In addition to the note, maybe you should try to do some damage control and make a call to the ICU NM. You could explain that although you had worked all night, you did not want to miss out on the...
Sounds like the Joint Commission would like to hear about the policy in your place. Patient safety is being compromised to save a buck. http://ajcc.aacnjournals.org/cgi/content/full/17/2/95...
I would like to add that if you are using a pump you would have to set it for double the mL amount for it to run in 30 minutes, since the calculations usually require mL per hour, rather than mL per...
loricatus replied to kermitlady's topic in Emergency
From what you said, it sounds like the triage nurse may need some refresher training in pediatric emergencies. I am glad your son is OK. May I suggest, if it ever happens again, that you write...
loricatus replied to Wondergirl0905's topic in General Nursing
I cut and pasted this from the IRS website "Licenses and Regulatory Fees You can deduct the amount you pay each year to state or local governments for licenses and regulatory fees for your trade,...
loricatus replied to wanderlust99's topic in Travel
Glad things worked out for you. I am still kicking myself for going staff to ride things out. Lost all my savings over two successive cancelled contracts d/t economic conditions. If it weren't for...
loricatus replied to Pepper The Cat's topic in General Nursing
His bad behavior is also being reinforced by the nurses. No one has to take being yelled and cursed at because that is accepting abuse. When I get a patient that yells and/or curses, I immediatly...
So, what will they do if you show up in whatever you want to wear----not allow you to get pinned? For similar reasons, I decided to skip [personal boycott] my pinning, my graduation, clinical award...
loricatus replied to Pepper The Cat's topic in General Nursing
Oh, I pity you. Sound like you are in 'The Twilight Zone' Maybe you can use earplugs on the other patients and just let him scream himself to sleep. Pillow therapy is quite tempting, though. So...
Could it possibily be that between your depression and lack of enthusiasm for being a nurse, your voice and body language is conveying something during the interview? See if you could do a mock...
loricatus replied to Pepper The Cat's topic in General Nursing
Sounds like your guy needs a psych consult and to be treated as if he was a psych patient. Start by setting boundaries and rules of acceptable behavior. Include his behavior and noncompliance in...
loricatus replied to Guest219794's topic in Emergency
I was the one that said we should not diagnose. It was not directed at you; but, was an attempt to make another poster realize that a judgement on an emergency room visit being warranted was not in...
loricatus replied to CraigB-RN's topic in MICU, SICU
I don't know about your ER; but, in all the ERs I have worked we put the saline lock/J loop on with every IV start. The ones that do not have them usually come in from EMS like that-especially the...
loricatus replied to Guest219794's topic in Emergency
Not really. You actually got my sympathy for your ignorance on the subject and now have it for your problem with making assumptions. It takes a lot more than this to rattle an ER
loricatus replied to Guest219794's topic in Emergency
A nurse who makes a medical diagnosis is practicing out of his/her scope of practice. The ER works by consideration of presenting signs and symptoms, with a medical practioner using the differential...
loricatus replied to Guest219794's topic in Emergency
It is the majority of those patients you describe as keeping us in business who prevent us from taking care of &/or recognizing the true emergency patients. With their selfishness, demanding...
In all the ERs I have worked it was always done as a sterile procedure with both the nurse and the patient wearing masks. Having seen a few patients in the ER with infected port areas, with one that...
Don't feel bed what was said to you. I have had that same speech said to me. I usually reply with something like-"So, do you have any complaints over my clinical skills or over the patient...