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2nd career as nurse
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backbeatone
medicine forum beginner


Joined: 24 Mar 2005
Posts: 3

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: Theophylline / asthma / erythropoietin Reply with quote

If that were the case then how high is "higher than wished for"
is it within the normal range? That could be demonstrated by CBC.
When is theophylline used to decrease RBC production?
backbeat


<ironjustice@aol.com> wrote in message
news:1107394234.106242.173180@z14g2000cwz.googlegroups.com...
Quote:
Well SINCE theophylline IS used to decrease erythropoieitn .. and
since erythropoeitin reduction leads to decreased red blood cells ..
one might think then .. BEFORE the INTRODUCTION .. of .. theophylline
.. there IS a .. higher than .. wished .. number of .. red blood cells
..

Logic ..

'They' have a VERY large 'window' in which they have decided whether
one HAS .. 'too many red blood cells / erythrocytosis' and this is
governed by .. cash.

If one raises the 'marker' high enough then the medical profession is
NOT .. 'bound' .. to have a medical test / cash .. DONE in order to
rule out .. too many red blood cells .. and therefore they rule OUT
what 'they' consider to be .. 'false positives' ..

NOW it seems what they consider to BE .. false positives .. could VERY
WELL BE .. you .. since you HAVE .. asthma ..

So since they consider you NOT to 'have' .. too many red blood cells ..
BUT .. you STILL have asthma .. NOW has them saying .. it is NOT .. too
many red blood cells which is CAUSING your asthma .. when IN FACT .. it
.. is ..

Evidenced BY .. the use / efficacy of USING a .. drug .. WHICH ..
lowers the red blood cell .. count ..

Logic .. ?

Who loves ya.
Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore!
http://pages.ivillage.com/ironjustice/manisaherbivore
DEAD PEOPLE WALKING
http://pages.ivillage.com/ironjustice/deadpeoplewalking
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backbeatone
medicine forum beginner


Joined: 24 Mar 2005
Posts: 3

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: anuerysm Reply with quote

Yes, but what if he is unconscious, or barely conscious.

"Andrew Heenan" <andrew@heenan73.wanadoo.co.uk> wrote in message
news:ctqf0i$voi$1@newsg3.svr.pol.co.uk...
Quote:
"backbeatone" ...
If a patient has elected not to fix an aneurysm, after being fully
informed of the risks, what would happen in the emergency
room, should the patient show up, with evidence that the thing
has ruptured?. Given that these can be repaired after rupture,
would ER staff stabilize the patient who was losing consciouness
and perform emergent surgery, or would they let the patient die?

He can always change his mind, can't he?


--
Andrew Heenan
Real Nurse
http://www.realnurse.net/


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backbeatone
medicine forum beginner


Joined: 24 Mar 2005
Posts: 3

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: anuerysm Reply with quote

One point in this situation is this:.some people are afraid of this surgery.
So they elect not to do it, and the doc writes that down. But, in the case
of rupture, there is nothing to loose. Nobody says:" well we know
you dont want to do it electively, and we know why, but what about
when it ruptures?" His primary never asked that.
They didnt even asked recently when
he went to the floors after being stabilized in the ER for ischemic bowel,
and there was a surgical consult then. They described the major surgery, he
refused, and that was it. Nobdoy asked at that time: 'what do we do for you
when it breaks, and you are in the ER, do you want to do it then?'
Anyway, I am hoping, we can avoid this problem by getting him to
consider the vascular repair, which holds some promise. Its possible
the ischemic bowel was related to the aneurysm since it is now at 7cm.
backbeat


"hi me" <me@the.net> wrote in message
news:Ug7Md.4175$Nn1.1245@newsread1.news.pas.earthlink.net...
Quote:
On Wed, 02 Feb 2005 11:53:46 +0000, Andrew Heenan wrote:

"backbeatone" ...
If a patient has elected not to fix an aneurysm, after being fully
informed of the risks, what would happen in the emergency room, should
the patient show up, with evidence that the thing has ruptured?. Given
that these can be repaired after rupture, would ER staff stabilize the
patient who was losing consciouness and perform emergent surgery, or
would they let the patient die?

