floydnightingale

floydnightingale

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All Content by floydnightingale

  1. Phasing Out ADN?

    floydnightingale replied to Candi Williams's topic in General Nursing

    CD2 BSN here: I could never tell the difference between an ADN and a BSN nurse and they'll have to seriously ramp up BSN programs to satisfy their wants and needs. In my experience the most...

  2. RN - LPN Power Struggle

    floydnightingale replied to MuscleNurse's topic in School

    Guess I stepped in that one but I honestly haven't heard of LPNs in any context outside of nursing homes for over 25 years. Any reputable hospital is insisting on BSNs as a minimum education if the...

  3. RN - LPN Power Struggle

    floydnightingale replied to MuscleNurse's topic in School

    An LPN? Really? Is that even still a thing? The last LPNs I worked with were assigned strictly to observation, had limited duties and restrictions on which meds they could give and were only working...

  4. Should RaDonda Vaught Have Her Nursing License Reinstated?

    floydnightingale replied to Nurse Beth's topic in General Nursing

    The whole system of drug classification needs to be revamped. Most drugs have two or more names and in practice the brand name is what's specified in orders despite it being more common that a generic...

  5. Unsafe Interventional Radiology Practice

    floydnightingale replied to ElleFur's topic in General Nursing

    Interesting. By PA I assume you mean Pennsylvania. Authority varies by state. In the ER where I worked they used physician assistants. One woman earned her NP and did pretty much what the PAs did but...

  6. Unsafe Interventional Radiology Practice

    floydnightingale replied to ElleFur's topic in General Nursing

    Well documented verbal orders should be okay but I have never participated in a conscious sedation without a staff physician, usually a resident but ALWAYS a staff doc, at bedside. And usually a...

  7. Should RaDonda Vaught Have Her Nursing License Reinstated?

    floydnightingale replied to Nurse Beth's topic in General Nursing

    How did I get the idea that she was in the ED but new to it? So she was some kind of float? I don't agree with the practice of throwing people into EDs, but a neuro ICU nurse should have had some...

  8. Should RaDonda Vaught Have Her Nursing License Reinstated?

    floydnightingale replied to Nurse Beth's topic in General Nursing

    Not saying that at all and don't know how you read it that way, although I understand that the hospital did try to handle it internally or try to cover it up. Orientations at level one EDs are months...

  9. Should RaDonda Vaught Have Her Nursing License Reinstated?

    floydnightingale replied to Nurse Beth's topic in General Nursing

    I'm unaware of her history, ICU or whatever, but if she exhibited incompetence she should have been watched until they realized she wasn't safe and let her go. Interesting, reading a lot comments...

  10. Should RaDonda Vaught Have Her Nursing License Reinstated?

    floydnightingale replied to Nurse Beth's topic in General Nursing

    I didn't know that she was working in an ED. I assumed that maybe a med-surg nurse wasn't familiar with Versed or vecuronium, both of which are very common in emergency settings. In my experience vec...

  11. Student RN Scrubs

    floydnightingale replied to Brenwick2's topic in Nursing Educators, Faculty

    "Isn’t that what admission standards are for?" I went through a state school CD2 program, there were no admission standards beyond a degree from an accredited school and a review of my...

  12. Student RN Scrubs

    floydnightingale replied to Brenwick2's topic in Nursing Educators, Faculty

  13. Student RN Scrubs

    floydnightingale replied to Brenwick2's topic in Nursing Educators, Faculty

    If they know that black bras or no undershirt under a white top is inappropriate, it's on the student. I don't see any obligation on the school's part to help them make up clinical hours. My own...

  14. We’re all being “fired”! Is this legal?

    floydnightingale replied to Taylor22's topic in General Nursing

    Thinking a little more about this, I can't imagine how smart it is to fire an entire department in today's job market, especially a department nobody wants to work in, even if it is "legal" to do so....

  15. We’re all being “fired”! Is this legal?

    floydnightingale replied to Taylor22's topic in General Nursing

    A hospital's, or any employer's, right to fire varies by state but they obviously want you to resign. Don't resign, it will only disqualify you for unemployment benefits. Let them fire you and then...

  16. Calling A Code Death (call police?)

    floydnightingale replied to Jcezz's topic in General Nursing

    In 20 some years I've never heard of such a thing. We clean them up, if family is present they're moved to room where they can sit with the deceased, otherwise they're moved to the morgue to wait for...

  17. My Coworkers are Driving Me Nuts

    floydnightingale replied to tnbutterfly - Mary's topic in General Nursing

    Retired two years ago, can't say I miss a lot of it. Professionalism and adult behavior is something of the distant past. Everybody had a phone and they'd take pictures of me and put it up on...

  18. Scared to Take a Job in ICU Because of Radonda Vaught Conviction

    floydnightingale replied to Nurse Beth's topic in Career Advice Column

    Nurses are typically allowed a mistake, ex; Radonda Vaught, albeit that was bad one. I can imagine a med-surg nurse might have been unfamiliar with those meds but an ICU nurse would never confuse...

  19. The Unsung Hero of The Emergency Department: The 24G IV Catheter

    floydnightingale replied to Damon McGill's topic in Emergency

    Yeh, they wouldn't even use a 20 for a chest study w/

  20. The Unsung Hero of The Emergency Department: The 24G IV Catheter

    floydnightingale replied to Damon McGill's topic in Emergency

    I don't recall ever using a 24g for anything but peds. I'd often default to a 20g for easier access or to spare veins but if there was even a remote possibility of a CT w/ contrast I wouldn't go to...

  21. Double Time Pay

    floydnightingale replied to Elleteedee226's topic in Operating Room

    Can't cite specific laws and things vary from state to state but the two hour break is effectively starting you off with a 14 hour shift, albeit 2 hours are unproductive. No, no, no, no. Your employer...

  22. Just Got Hired But Want to Go Per Diem in Order to Travel RN

    floydnightingale replied to EatCake2Day's topic in General Nursing

    Not even off orientation and you want to quit, which is effectively your plan because per diem isn't going to happen. When I was on the committee that interviewed prospective hires, people would...

  23. Is it worth going from Paramedic to RN in Florida?

    floydnightingale replied to Medic1995's topic in General Nursing

    "They both can intubate, ..." Actually, I don't believe an ICU RN can intubate

  24. What I Hate About Nursing In 2021

    floydnightingale replied to Emergent's topic in General Nursing

    Online education is largely worthless. They even went to online CPR certifications. Too cheap to pay a medic a few bucks to run a

  25. Thoughts On Eliminating Nurse Report

    floydnightingale replied to Lovethenurse2b25's topic in General Nursing

    Yeah, we went to the no report thing except for ICU transfers and if a patient is unstable they should be going to an ICU or at least travel with a nurse. Fact was, too many units avoided report...