LetsFixNursing

I would think she couldn't work or would have to gown, glove and mask up for every patient. A nurse can work having HIV right? Could a nurse with MRSA work without jeopardizing patient care. Thoughts?

I've been a nurse a long time but haven't ever quite gotten a full understanding of MRSA colonization vs active infection. When I report off sometimes I'm asked which I it ot where is the infection, ie: wound, urine etc. Why does this matter when the pt I'd on contact precautions regardless of if it is colonized or not. How does that affect the care of the patient from a nursing point of view?

I was 345 pounds and couldn't work anymore I've worked nights my whole career. I downloaded the lose it app to my phone and have lost 120 pounds in a year and a half. It's the only thing I have tried that was successful. Now I'm 50 pounds from my goal and doing great. Try it.

I am a nurse who is a smoker I would like to quit but currently working on other things smoking will be the next thing that I tackle. An organization that I work at you have to clock out to leave the premises to smoke even though it's 50 feet from the door and you're only allowed to smoke on your 30 minute lunch . I have noticed non-smokers don't have to clock out for their lunch and they generally take more than one break. They might take a 40 minute lunch break then take a 15 minute break later. It takes me 5 minutes to get to the smoking area and 5 minutes to get back so I only get 20 minute break. And I don't like taking breaks on the unit. Smoking is my stress relief and I think I should be able to go smoke if I have time for 15 minutes here and then 15 minutes maybe 4 or 5 hours later. I don't mind clocking out for it but I shouldn't be made to take an entire 30 minute lunch at one time. And other nurses can take as long as they feel like taking . I feel discriminated against.

Sorry, she is expressing how she feels. This is directed to Canada dry who commented earlier

I think you have nothing constructive to say and I'm trying to express how I feel so I think you should be kinder on your posts!

The unit I work on has a central nurses station surrounded by mini nurses stations called foyers. The nurse assigned to a foyer will have 3 to 4 pts 5 feet away from their little desk with a bank of tele monitors for their patients. No one has to walk all over creation to get suplies for their rooms because its centrally located in the center. Degins seems cool right?...NOT! Every floor I have ever worked on had only a central nurses station with a supply room at one end and you may be assigned at the other end of the hall, buand your patients may not be all in the same area but they based the assignment daily on acuity so no one nurse had a hard group and another had their heels up all night playing candy crush or whatever. They would stagger admissions based on of course who had empty beds and who was caught up enough to take the first admit. Then the charge nurse would let you know who was next in line so you could prioritize your tasks to be able to take the next admission. You would also get a phone report so you knew what to expect and sometimes bed management would assign a patient to our unit who wasn't appropriate for our capabilities and would need to be reassigned (much simpler to rearrange bed assignment before the pt hits the floor, right?) Well my unit doesn't base assignments on acuity or stagger admits. If u arrive at work and have 3 empties. You're most likely gonna get 3 admits before midnight because of staffing (have to have a certain number to keep our nurses) this is very dangerous in my opinion because you are crunched for time orders get overlooked and you may get more than one at the same time!! My hospital has gone to bedside report so that it involves the pt and therefore improved pt satisfaction scores...let's face it hospitals have become hotels these days. I feel it's unsafe fr everyone involved because these are sick patients one step from the ICU. I know I have delusions of grandeur but come on there need to be a better system. Have an admissions nurse who asks admission questions, orient the patient to the room and then I can focus on their care! I can see bedside report for a patient l ready on the unit but if they are transferring from the ED or another unit a preliminary report should be called in first so I know what equipment to have ready to go and if they are appropriate for my floor. We as bedside nurses need to step up and get involved with these policies to improve pt care and employee satisfaction. Any body disagree or want to add a comment?