Mini2544

1) Pfizer 100% took operation warp speed money for production. They may not have needed it for development but they also took advantage of the expedited FDA process, Which is the main point of Warp Speed. Not just the funding. It’s so funny you focus on Pfizer though. Modernas vaccine which is more effective than Pfizer actually was fully funded by OWS and NIAID. Can’t forget about poor J&J too but I haven’t given up hope on that vax yet. Results will be better once the booster is approved. This current administration operates like typical politicians. They are all the same. Getting rid of government waste and unnecessary regulations aren’t really in their political DNA. That’s why OWS was effective. 2) nurses venting frustrations is one thing. I understand that. That’s not what I was referring to but you are more than welcome to try and skirt about my point. Even at our worst point in my large Florida hospital system, we were at about 35% total inpatient, covid positive. Which means the other 65% were there for other reasons. I’m sure those folks life choices played a part in their health situation. About 90% of our sickest covid patients had a BMI over 30, I think that’s just as big of a problem as folks not getting vaccinated.

Both hospital systems I’ve worked for required a negative tobacco test.. if it comes back positive you will not be hired. It is what it is. Prior to my healthcare experience, my prior jobs would ask when I signed up for benefits and it was 600$ cheaper per year if you said you didn’t smoke. But you can’t give discount for a healthy BMI etc because that would be considered discriminatory. I assume. “Pre existing conditions”

Mistakes were made in 2020 and mistakes are still being made today. IF it wasn’t for the administration in charge prior, we wouldn’t have a vaccine. End of story. You can try to argue semantics but this current one can’t even get the story straight on booster shots. At the end of the day this disease is an uncontrollable virus. Vaccination without a doubt is the only way to prevent illness and death. The original point of my comment is that I have seen a heck of a lot of nurses publically say they hospitals should turn away unvaccinated patients. So if we are going to put energy into holding nurses responsible for violating our code of ethics… we should include those too. I do not agree with discouraging people from vaccination, that’s dangerous and counterproductive. However if a nurse doesn’t want to take the vaccine and he or she talks publicly about it as their personal medical choice.. there is nothing wrong with that.

Same thing. Point is, he has openly questioned both of those current guidelines. well, while we are limiting care to those who are partially responsible.. why should we stop with those not vaccinated for Covid? Maybe overweight people who have massive heart attacks? Drug overdose victims? Criminals shot by the police? Victim of a car crash where they are at fault? I mean where does it stop? Triaging patients is based on survival. Not how they ended up there and whether the blame lies on the patient or not.

While I agree no one should be spreading misinformation, although even our former FDA chief, Scott Gottlieb, has said our current social distancing guidelines and masking aren’t really based in sound science.. IF I was going to report anyone to the BON, it would be nurses who say that unvaccinated covid patients doesn’t deserve treatment in hospitals.

My former unit really had no rhyme or reason for who floated but it was disorganized and awful. I was pool and actually our hospital guidelines were that pool employees were cancelled first (if the census was low) so we weren’t supposed to float since we aren’t guaranteed hours and full time had requirements to fill for benefits. I still got floated though. All the time. So I left LOL

Oh boy are you correct. I used to work hospital outpatient surgery and while the “ratios” were 2-1 pre op and pacu… it’s different because on top of that the hospital is supposed to be following ASPAN staffing standards and they never did. When you have 3 pacu nurses for 30 general anesthesia major surgery cases.. and you are expected to recover 10 patients in a 10 hour period or so, it’s burn out city. Same thing goes for the rush rush rush pre op environment where patients never went or were not called by the pre admission nurses. I left and went to another hospital with double the staff and about the same number of daily cases. It’s like night and day difference. I am very lucky and thankful

Agree 1000000%. I love the idea of training on two different units, specific pool float nurses etc, but without those mandatory radios.. it’s all useless. I also think hospitals should pretty much double their tech count as well. Especially for med surg and telemetry floors. It would free up the nurses to really be able to focus on safe and effective patient care

This sounds very much like a job I used to have. The hours varied each shift so there was no consistency. Also if you ended up staying over 10 hours one day, they would flex you the next day so you basically work all these weird late hours and end up with less than 32 hours for the week. Normally with 3 12s… there isn’t much flexing going on. No weekends or holidays is nice but 4 days a week in a busy procedural area can be absolutely exhausting. burn out city

Also, I have had patients (while working in post op) hours after GA go to the restroom by themselves. I am always right by the door but I try to give them privacy since its an outpatient setting and these folks are rather healthy. I don't know the exact type of anesthesia your patient had. It also sounds like you all were a bit short staffed since you were rushing from pre op to PACU. But of course..inappropriate staffing is never to blame for falls. ?

