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esrun2015

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  1. They are setting up cameras in the room that can zoom in so close you can look at IV sites, etc. The cameras can't record.
  2. My hospital is setting up to do Virtual Nursing. These nurses will help with admissions, discharges, and a second set of eyes for meds/skin assessments. I wondered if anyone is already doing this and how it is going. Thanks,
  3. At my facility, the current orders for telemetry monitoring calls for 24hr, 48hr, or 72hr. But as you know, some patients are here for days or weeks. I recently had a patient who had been in hospital for 25 days and the order had originally been for 72 hours. So this patient had the monitoring for 25 days with no significant events. The protocol states the monitoring unit is to call the charge nurse on each floor and tell them what orders need to be re-ordered or canceled each morning, but that is not happening. The mentioned patient's order had expired for around 22 days. In another facility where I worked, we used the same orders, but at the end of the allotted time, the RN was allowed to cancel the order if there were no events. Do any of you use these same types of orders and if so, what are your protocols? Thanks,
  4. I would like it if anyone could tell me what the current CA mandatory staffing ratios for hospitals are or where I can find that information. Thanks.
  5. Yes, I have been a nurse for 30+ years. When I started, it was expected for you to work through lunch, eat at the desk, and on the run. It is just ridiculous. I believe nursing is one of the only professions where most of the staff on a given day does not get a lunch. But I do think leadership gets their lunches. I plan on going to admin at my facility and bringing it up. We have to answer a question when we clock out why we didn't take lunch, so they are aware that we are not. I want to hear from them why they haven't addressed the issue. The reason for survey was to hear if other nurses across the world have this issue also.
  6. If this is not allowed, please delete it. I am trying to see if there is a trend or just my facility. Thanks! Area of employment: Leadership_________ Staff Nurse _________ Clinic/Urgent care __________ Home Care/Hospice ___________ Nursing Home ___________ Doctors office ____________ Surgery/Radiology_____________ Other____________________________ If a staff nurse in hospital, what dept: ________________________ In the last five shifts at work of more than 5 hours, how many of them did you take a lunch break of 30 minutes, uninterrupted: ____________________ Reason for not taking a lunch break: __________________ What do you think needs to change for nurses to be able to consistently take a lunch break: __________________________________________________________
  7. File a police report. This is assault. Even if your facility says no, it is not up to them, this is about you and that person should be held accountable.
  8. Didn't know where to post this since there isn't a section for PCU nurses. My question is what are your nurse-to-patient ratios for PCU/Step-down? In my hospital, there are five PCU units. I would like to see how we compare to others in the nurse-to-patient ratios. We are 4 to 1 sometimes, but mostly 5 to 1, which is the same for the Med/Surg units.
  9. Yes, I have worked with many amazing LPNs in the past. But my current hospital will probably never do this, because of the Magnet status. So instead they have hired a lot of foreign nurses, who have not taken the NCLEX, so I don't know how they can be called RNs. They take a foreign exam, but these nurses just don't seem prepared for US nursing. Some have said, the doctors pass the meds in their country and they have never done it, and it is obvious. I would much rather have US trained LPNs. And I am not racist, I just don't think they are qualified to be RNs in this country, if they can pass the NCLEX, then sure.
  10. Yes, Emory did the right thing. We all critical of patients but hopefully in private with our co-workers. But to put it on social media, that was not good. And to record it while working, well that is probably one of the main reasons they were fired. Don't record at work! But there is another account of a male ER tech who has been making videos for social media for years and he is still doing it. I quit watching him, it was "ick" (Steveioe).
  11. Wow, just wow. A number of things stand out. You say you don't do chemo now so the ONC certification requires I believe you have to have been a oncology nurse for at least a year and you have to have knowledge of various types of chemo to pass the exam. Second, with the ability of nurses to find a job just about anywhere these days, if someone called me at home and threatened my job, I would have to respond, "how about two weeks, this is your notice I won't be in after two weeks!". Geez some managers should not really be managers.
  12. Yes and no. Some patients are appreciative and thank me, others act like I am there to serve them. Co-workers for the most part at great, but they are too busy themselves to be of any help. The charge nurse, there is one good one who will get up and help and not need to be asked. The others sit at the desk and scroll on FB. The manager, don't see her much, so really not supportive. She has no backbone and likes to gloss things over. And administration, well never see them and only hear from them in an email, when a patient has complained that they didn't get there pain pill on time.
  13. So how would you handle this if it is the charge nurse with these behaviors. When I worked nights, there was a charge nurse who slept at the desk all the time (they did not have any patients) and now on day shift, I will see the charge nurse at the desk scrolling thru facebook/phone, etc., while the rest of us are running around.
  14. I read my contract and it said nothing about employee handbook. My pay was cut by 1/3, but I only had a week remaining on the contract. That hospital cut all the travelers pay at the same time. We were given the option of cancelling the contract (and a lot of them did). I finished it out and when I got my final pay, it was for the contracted amount, not the decreased amount. But the whole thing made we re-think traveling.

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