patwil73

patwil73

ICU/CCU, Home Health/Hospice, Cath Lab,

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All Content by patwil73

  1. Nursing Supervisors

    patwil73 replied to PediRN's topic in Nurse Management

    Hello, I also work as a house supervisor (called Clinical Administrative Resource) at nights. Our facility has roughly 230 beds but will increase to 300 or more when the new tower is complete. I have...

  2. How to prevnt Medication Administration Errors

    patwil73 replied to NurseMike9111's topic in Patient Safety Issues

    Serious suggestions: 1) Can you close your unit during the busiest med times - say 0800, 1200 and 2200 for an hour. This would cut down on the number of visitors around that could interrupt you....

  3. Nervous over possible termination

    patwil73 replied to funsizedliv's topic in General Nursing

    In fact he was responding to me - although I believe I said it was "very difficult to impossible", a statement I will stand by. While working LTC I had on average 35 patients. Each patient had...

  4. Reporting during a rapid response or Code Blue

    patwil73 replied to bakpacker13's topic in First Year After Licensure

    You will get much faster with your diagnosis after having seen a lot of problems. At the start, just play detective - gather all the information you can and start eliminating systems: ie, is this a...

  5. Nervous over possible termination

    patwil73 replied to funsizedliv's topic in General Nursing

    i appreciate your reply leslie and hope you did not take my post as an endorsement of unsafe behavior. often times due to the constraints we must exist under we operate on a continuum from safe to...

  6. Nervous over possible termination

    patwil73 replied to funsizedliv's topic in General Nursing

    One thing I feel a lot of us fail to do in responding to these situations is considering the working area of the OP. We concentrate on what we should do - versus what we can do. In a perfect world...

  7. Nervous over possible termination

    patwil73 replied to funsizedliv's topic in General Nursing

    First off - you need to repeat after me "You are a good nurse!" Keep saying that a few times. 1 mistake does not a bad nurse make. The problem I am seeing here is one of process. As nurses we...

  8. Calling In for ANY Reason using PTOs

    patwil73 replied to dRkazN's topic in General Nursing

    As a nursing supervisor at my hospital I get the joy of taking sick calls sometimes (they are supposed to call staffing now but people rarely remember). We are absolutely not allowed to ask what is...

  9. Help! How do I stop blowing very good veins?

    patwil73 replied to bagbaje26's topic in General Nursing

    A few suggestions: 1) Make sure the bevel is facing upwards so that you don't blow the vein trying to advance. 2) If you are inserting flush with the skin try a slightly more angled approach and...

  10. What is the average RN salary for RN in Tacoma

    patwil73 replied to twantland's topic in Washington Nursing

    Probably between 22-26/hr not counting shift differential. Sorry I missed your post on St. Joseph's until today - it is a nice hospital. I have always enjoyed working there as an agency if that...

  11. transplant from Indiana to Tacoma...help :)

    patwil73 replied to coltsgrl's topic in Washington Nursing

    Hello, I didn't transplant so I can't tell you how long it will take to get your license, but you can often find great neighborhoods with lots of kids. Puyallup and Spanaway and Graham especially...

  12. Does an empty bed justify admission?

    patwil73 replied to hdhnurse's topic in Patient Safety Issues

    I trulydon't know if you can do anything without the fear of being fired. However, can you ignore the phone calls from ER? See if it is them calling and just don't pick up? I agree your staffing is...

  13. Undecided... and need moral support

    patwil73 replied to tj_Medic_RN's topic in First Year After Licensure

    First the moral support: You've chosen a hard road to make things better for your hometown and the people you grew up with. I truly hope you can help. Now the realist in me: Getting the right...

  14. Need Honest Opinion -- Would You Recommend Nursing?

    patwil73 replied to djc1981's topic in General Nursing

    I would definitely reccommend nursing - and in fact often do so to those who ask. What other profession has so many niches that you can specialize in to find what you truly enjoy? Is it stressful?...

  15. VENT: You mean I still have to work when I'm on the clock?

    patwil73 replied to Penelope_Pitstop's topic in General Nursing

    If she keeps listing things she didn't get done each day - I would start keeping a list on my report sheet (since you will have to get the done) and write down the time report is finished. Then,...

  16. Seriously? I don't think I want to do this anymore.

    patwil73 replied to ANH_RN's topic in First Year After Licensure

    Deep breath. I am terribly sorry for how you are feeling. Another deep breath. You are not stupid! Stupid people don't acknowledge mistakes. One more deep breath. It does get easier. Now on to...

  17. VENT: You mean I still have to work when I'm on the clock?

    patwil73 replied to Penelope_Pitstop's topic in General Nursing

    I can hear the frustration in your post and wish I could say something that would make it better. I honestly don't know if I have ever experienced that problem, as most of the reports I've been a...

  18. Should Personal Internet Use be Banned During Nursing Shifts?

    patwil73 replied to Anxious Patient's topic in General Nursing

    Thank you! Thank you! Thank you! We need to all remember this - we are professionals. We should be responsible for our actions while at work. We are not kids that should need our hands held and...

  19. So What do you LIKE about nursing?

    patwil73 replied to LogCabinMom's topic in First Year After Licensure

    I like the excitement that can happen - the extraordinary variety that each day can bring. I like the people I work with and the boost I get when we can work together to help someone. I like making a...

  20. When do you call the doc?

    patwil73 replied to LogCabinMom's topic in First Year After Licensure

    I call the doc when I need something only they can do - example: new meds for pain, some labs, interventions (like giving blood, placing on bipap), etc. If the situation is serious enough I call the...

  21. Looking to interview a male RN...

    patwil73 replied to Miles1978's topic in Men in Nursing

    Pat or Patrick - I respond to either. I have a Bachelor of Arts in secondary education and an Associates of Nursing. I originally chose ICU as I wanted something that I felt was more...

  22. HELP.. chf secondary to thyrotoxic heart disease

    patwil73 replied to chamisrielkat's topic in General Nursing

    Although we aren't supposed to really help with assignments you might try a quick online search: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1873689 The above site lays out the...

  23. ...answers from some pros...

    patwil73 replied to steveo's topic in General Nursing

    It sounds like a real good idea. It might take a bit longer since you are working at the same time, but that really depends on how motivated you are. Someone else suggested shadowing a nurse - which...

  24. HIPAA violation? Please help...

    patwil73 replied to sgtbarbie's topic in General Students

    Or to anyone designated by the patient themselves. Otherwise we would never be able to tell family and friends what the status of the patient is. According to the OP she had permission from the...

  25. HIPAA violation? Please help...

    patwil73 replied to sgtbarbie's topic in General Students

    I can't find a HIPAA violation there either - you had permission from the patient who can give permission to whomever he wishes. If you weren't already in trouble I'd say go to your instructors and...