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« Nurse-zine #441

allnurses.com Nurse-zine #442

Nurse-zine #443 »
allnurses.com
allnurses.com's Weekly Tips, News, and Rants Issue 442 : Oct 26, 2011

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Discuss Political Crossfire

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Spotlight

Nursing Activism & Healthcare Politics

Oct 19 - Oct 25 Hottest New Topics

Nursing Jobs

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Nursing Humor

Top 3 worst Halloween costume to wear at work.

What are your top three worst costume to wear to work by specialty. You know the type that would send a patient running for the elevator! For example:

  1. Orthopedic Surgery Fellow: The Texas Chainsaw Murders, complete with chainsaw and blood spatter.
  2. EMT carrying a spatula. (ok had to do it, all those scraping em up off the road stories!)
  3. 3. ER personel in gangbanger colors/clothing, fake gun would be nice!

Ok these are lame. I'm sure you have better. I know someone was dressed up and ended up running a code...stories please!

Nursing Article

Thank you for being my nurse.

As nurses, we consider it a good day’s work when nobody has yelled at us or thrown bedpans at us. When we hear, “Thank you for being my nurse; you are so kind,” it borders on the near miraculous. Then again, there are those rare and truly treasured patients that come along and say, “You made a difference to me. You’re a great nurse.” It is those heartfelt words that make all the sleepless nights in nursing school, the patient overload, the overtime, calming the confused or belligerent patients, the condescending, berating from doctors, the tired feet and aching back worth every torturous moment.

Clinical NewS

FDA: Xigris Pulled From Global Market

Xigris (drotrecogin alfa [activated]), used in the treatment of patients with severe sepsis, is being voluntarily pulled from the market by its manufacturer, Eli Lilly and Company, after failing to show a survival benefit in these patients, according to a drug safety notification issued Oct. 25 by the U.S. Food and Drug Administration.

Emergency Nursing

The problem with floating ER Nurses

As ER Nurses, are you required to float to wherever in your hospital? I have never been asked to float because of the dynamic nature of the ER until I started working where I am now. (Sorry, not telling where!) Anyway, I have been tasked with presenting our arguement as an evidenced based research paper but I'm having a hard time finding studies where ER Nurses are not floated because of the nature of the ER. There are plenty of articles supporting the general idea of floating, but none that I've found generic to the ER. Can anyone send me any AJN, RN, ANA or any other journal article that proves why it isn't a prudent idea to short the ER for any reason?

Does your facility allow the floor/unit nurses write up other nurses?

I got a QRR / write up a few weeks ago from the floor nurse because I sent up a patient from the ER with a 212 blood glucose, a 2.7 K+, the pt was NPO and I did not have an MD order to treat the BG. What I should probably mention is that I called report 3 times to the nurse who never came to the phone and I had to clear the bed for a Level 1 coming in. I wound up taking the pt up and giving bedside report.

My charge nurses just rolled their eyes over this one and I wrote a lengthy reply about the K+/insulin connection, reminding the nurse that the pt WAS NPO nor did I have an order.

Ob-Gyn Nursing

Want some info @ high risk antepartum units

I am hoping to get some information on what other hospitals are doing on their antepartum units. What types of patients do you take, (PIH, PPROM, GDM...etc?) continuous fetal monitoring done?, what is the ratio?, how often do you jump patients back and forth between L/D and the antepartum floor. Is the high risk unit a unit by itself or entwined with postpartum?

Regional Discussion - Wisconsin

New Grad RN position - Success! How I did it and with who

I'm a new grad RN from Ohio and I just moved to Madison with my fiance who accepted a position with Epic. I had been searching for a job for a month after my license came through and was fearful of the dismal state of things in Madison for new grads. It seems to be a brick wall for new grads unless you get into the UWH Nurse Residency.

I expanded my search for jobs and I have found quite a few openings that do not specify a need for prior experience with Mercy Health Systems in Janesville. They are expanding their Walworth and Janesville locations and seem to have enough of a need for nurses to include new RN's. As of tomorrow, I will have interviewed with four different departments and I received an offer from my first unit today for a full time position.

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