Mar 28 - Apr 3 Hottest Topics
I have been a nurse for 30 years and have done anything and everything to advocate for my patients.
Why can a doctor.. scream at me ...when I ask for their guidance in a patient care issue?
A nurse that is an assistant manager of a PICU sent a picture via text of a small child, 1 year old, with a severe handicap. Along with the text picture was a description "poking fun" at the appearance of the child. The picture was sent to two separate individuals. The child's face was in the picture but no patient name, diagnosis, or any other identifying description. The individual then instructed the people to picture and text was sent to, to "Delete right away". They did not.
Sadly the same individual sent another picture via text of another small child, 6 months old, with the child's face clearly visible but, again, no identifiers such as name, but did say the child had RSV. Is this a violation or not?
People have done crazy things in their search for the perfect nursing job ... What have you done or are doing to get your dream job?
New HD patient, did not know he was ESRD until visit to ER = catheter placement and dialysis, w/ graft put in arm. Coming to clinic for last 3 ½ weeks. Last week, SBP dropped from 140’s to 70’s during 30 minute cycle, symptomatic. UF off, NS given, T-berg positioning and SBP back up (now 160’s). Took 45 minutes to get him asymptomatic (T-berg, Semi-fowlers, High Fowlers, drop, back to Semi, High, standing = dizzy, semi, high, OK for 10 minutes, then tried standing = vomiting). The charge at the time said “I have never seen this before” and I kept working with him.
Mind you, I was not re-positioning like a roller coaster – we went from position to position slowly, with several minutes “recovery time” between so that he reported he felt “ok” between each – but talk about orthostatic hypotension...
I work on an acute medical floor and I had a patient who was on comfort care, pretty close to death, and a two week old hip surgical site from a recent fall. There was a debate whether or not to turn the patient on the basis of pain vs risk of skin break down. Would you still turn the patient knowing this would cause more pain or leave the patient be?
I'm a new graduate and have the option between a telemetry floor or a med/surg floor. I ultimately want be work in the OR but I don't know which one of the units would be the better stepping stone. I don't which way to lean because the med/surg floor pays more and easier to travel too. Any advice or input would be much appreciated. Thanks!
How do you get a normally reasonable, mature, male to take his pain meds when he really does need to take them? I'm certainly not asking for medical advice, but my husband is acting like a pigheaded 14 year old and I don't want to have to end up killing him and then putting parts of him out on garbage night until he's finally gone, but..
The diabetes drug metformin is safe in men with prostate cancer undergoing prostatectomy, and may improve prostate-specific antigen levels and curb tumor growth, according to a phase II study presented at the annual meeting of the American Association for Cancer Research, held from March 31 to April 4 in Chicago.
I will be traveling soon as a first time traveler and would like to get your input on any recommendations for travel agencies that are particularly "newbie friendly" or in general any agencies you would suggest or to stay away from..I know people ask this all the time on this forum, but needed some updated info..Ive looked all through this website and Google and there are a million agencies to choose from! I have no idea where to begin! I have heard that new travelers generally have a hard time getting their fist time assignment, so I didn't know if there were any agencies that particularly like to hire new travelers...
I just got my first job ever as a nurse and it's in peds! I've known for a long time that this was my calling and I'm so so excited to begin my career in something I'm passionate towards.
However, it's been a while since I've been in the peds setting. I did my leadership in nursing school on a med surg floor so I haven't worked on a peds unit in a few years. I'm starting soon and just need some help on knowing what tool will be useful to have on a daily basis.
What do you use and carry around? What all do I need to buy? Any good pocket books I could invest in? Good places to get stethoscope covers? Also any advice you may have to offer up for me?
I really appreciate any answers! Just want to be prepared
I'm a new grad NP facing contract negotiation next Tuesday. A doctor who does SNF rounds wants me to do his rounds for him. He is offering me $12/pt (I'll get 1099 form). He says there will be some facilities that have 30 pts all in one place, and there will be some with only one patients. I'm also expected to see new admit pts within 72 hours. And if it is the end of the month, I have to see them before the last day of the month.
He will cover me for malpractice insurance, and he says there will be stipend for health insurance and mileage.
I know this pay is ridiculous, but I need some help gathering information so I can negotiate a better price for my service. I want to know how much I should be asking for per patient and how much I should ask for being on-call. I have no experience or frame of reference. So if anyone out there can help me with this. I'll be so grateful for it.
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