He can always change his mind, can't he?

No, he can't "always" change his mind. That's the point and the problem.
During neurogenic shock, you can't change your mind. The Advance Directive
speaks for you. If a patient does manage to "change his mind" regarding
the directive, but can't voice his wishes, well, that's worst-case
scenario I guess...
While healthy, one can change one's mind about what's in the AD.
They also better make sure all existing copies get changed in that case.
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YvetteMichele
medicine forum beginner


Joined: 01 Jul 2005
Posts: 11

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: 2nd career as nurse Reply with quote

What's the difference between a RN & LPN?

"LEnfantduVent" <allan_paterson_1945@yahoo.com> wrote in message
news:1111511831.005531.169330@z14g2000cwz.googlegroups.com...
Quote:
Hello:With a B.Sc. in biology got into a fine BSN-in-17-month program
at University of Deleware......and it damn near killed me. The speed
at which they cover material is truly punishing.

Retreated, licked my wounds and now have an LPN from my local community
college.

Found hospital units and even long term care with 25 patients too
hectic for my personal speed. But now work home care and LOVE it.
(Tell everyone it's the best job I've had except for the yacht delivery
I did once--$1.00/mile and open bar--to sail 1100 miles downwind.
grin> )

Chose carefully.......and go for it!!!

Allan in Florida
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Candide
medicine forum addict


Joined: 24 Mar 2005
Posts: 71

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: 2nd career as nurse Reply with quote

Many factors go into determining pay scale, such as location of the
hospital and the supply of qualified RNs willing to work at the amount
offered.

In general one usually finds floor/staff nurses starting out around the
same in terms of salary with pay rises coming with sonority, and
perhaps education (more for BSNs). Pay usually goes up for those working
in the specialty care units like cardiac,critical, neonatal etc. Again
this can also vary by hospital and supply of qualified nurses
available. Years ago new grads or staff nurses without a certain number
of years under their belts were not taken onto specialty units. This
meant by virtue of sonority "care" unit nurses made more to start off.
But things have changed with the "nursing shortage" and many hospitals
do take new grads right into CC units .

Check your local newspaper(s) employment sections especially on Sunday
or when they are running special "health care" sections for a general
idea of nursing salaries.

One thing to keep in mind is over-time and how it is paid, which can
greatly influence final take home pay. If one is paid straight over time
for any hours worked after say 40 hours, that can certainly increase
final pay. But if one has to work a certain amount of hours of mandatory
over-time before (if ever) before being paid over time rates, things are
different. IIRC Congress recently attempted to/did change who qualifies
for over time pay, so there may be a chance you would "have" to work
over time and not get paid .

Say "have" because nearly all 50 states have laws on their books
regarding RNs "abandoning" their patients. Originally intended to
provide continuous care for patients and prevent a nurse from simply
walking away from their charges for whatever reason, most also mean one
simply cannot just "leave" no matter how long one has been on duty
including over-time.

Candide
--
"If I owned both Hell and Texas, I'd live in Hell and rent Texas."
+++++++++++++++++++++++++++++++++++++++++++++++++++


General William T. Sherman
"YvetteMichele" <yvettemichele@yahoo.com> wrote in message
news:usz0e.18062$Ll.12909@newssvr31.news.prodigy.com...
Quote:
Is there a hierarchy as far as nurses pay? For instance, does is a L
& D
nurse make more than a surgery nurse?


"Candide" <PityMePines@bigfoot.com> wrote in message
news:3abdvhF66qggsU1@individual.net...

Licensed Practical/Vocational Nurses (LPN/LVN) are nurses who have
completed a one or two year vocational/high school course and are
licensed to practice nursing, but under the direction of a
registered
nurse. Their exact functions vary from state to state as well as
institution to institution. In my day LPNs could not give certain
types
of meds and or do certain types of treatments in hospital. In short
LPNs
usually in most settings do not have the direct authority registered
nurses do . LPNs also "cost less" so they are a viable alternative
for
nursing homes, baby nurses, nursing registries and other situations
where nursing care is needed but perhaps not a full fledged RN.