Hello! Pre op nurse here... To be honest, I skim the H&P to make sure the plan for the surgery is in there, the date is within 30 days and the review of systems is complete. Those are the areas we are required to check before the patient leaves the pre op area, so anything other than that is just part of past medical history. It sounds like someone is playing the blame game and taking it out on you.

This is the best way to get rid of lobbyist. High level I agree with all of this, maybe just differ a bit on the judges etc. There has to be more accountability

AMEN. My gosh if I see another virtue signaling nurse complaining and saying they don’t want to treat covid patients if they don’t wear their mask.. I’m going to scream. Can you imagine if we said we didn’t want to give Narcan to OD victims because it’s their fault they did drugs? It’s disgusting and disturbing

Do you ever have more than 2 patients at 1 time? Also does your facility use ASPAN guidelines? Do you medicate patients with versed and fentanyl before the procedure? Also I assume there is a post op nurse somewhere in the near area?

If your facility is a trauma 1 center in Disney world.. than it’s prob the same place LOL

Unfortunately not. Union politics aside... I really wish we had a strong presence of one in Florida.

I agree with all you said. 6 months is a short time frame! I think a year would be more appropriate

I actually think that’s a great idea! I also tend to agree with your last statement as well. They are still doing merit raises this year so I kind of think they already assumed some people would move down so if they do.. it prob won’t be much of a pay rate decrease. It def could be worse. This change doesn’t affect me very much but some others are upset about it

That sounds like our previous ladder. So basically if your hospital decided to make a clinical 3 require both the BSN and certification for everybody.. even those who started under the old ladder. That’s interesting you are a magnet hospital currently. Maybe it’s getting harder to become magnet?

I am involved in the magnet process on a unit level the BSN portion is really the main focus. The certification is an absolute plus so you’re probably correct. I actually understand wanting someone to have both the BSN and certification for the 3, it’s just the demotion part for those who were already grandfathered in under the previous clinical ladder, that disturbs me.

That is a great question, there def is but the timeline to obtain a BSN is already 36 months so I assume it’s the same for the ladder. From what I understand the only real change is the certification plus BSN.

Hi everyone! I am just curious if anyone else’s hospital adopted this same policy, as far as our clinical ladder in nursing is concerned. Currently we have a Nurse 1,2,3,4 etc. In order to progress to the next “rung” per se you have to meet certain criteria. I think the highest may be a 5 but you need x number years experience plus a masters, certification etc. Most RNs are 2 and 3s. Previously in order to become a RN 3, you needed 1 year experience plus a BSN OR a certification (PCCN, CCRN etc) Well my hospital decided that going forward, in order to stay an RN 3 (which has a higher pay than 1 and 2) you need BSN AND certification. They are giving those who don’t have the certification 6 months to get it or else they will be dropped to RN 2 and take a pay cut. We are currently working on becoming a magnet hospital but I’m not sure that plays a major role it in. It absolutely seems like a horrible thing to do your more seasoned staff after the Covid situation. Thoughts?

Same thing for me. There are many times when I don’t think it’s necessary to give 6.25 of Phenergan or 50mcg of fentanyl. However according to the powers at hand, if we don’t give the exact order.. we are practicing outside our scope. We always have to have a specific order. It’s annoying. I think adjusting a med dose in certain situations is the exact definition of nursing judgement.

That’s awful. I’m so sorry. My hospital has assistant managers from different floors doing this on occasion but never floor nurses. I would look for a new job ASAP!

You are 100% incorrect. The heritage foundation estimated a few years back, and given the fact our illegal immigration has soared im sure it’s higher now, illegal immigrants pay into our system around 19 billion a year and cost the country 116 billion. Included in that number is healthcare, education etc. The heritage foundation is a right leaning company but that doesn’t negate the research into this issue. https://www.google.com/amp/s/thehill.com/opinion/immigration/439930-your-taxpayer-dollars-are-footing-the-spiraling-costs-of-illegal-immigration%3Famp https://www.google.com/amp/s/www.washingtonexaminer.com/washington-secrets/surge-14-3-million-illegal-immigrants-in-us-taxpayer-cost-130-billion%3F_amp%3Dtrue