The patient has no significant health history but is a DNR status? Dosn't his family love him, or is thier a BIG will? Anyone discuss with the patient the fact that if he codes we are just gonna...
It's been a LONG time since I was a new grad, but what I advise the staff I'm precepting is that the day is way too big to focus on. Ask yourself "what do I need to get done in the next 30 min?" If...
The same lawyers that help with SSDI also handle these supplemental employer offered STD programs. Often the requirements to get paid from these plans are as restrictive as federal SSDI. On top of...
That is part of the problem- it is frequently easier to just do it ourselves than to try to get the staff that could and should be doing some of these tasks to take responsibility for their...
We pay into social security for our entire working life. We work a job with one of the highest incidents of back/spine injury in the working world. We then end up with a choice when we have the...
suanna replied to Lynda Lampert, RN's topic in General Nursing
We've known this for 20+ years. "Body Mechanics" are just a way for the hospital or Workmans Comp administrator to twist the injury to make it seem like it was the nurses fault. I have been counseled...
I want the shift supervisor to call me up every hour and ask if I would "Please record the VS from my patients is it wouldn't be too much trouble". Maybe pharmacy can call me whenever a med is due and...
Part of the problem is the system is finding more and better ways of sabotaging us. Before CPOE you saw or spoke to the physician so you knew when there were likely to be order changes- most of the...
Who in the world told you this? An employer may have a policy of not allowing staff to work if they test positive for one substance or another, but the BON (at least in my state) only prohibits...
I'm sure this is a facillity specific question. I doubt you will find a "splinter" clause in any states scope of practice/ nurse practice act. I think this is why I would be driven NUTS by camp...
I've been a nurse for 30 years, I'm good at my job, and almost always get through each shift with little difficulty. I enjoy my unit and my peers. I worked one position for 20+ years, and have been...
I have never in my career had a physician or peer give a hoot about heart sounds. It's nice to be able to say "this patient has a loud pan-systolic murmur that I didn't hear eariler in my shift", but...
In a word- yep. If I could do my job without being the one responsible for ensuring the resident medical staff wrote appropriate orders, the pharmacy sent and timed the right meds, housekeeping...
On the "computer med admin systems" issue; These things are only as helpful as the data they are fed. In todays in-patient world, patients are unstable or they wouldn't be in the hospital. That...