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Roda dendron

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  1. This is more of a legal question regarding when to give an IM vs a PO, with consideration of taking the least restrictive route of course. Say for instance, working on a psych floor a patient suddenly gets violent and grabs another patient and begins shaking them aggressively and at this point talking them down doesn't seem safe do you still have to legally offer a PO prior to calling security and providing an IM injection?
  2. Thanks everyone for your input.
  3. Ive asked if anyone can float and My reply was "theres no one else who can float from another floor, we are going to call XYZ but they are short staffed too." And that was my ANM who told me that.
  4. We normally have 3 nurses working per shift but i have a coming up shift where Im the only one on the schedule to work this particular day. I was told that they have tired to get other nurses to come help that day but are not having any luck. its a 16 bed unit. If im the only one who shows up that day not only will i be charge, admit, discharge nurse but ill also have 16 pts to assess and chart on. Is this even Legal? What do I do in a situation such as this?
  5. My very first nursing job was at an Assisted living facility. While doing med pass on the 2nd floor of the facility I would always see a Dark figure out of the corner of my eye coming down the hall, I would look up to see which pt was coming for their morning meds, as I would look up the dark shadow would disappear. later I was talking to another nurse who worked that wing and they too said they saw the same shadow. They say when a person passes you should open a window to set the soul free. Sadly we had pt pass on that wing of the unit to pass prior to me accepting my position, and unfortunately the windows in the facility did not open on the 2nd floor.
  6. The ghosts are nurses from the past who cant rest due to short staffing issues LOL
  7. I work on a 16 bed unit. When I first started a year ago we had safe nurse pt ratios. Here recently we are lucky if we have 2 nurses and 1 tech on most days. In the past year i have seen many nurses leave and more to go soon, and no new nurses being replaced. The floor has recently renovated the rooms but I can't help but to feel that they may be shutting this unit down soon. The higher up's are not making any strides to hire and train new nurses and the staff that we have left are burnt out and we fear our safety. We have psychotic pts who get violent. Is there any way that staff can find out if a floor is going to shut down soon? is there anyone staff can call to report the short staffing without backlash if found out? I am in in a contract and I am a new nurse (RN). Any advice is appreciated thanks!
  8. They have actually spent a lot of money on renovating our unit as well here recently.
  9. Hello everyone I work on a 16 pt unit. Over the past year I have seen many nurses leave and no new nurses hired. We are working with the bare minimum and it has been hard and stressful these past few weeks. To make it even harder we have three more nurses leaving at the end of the month and one going part time, Making a total of 11 nurses that have left over the past 12 months. We are lucky if we have 2 nurses on the floor and 2 techs each shift. I work on a psych ward the lack of hands on deck makes it scary when the pts get violent, safety has become a big concern for us. Im just wondering why they are not working hard to get us new staff. Their reply for this poor Productivity and not enough money. Our company was recently bought out by another company and I'm wondering if they have plans to shut us down. My gut keeps telling me to transfer to another floor. When I was hired I was under the impression that I would eventually get to work my 3 12 hour shifts back to back so I could spend more time with my family. But they have me flopping between 12 hr day shift and 8 hr evening shifts. Yes this particular floor does 12 hr shifts and 8 hr shifts and it makes it hard for me to spend time with my 8 year old daughter sometimes i go days without seeing her. Thankfully I have made it one year into my contract and I am eligible for a transfer at this point. I would greatly appreciate some advice and some input on this situation and do you believe they may be preparing to shut down this unit and if so should I make my move now?
  10. No, APA paper almost done with it but im stuck on this one particular area.
  11. What are some examples of ethical dilemmas that pediatric nurses encounter when caring for a patient with cancer and how does this affect the care we provide as nurses? Please help i need examples.
  12. How rude. Who's to say this is not just a general question?!
  13. What do you mean by device industry? can you explain? thank you.
  14. I wrote a report that was "supposedly" sent Up the chain. However, I doubt it ever was. The facility has a high turnover rate. (now I know why). I have come to believe its a Management problem. Being the reason I'm no longer there. When you have CNA's cutting each other up with box cutters and the LPN"s car's getting vandalized and The Executive director not implementing rules, well i guess these types of issues arise. I just hope that all nursing jobs aren't like this. this was a bad experience for my first nursing job. This particular Med tech went into my patient's room and talked bad about me in front of my patients, the higher ups did nothing about it. Please tell me that all ALF's are like this?

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