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allnurses.com's Weekly Tips, News, and Rants Issue 460 : Mar 7, 2012

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Spotlight

Nursing Activism & Healthcare Politics

Feb 29 - Mar 6 Hottest Topics

Should I or should I not have my own personal nursing liability insurance?

I have been a Registered Nurse for 3 years now and I have never had liability insurance. I just started a new full time staff nurse in southern California, mother-baby. Nurses at my previous job in a different state advised me to not get it. I haven't had insurance yet as a practicing nurse. What should I do???!! Pros/cons?

Are oral contraceptives healthcare?

I feel it is a woman's right, and it is a medication, in additional to medical uses besides preventing pregnancy. But is it a health care issue to prevent pregnancy, like a medication that treats a disease, such as insulin? Or is that beside the point, because it is a choice? It is a useful medication for the personal choice of deciding when and if a woman will conceive. It will save millions of dollars in healthcare...

Computer problems at work...

How does your work place react when computers go down? Do you have any stories to share?

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How Do I tell my current job that I need time off for 1 month to work as a camp nurse

I've been working in adult med/surg for 7 months, but very much miss pediatric nursing (i worked as an aid throughout school and had my senior practicum at a Children's Hospital. I recently got offered a position at an overnight girls camp as a RN for 4 weeks. I really want to accept the job, but I need to discuss this with my current nurse manager. I currently work 32 hours a week and will need to take 4 weeks off. I don't want to use my earned time because...

Do we need to take drugs.. in order to do our job?

Recent posts have brought up the question.. is it legal to take mood altering medication while on duty? ... and " I am so stressed out , I am now on an anti-depressant medication".

I cannot think of any other profession facing this dilemma. Why are care givers driven to the point of self medication to perform?

Your method for analyzing lab values

I would like to know if you guys have a special method for analyzing your patients' lab values.

After you get report, at what point do you go into the computer to dedicate your time to analyzing labs? Do you have a step-by-step system? Do you hit CBCs first, then electrolytes, then XYZ? How far back do you go i.e. within the past 24 hrs, throughout the pt's entire stay...

Major Drug Shortages Looming

The major supplier of generic injectables in Canada has begun a production slowdown in order to 'upgrade their facilities'. This came out of the blue for those of us at the bedside but it's apparently as a result of warnings received by the US-FDA that their facilities were deficient and if they wanted to continue to supply generic drugs to any part of the US market they needed to fix their issues. When we finally heard about it and saw the list of drugs that we're going to have to learn to do without, it almost gave me a coronary. This is only a partial list...

AAAAI: 2000 to 2009 Saw Rise in Angioedema Hospitalizations

The rate of angioedema hospitalization has increased over the last decade, especially among African-Americans, according to a study presented at the annual meeting of the American Academy of Allergy, Asthma & Immunology, held from March 2 to 6 in Orlando, Fla.

Differing types of therapeutic self-defense philosophy and techniques

As a nurse who's recently gone back to psych, I was totally taken aback by the type of training my state psych facility provides.

I'm a patient-first advocate, and always concerned for what's right for patients. Patient's should never receive any form of abuse. However, I feel there's a balance between patient's rights and the rights of the staff to be safe and free from abuse. At my facility (which is a state-run facility) I feel as though they've completely sacrificed the rights of the nurse and techs in favor of the rights of the patient...

New NURSE...Stuck between ER or Med Surg!

I'm confused. I interviewed for a Med/Surg/Tele position and after interviewing with several people, I was offered the job on the spot. Today, I had an interview for an ER position. I felt that the interview went pretty well and I find out on Monday if I got the job or not. Now IF the ER hires me as well, I don't know what to go for.

I just want some opinons/advice for this matter...maybe your experiences can help me put things into perspective. If you were a new nurse (with no experience) how did you like the fast paced, you-never-know-what-you're-going-to-get ER environment?

Patient's question put me on the spot!

A patient asked me, "If my BFR is at 450, wouldn't 500 do the work that much faster?" Another machine was alarming so I told him I would get back to him shortly (I really felt like I was saved by the alarm). I'm pretty new to dialysis but this made me realize that I need to read more and know my stuff! I went back over to him and he had turned his machine up to 500. I told him that the high BFR increases his AP and too high of an AP could cause hemolysis and also that he needs to speak to the MD about changing his prescription. This pt is very intelligent and imparts his knowledge on all of us, including the MD, so I'm thinking that he was just testing me. Regardless, I have never responded well to being "put on the spot" and I am going to try to be more prepared next time.

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