areensee

I disagree. If NK lauches a nuclear strike, they are going to throw everything they have at us, small numbers or not. We will retaliate, which means nuclear bombs dropping on China's back door. Do you really think China is going to say, "sure go ahea...

This is what happens when you have a leader who is desperately looking for distraction and will use every channel in the federal government to do it! Do you think if a nuclear bomb falls, it will be only one? We would retaliate, which means China and...

You have q good point. Many nurses complain and they have good reason to. Our health csre system is operated by those who measure success in dollars, not in people. That being said, compromising patient care becsuse of one's attitude is not OK. Inste...

It depends on what area of nursing you moving to. I have taken several pay cuts, but did so in order to chang3 my focus. When I left the hospital for a hospice position, I took a pay cut. When I left hospice to teach nursing, I took a pay cut. If jus...

I disagree with many others. Depending on the funding you have available and your need to work, getting an LPN and bridging to an RN program may be just what you need! For example, in Utah, it is possible to obtain an LPN certificate in one year, and...

Been there, done that. It is harder to find a job if you just up and leave a position, but like you ChutneyFries, it was the only thing to be done at the time. I did recover and found a new position. I pride myself on being a nursing professional. If...

Nursing care is always a balancing act, as is medicine. We try to do the most good and least amount of harm. If you do a search of research articles you will find a great deal of evidence that interrupting sleep does do harm to patients. Now that isn...

WHAT EBP, give me the sources!

I don't doubt that you can catch problems, but that can happen any hour of the day. There's nothing magic about 0300. Besides, as I challenged, where's the evidence based research? Anecdotal evidence is just that, anecdotal. The telemetry unit I wor...

I am a clinical instructor and I understand your concern. It appears to me that students are coming into nursing programs less prepared than they used to. That isn't the fault of the nursing programs but rather our elementary and high school systems....

By subjecting patients to unnecessary sleep interactions are we helping or are we increasing the incidence of problems? Give me a source that shows that doing vitals every 4 hours is GOOD for patients! Also, patient's in telemetry are monitored aroun...

Wake me up at 0300 and my blood pressure is likely to be abnormally high! Why should this surprise anyone, and why do vitals at 0300? Does it really provide any useful data that can't be obtained 3 or four hours later? Obviously the ICU would be an e...

Aside from the fact that the hospitalist in this case is a first class jerk, I've been thinking more about the practice of frequent vitals and all the other horrid things we do to people in the middle of the night. Here's an interesting question. I w...

So who authorized the enema on the dementia patient? I'd want to have a word with them. Being a hospice nurse this sounds like something that should not have happened. This very well may have BEEN an assault. It angers me to no end when the right to ...

I can see something of both sides of the issue, however I think sometimes we forget all about the growth and development theories we learned in school. New nurses are entering the workforce at a very different level than I find myself in, being an RN...

Yep you're gonna get flamed. I think you're confusing bullying and personality issues. I've been an RN for over 20 years and I've seldom met nurses who are just whining and don't have an actual concern about the way they have been treated. Certainly ...

It's a good idea to talk with the hospitalist before he goes to bed and find out what he wants to awakened for. Ask for parameters. This aside, the hospitalist in this case was a [fill in your favorite word], and nothing will change that. I've been t...

Yes, get out of there! You have what is known as a hostile working environment, and you may be in very real danger. I very much appreciate those civil rights pioneers who risked their lives (and those who lost their lives) to further the cause of soc...

I am a hospice nurse and am also in an RN to BSN program. For my capstone I have requested to complete the requirements in a parish nurse program. This article speaks to exactly why I am going this direction. Thank you for sharing.

I see this all the time with family and with nurses caring for the patient. I believe this stems from many different reasons including the lack of hospice training in nursing school programs as well as general attitudes and beliefs of society in gene...

Yes, this is hospice nursing. In my case, with or without the actual verbal prayer, the care itself is unceasing prayer.

I wish you well. Be sure and let your colleagues help you along as you learn hospice nursing. It is very different from other areas and extremely rewarding. Do be sure to give yourself permission to grieve and grow. You have to learn to do this when ...

Not in our area. PICC's are placed by APRN's or physicians exclusively in a clinical setting. We would have to transport the patient to have it placed. This is one reason why when we admit a patient discharged from the hospital, I will always advocat...

I am prejudiced, I admit it. I worked in med-surg for 15 years and do feel it is the best preparation for hospice as well as most other specialties, however I agree it is not the only way to get the experience you need. I have been trying to recruit ...

I disagree about the use of the revocation paperwork having the patient sign on a date, but listing the effective date as an earlier date. Clearly, a benefit can not be revoked BEFORE the date the paper is signed. The line which asks for effective da...