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morelostthanfound

morelostthanfound BSN

CVOR, General/Trauma Surgery
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morelostthanfound has 27 years experience as a BSN and specializes in CVOR, General/Trauma Surgery.

morelostthanfound's Latest Activity

  1. morelostthanfound

    RN to BSN dilemma (for an older RN)

    Like you, I have been a nurse for a long time and also like you, my employer mandated that all staff RNs attain their BSNs within five years. I did it, graduating at age 50 and when all was said and done, I had spent about $25,000 out of pocket for an online RN-BSN program, not to mention the many hours of study and frustration. Although I graduated with honors from a well respected program, I went right back to doing the same job I had done pre-BSN for all these years and for the exact same pay. Yes, perhaps a BSN may someday open up a career opportunity that I wouldn't have had otherwise, but my experience has been that many hospitals' compensation for this additional credential is negligible. Lastly, I honestly feel like my BSN added very little to my clinical practice; no new skill sets, no real 'must have' information, just a lot of fluff and filler that I could have just read on the side. It's also just laughable to me that the content of those many Blackboard posts and papers didn't matter at all as long as perfect APA formatting was used-unbelievable!
  2. morelostthanfound

    Using prn staff instead of posting day position

    I'm not entirely sure why you are angry with contingent nurses This is your nurse manager's attempt to control costs and maintain staff nurses in difficult to fill positions (night shift). Also, although per diem nurses are paid a higher hourly rate, they typically don't receive benefits (insurance, 401K, paid holidays...) and as such, are a big cost savings for the hospital. Fair practice? no. Commonplace practice? Yes, sorry
  3. morelostthanfound

    Just Say “YES” to Nurse Staffing Laws

    Said well-thank you. The most disturbing part of this post was the OP's cavalier attitude and his inability to appreciate the gravity and possible patient harm that can result from unsafe staffing ratios.
  4. morelostthanfound

    Anyone Ever Actually Used Their Malpractice Insurance?

    Agreed! Malpractice insurance is cheap too, like $.50/day! Even defending a bogus/unfounded claim could costs thousand in legal fees and lost work.
  5. morelostthanfound

    Anyone Ever Actually Used Their Malpractice Insurance?

    Bad advice!^^^^ In a court of law, if it came down to paying out a multi-million dollar lawsuit or implicating a staff nurse on even a small technicality or deviation from established policy, it would be an easy decision for the legal department. Protect your interests and livelihood because while the probability of ever needing malpractice insurance is slim, we all have far too much at stake.
  6. morelostthanfound

    Just Say “NO” to Nurse Staffing Laws

    Don’t be fooled; the ANA is plenty cozy with HCA and other large heath system conglomerates. Their advocacy and alliance for rank and file RNs is always trumped by its support for those who profit the most from corporate healthcare:(
  7. morelostthanfound

    Just Say “NO” to Nurse Staffing Laws

    Having worked at hospitals that have outsourced nutrition and housekeeping services along with security, I would say the answer to that question is a resounding 'yes'. If those shortsighted approaches don't appease the MBA numbers crunchers, then there's always the implementation of skeleton staffing, the slashing of employee benefits and wage stagnation to fall back on.
  8. morelostthanfound

    Just Say “NO” to Nurse Staffing Laws

    Agree with Jedrnurse here. Sorry to say, but the American Nurses Association is in bed with corporate health care and as such, any position that they endorse is spurious to me and likely taken for political gain, not advocacy! A closer examination of the issue would show that while CA N/P mandates were somewhat responsible for hospitals' "cut funding for supplies, upgrades and education and holding patients longer in the ER", the CEOs and senior management continued to enjoy exorbitant salaries, company benefits, perks, and golden parachutes-odd, no cuts there. It is 'all about the money'.
  9. morelostthanfound

    Millennial Nurses Have Issues

    I'm a Gen X (33 years in healthcare and almost 28 as an RN) but have never agreed more with a Millenial nurse-spot on! In my tenure as a nurse, every year it seems, hospital benefits are cut just a little more (increased insurance copays/deductibles, lowered cafeteria discount, call and call back pay...) and wages fail to keep pace with the cost of living. All the while, CEOs and senior management entitle themselves to very comfortable salaries, benefits, perks, and golden parachutes. I think we as nurses have every right to job hop and have little loyalty to anyone other than our patients, peers, and ourselves.
  10. morelostthanfound

    Why Do Nurses Quit?

    This post hit home for me-thank you! As an RN for almost 28 years, I am still shocked at the unprofessionalism that is rife in nursing, especially the petty rivalries, cliques, passive-aggresive behaviors, and the shear number of toxic personalities. Lastly, when did it become the trend for 'professionals' to pepper nearly every sentence with the 'F' word? Unbelievable and very unprofessional IMHO!
  11. morelostthanfound

    Robotically-assisted G-tube insertion

    I am an experienced OR nurse and have circulated/scrub quite a few robotic procedures. However, this week was a new one for me-a Robotically-assisted G-tube insertion. To me, this approach seemed rather extreme, when a PEG tube procedure could have accomplished the same results, have been done with much less anesthesia time, no trocar port insertion sites, and been much cheaper. Thoughts?
  12. morelostthanfound

    All these nurses writing articles

    I won't disagree that a hospital's temperature logs, clutter in the hallways, restraint documentation....aren't important. My contention rather, is that among all of the other areas of concern, staffing and patient care ratios, (which factor very prominently in the delivery of a safe health care experience) are never scrutinized. Therefore, JCAHO's mission statement, as stated by the OP, becomes somewhat disingenuous and hollow don't you think?
  13. morelostthanfound

    All these nurses writing articles

    This is a pet peeve of mine and I've long maintained that the JCAHO is a complete joke. What could be more central to improving our nation's health care and protecting the public than strictly enforcing hospitals' nurse/patient ratios? Or what about ensuring that nurses have readily available the necessary resources to deliver quality health care? Nope, their (JCAHO pencil pushers) major concerns are refrigerator temperature logs and restraint order documentation. Really?? They turn a blind eye to glaring and unsafe care ratios and chronic/dangerous understaffing to focus on these trivial issues. JCAHO certification, like Magnet designation, is a scam.
  14. morelostthanfound

    Depression + Anxiety as a Nurse

    I've been an RN for almost 30 years and have lived with sometimes crippling depression/anxiety for most of that time. Though I've tried numerous antidepressants, my key to dealing with this dark cloud has been frequent exercise, work/life balance (3-12s work best for me, and SAD light therapy. Best of luck with your struggle-find what works for you and have no shame-you're in good company though you may not realize it:)
  15. RosesrReder, wow!  My sentiments exactly!  I’m an OR nurse also (for over 20yrs) and I absolutely feel The same and could have just about written your response.  Although OR nursing is far better than any other type of bedside nursing, it still leaves a lot to be desired; entitled, rude, demeaning surgeons, toxic coworkers, call....  I too, would love to get out of it altogether and work at Costco, be a barista...

  16. morelostthanfound

    Bedside Nurses: Undervalued, Poorly Retained and What Experts Say

    I'm not sure it's necessary for staff nurses to even possess a rudimentary knowledge of operational leadership or corporate finance. What my nursing colleagues working in the trenches do know, is that their wages have been stagnant for years, their benefits are subpar, and their nurse/patient ratios are dangerous by anyone's standard. Most nurses are well aware that these hospital executives and stuffed shirts are making exorbitant salaries, perks, bennies....
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