In terms of training and education, without giving offence, LPNs do
not
get involved with heavy nursing "theory and rationale" care plans.
In
short LPN's perform "practical" nursing in that a care plan has been
devised by an RN or doctor and they carry out those orders/plan. LPN
programs usually do not delve deeply into the sciences beyond basic
AP
(compared to registered nursing programs), and math limited to
medical
dosage calculations.

At one time it was common to find large numbers of LPNs working in
hospitals, but that has changed with most working in nursing homes
and
home care. The shift towards "primary care" nursing, helped this
along
since as stated LPNs in general cannot perform all the functions of
an
RN. In primary care nursing, one nurse (or several over a series of
shifts) is responsible for evaluating, planning and implementing all
nursing care a patient receives while on the unit. Team nursing
involves
a group approach where a RN does the evaluation and planning, but a
series of members from other RNs, LPNs and nursing assistants
actually
carry things out.

If you want to know exactly what LPNs can and cannot do in your
state,
look it up from your state's board of nursing.

Oh yes, back in the days of caps, LPNs never received stripes. *LOL*

Candide

--
"If I owned both Hell and Texas, I'd live in Hell and rent Texas."
+++++++++++++++++++++++++++++++++++++++++++++++++++


General William T. Sherman
"YvetteMichele" <yvettemichele@yahoo.com> wrote in message
news:VLY%d.23382$hU7.3477@newssvr33.news.prodigy.com...
What's the difference between a RN & LPN?

"LEnfantduVent" <allan_paterson_1945@yahoo.com> wrote in message
news:1111511831.005531.169330@z14g2000cwz.googlegroups.com...
Hello:With a B.Sc. in biology got into a fine BSN-in-17-month
program
at University of Deleware......and it damn near killed me. The
speed
at which they cover material is truly punishing.

Retreated, licked my wounds and now have an LPN from my local
community
college.

Found hospital units and even long term care with 25 patients too
hectic for my personal speed. But now work home care and LOVE
it.
(Tell everyone it's the best job I've had except for the yacht
delivery
I did once--$1.00/mile and open bar--to sail 1100 miles downwind.
grin> )

Chose carefully.......and go for it!!!

Allan in Florida






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Mark Probert
medicine forum Guru


Joined: 01 May 2005
Posts: 1720

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: Campaign launched against dietary supplements Reply with quote

So easy to dismiss people when you think this way, eh Anth?


"Anth" <anon@anon.com> wrote in message
news:4200743c$0$104$65c69314@mercury.nildram.net...
Quote:
Of course that doesn't matter in Marks eyes since his paws are firmly
grasped on the pharma scumbags.
Anth

"Robert" <RobertJ@hotmail.com> wrote in message
news:QrudnVoZvZXAW2LcRVn-qw@got.net...

"Mark Probert" <Mark Probert@lumbercartel.com> wrote in message
news:ScMLd.155$0T7.147@fe08.lga...

"Anth" <anon@anon.com> wrote in message
news:41fdd706$0$105$65c69314@mercury.nildram.net...
Well first of all you called him a fraud while pushing your
thalidomide
'cure' for mm. (and again later on)

Utterly irrelevant to your claims about me. I call him a fraud because
he
SELLS his experimental treatments.

You have no evidence that he's a fraud, he's doing research to see if
the
therapy works, so you explain how scientific research is fraud?

He is selling his EXPERIMENTAL treatments to his customers, a/k/a
guinea
pigs. REAL medical research is conducted at no financial cost to the
patient. They are evem compensated for their time and travel expenses.

Drug research is sponsored by the drug companies and "uses" patients to
provide clinical trials that is then used to sell their drugs. The
payoff
comes later and you and I pay through insurance premiums. Nothing is
free
in
this world and to say that their is no cost is laughable.
You either have it pay as you go or pay later for any research period.


Anth

"Mark Probert" <Mark Probert@lumbercartel.com> wrote in message
news:kO6Ld.4770$kU3.1801@fe08.lga...

