I'm not...
ZASHAGALKA replied to nursing4me23's topic in General Nursing
I for one went right into my bach degree program after getting my ADN. But, I had absolutely NO desire to get a BSN. My bach degree is in biology. I live in the same college town I graduated and...
Well I'm sitting here watching the 'Stros play the Braves w/ Clemens on the mound while I'm surfing, so, the THOUGHT of baseball in general and the possibility to maybe going to another Clemens home...