evans_c1

I wouldn't worry about leaving the facility. It is about your happiness and not up to them. saying you were a waste of time and money is harsh and unprofessional. like my mom always tells me..."be nice to everyone; they could be your boss someday." nursing is nice in that you have hundreds of options. you can go anywhere and have a job in an instant.

Like every other hospital in the world..it varies. our average (from triage to discharge) is like 4.5 hours. our hospital is smaller and our er has 23 beds right now. we are getting ready to double that number, too. I would say the average wait time from triage to bed placement in ed is maybe 45 minutes?? that is totally a guess.

Im seeking some ideas for argumentative topics (hopefully in healthcare). The topic must be controversial and 20 pages long..any suggestions? This is for a non-nursing class so it has to be on a normal college level. I was thinking of socialized medicine?? give me some thoughts and Id appreciate it.

Has anyone ever tried this product Provigil for excessive sleepiness? Like some, I work the night shift (12 hrs) and feel like I sleep excessively and have problems staying awake. Is this product FDA approved?

I like the idea of botulism..that is so interesting. Have you considered Invasive group A streptococcus (IGAS)? this is a bacterium known to be the culprit of the dreaded flesh-eating disease. Proteus is another good one as is aspergillus. too many to choose from!

I agree...ADN first...that is another year or so of additional RN PAY that you may be missing out on if you went right into the BSN option. RN ALL THE WAY. I grad with mine last year and, like you, am in pursuit of the BSN currently. I woul not do it any other way. good luck

I have this dilemma...I cannot decide whether to apply for a position in a med-surg ICU or the Emergency department. I am currently and RN working on a (mundane) Med surg unit at a smaller hospital. it is the same things over and over..and not learning anything! I want to go somewhere that I will learn and develop my skills. I have only been an RN for one year. I intend to go on for MSN but I am not sure which specialty. I just want to be somewhere that I will learn a lot of things. We don't even have telemetry on my unit..so clearly there is room for much improvement with my education. what are your thoughts nurses?

I am taking a BSN course for community nursing..We have a huge care plan due on our community..no guidance what so ever!! Anyone know of a website or anything that could be used as an example? thanks

negative on the hesi book..too in depth and not enough time. I bought nclex flashcards that came in a box precut..thye were awesome and I kicked butt on HESI..I grad last yr

http://www.medscape.com/viewarticle/556413 Just wanted to share an article that I found on medscape.com called "money matter$". Talk about the economics of nursing pertaining to the shortages. Give me your thoughts. Caleb, RN

Hey fellow nurses. I am taking a BSN research course and I am trying to find some good info. on alcohol-based hand sanitizers that we use in the health care setting. I remember I had heard once before that waterless hand hygiene products are only effective for use for approximately 5-7 times...after this it builds a film on the hand making the product ineffective without proper hand washing with soap and water. Maybe I am crazy and thought I heard it. Does anyone think this would be a good idea for a research proposal topic? I am open to any suggestions and appreciate it greatly! caleb

I think that it is sort of unprofessional..but this is their culture (no matter how much we want them to become more cultivated to our own). It is probably a struggle for them..but yea i agree that I would not like it! haha understand your dilema

Just out of curiosity, I was wondering if a nurse had a hostile or combative patient, is it OK to chart the term "belligerent" in reference to their behavoir? I am a new nurse so I am trying to avoid criticism when documenting.

Yea I am anxious to get back to work to see what has happened with this patient.

very informative..however, note that I said extremities..not just one leg. he c/o pain in legs, arms, elbows. I think the replies are interesting tho. never heard of that before. I am just perplexed by his extreme pain...possibly a dependency issue? I'm not one to judge..hedid report a lot of relief after the toradol injection tho.

I had a new admit last night...30 something year old who had a heart cath in mid december. He was admitted with pain in his lower extremities (intractable). I remember hearing a physician saying once that it is common to have like referred pain in the extremities after a heart cath..but this seems excessive for a heart cath 2 or 3 weeks. He was getting 1 mg dilaudid q2 hours..called and got it bumped up to 2 mg..then the doc was sick of us calling and wrote for toradol 15 q 6 hours anyone give me some insight? is this just a weird phenomena?

I don't think it is a policy to dilute here..but I always dil in 10 of NS and give over atleast 1 or 2 minutes. I usually put this one on the pump though. We are doing away w/ phenergan shortly..we had some type of undisclosed "sentinel event" ...thus we are getting rid of this med. We will resort to zofran or reglan

I work in ohio and LVN's can do assessments...just not initial patients. of course LPN's don't work in our critical units but on general M/S units..yea they can do assessments...just not the first one (admit)

I notice you are 24? Well, I am 23 an a new RN..I have the same problem but only with a few of the aides. I think they feel threatened and jealous that the "new and young nurses" are telling them what to do...well most of the time it is just ridiculous to try to ask some of them to do something. I took the issue to my nurse manager and she has done nothing about it...so what I do is if I need a BP, foley emptied, someone repositioned, whatever..I just do it myself. It might take you an hour to find them and then talk them into doing what it is you want..just do it yourself..atleast that is what I do. It usually is a task that will only take 2-3 minutes anyways. mostly...there is no teamwork haha. I get a lot more done with the RN/LPN helping me than what meI could ever get from an aide. I guess in the end we are the liscenced personnel anyways.

what is this...a court of law? haha

i agree with the previous posters. its our policy that we are merely WITNESSING the signing..not actually explaining the procedure/risk/whatever

my facility has no policy on checking insulin w/ another nurse. I have honestly never heard of that! im out of the loop i guess...like another poster said, i dont have that luxury. we are only mainly concerned w/ heparin and high risk meds. .I knwo..insulin could be that but you know what i mean

Wow, I have never heard such gloating before. That is impressive. I, like many of the other posters, am pursuing my BSN. My local hospital does not pay more for BSN (but they want you to obtain it due to seeking the elite Magnet status). Thus...immediate pay incentive is not my motive. I am actually addicted to school and it is a major problem! :) Not in any specific order, here are some of my reasons: 1. looks good on paper 2. indeed, opens doors 3. shows discipline. heck, any bachelor degree shows that. I like what someone said..shows "I can hack it" 4. allows for more networking with supervisors and other employees 5. stepping stone to higher education in most cases.

hey! work in southern ohio and I started right at $21 an hour and just got a small raise. not bad for new grad! Always remember to factor in C.O.L. too as mentioned earlier.

we had a nurse on our unit chart "pedal pulses palpable bilaterally" on a bilateral amputee. the doc amusingly inquired if it was the dorsalis pedis or posterior tibialis.