icuRNmaggie

Definitely contact your malpractice carrier. You have been taken off the schedule due to alleged medication administration issues. Do not sign anything. Get copies of everything that you can. After the meeting write down every detail of the conversation that you can recall.

BeenthereDonethat, Ruby vee, Bortaz and Grn Tea.

How many beds are in this facility? How many ICUs? What are the criteria for admission or transfer to the step down unit? What are the nurse patient ratios for telemetry and stepdown? Do you have a secretary, cna and monitor tech? Do you have a union contract?

https://allnurses.com/general-nursing-discussion/new-grads-in-1000096.html This discussion from July goes into all of this in great detail. Some people made it personal and it really became heated. You could bump it by posting there.

The manager can not force you to schedule extra shifts beyond the required hours for your position. In some states a nurse can be mandated to work an extended shift if there is no relief nurse or if there is an emergency situation. The State Department of Labor for my state explains the mandatory overtime for nurses regulations in great detail.

Go to the Department of Labor for your state and type in mandatory overtime for Nurses. The criteria are vague in some states and definitely favor the employer.

I know of a nursing administrator whose claims to having a post graduate Nursing degree and an MBA were found to be false during the application. What a huge waste of money that turned out to be.

The student forum at justusnurses.com is a wonderful resource.

The language barrier, refusal to use the call light, refusal to assist the patient whatsoever, along with the unrealistic expectation of having constant personal attention make it taxing to deal with this population. The patient has to be taught to use the language line.

Clamping the foley prior to an ultrasound to view the pelvis might be appropriate. A Ct scan, never. Clamping a CBI drainage catheter for a Ct scan is insane as it could result in a ruptured bladder. No no no. Beware of radiology people who operate outside of your hospital's policies and want to play with the ETT and have respiratory hyperinflate the lungs and play with other tubes and devices. It happens and you need to yell for help and order him to step away from your patient. I would print that CT policy and notify the MD, especially the Urologist, write an incident report and make a whole lot of noise.

If you do leave without notice, do not tell a soul where you will be working. Your management will most certainly call their management and say negative things about you. You could lose that new opportunity and find yourself unemployed. I have turned in my badge at the end of a shift in a dangerous situation and said I won't be coming back. All nurses should have another job to fall back on, even if you just work there one day a month.

It is standard for any public speaker to establish credibility and describe their experience and possibly their educational background in the introduction. If someone is employed in the Professional Development dept., I would certainly hope that they are qualified to teach. I would also be annoyed if I had to listen to personal anecdotes during hospital orientation.

what is T/S

Other cultures seem to have greater respect for education and all of the professions including nurses, teachers and professional musicians.

Healthcare is minimal to non existent on many of the islands. In general, patients from resource limited parts of the world are very thankful for vaccinations and really any treatment of acute and chronic conditions.