"Anth" <anon@anon.com> wrote in message
news:41fc5892$0$120$65c69314@mercury.nildram.net...
Well you are your ilk are responsible for causing doctors
problems,

My "ILK"? Sounds like an ad hominem directed at me....

Now, I asked you (see below) to tel lme what sort of problems I am
causing
these doctors. You meerely rephrased the statement without listing
them.

with
your flawed arguments and ad hominems.

Asking that they proved their claims is NOT an ad hominem. Pointing
out
that
they went from initial idea directly to selling is not an ad
hominem,
merely
pointing out that they are having their customers...errr...guinea
pigs....errr...customers...finance the testing for them. My
arguments
are
far from flawed.

What reason have you possibly got for attacking Dr Gonzalez who is
trying
to
do real science with a therapy he believes is worthy of merit?.

Fraud revolts me.

Anth







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Guest






PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: Gay Men's Health Summit Reply with quote

Quote:
I resent the consistent idea presented by Don that prevention
efforts have not worked. Gay white men have come along way in
bringing down the # of new gay white men becoming infected.
It is not a failure if other at risk groups have not adopted or
gotten behind their own prevention efforts
http://groups.yahoo.com/group/GayMensHealthSummit/message/3941

what is your definition of worked?

testing the blood supply for human immunodeficiency virus
has stopped new hemophiliac infection for all practical
purposes. that is my definition of saying something works.

has it really worked for gay white males or are most of the
infected gay white males, have they more resources to take
advantage of new therapies instead of becoming statistics?

gay white males are better educated and generally have
access to more resources including money.


Quote:
Some how, many people expect that the programs that worked for gay
white men should work for everyone else or they didn't work at all.
also know that there are still infections in gay white men and that
there is still work to be done but the state of the epidemic in 2005
is much better than it was in 1985 so there must have been some
success somewhere.

"...so there must..." when you make a statement like that it
says you do not know anything about the state of the
situation. what we do know is about the blood supply, that
hemophiliacs are not getting infected because we are
rejecting the infected blood.

if partners get tested and the infected partner is rejected
then we are reducing the infection spreading like we reject
infected blood.

and do not jump on me about rejecting a sexual partner
because that happens all the time. people have all kinds of
superficial reasons for rejecting a sexual partner.
why shouldn't an infection be a perfectly legitimate reason
not to have sex with somebody?

anybody has a perfect right to reject you for any reason
superficial or otherwise.

Collaborative blog
The Strategy. Get tested together b4 you have sex
http://NotB4WeKnow.EditThisPage.com
http://www.google.com/search?q=%22tested+together%22
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Guest






PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: Gay Men's Health Summit Reply with quote

Quote:
No, sex on Thursday would not be safe.
http://groups.yahoo.com/group/GayMensHealthSummit/message/3943

what is the evidence for that?


Quote:
Those who dont do it are bad. How many more people must suffer?

being a moralist is no way to solve this problem.

Collaborative blog.
The Strategy. Get tested together before you have sex.
http://NotB4WeKnow.EditThisPage.com
http://www.google.com/search?q=%22tested+together%22
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Ilena Rose
medicine forum Guru


Joined: 05 May 2005
Posts: 813

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: 32,500 people die annually in U.S. hospitals due to injuries caused by licensed physicians Reply with quote

Specialists want crackdown on fake cosmetic surgeons
By DELTHIA RICKS
Newsday

EXCERPT: Though about 32,500 people die annually in U.S. hospitals due
to injuries caused by licensed physicians, no statistics are available
on how many die as a result of botched procedures caused by fake
doctors.

~~~~~~~~~~~~~~~~~~~~`



Dermatologists yesterday called for a nationwide crackdown on fake
physicians who are injecting, burning and maiming people seeking to
erase stigmatizing blemishes and the vagaries of age.

Experts at a Manhattan meeting of the American Society of Dermatologic
Surgery said state attorneys general need to investigate the growing
number of makeshift practices operating in spas, salons and even
garages.

The cost of beauty can be permanent scarring and even death as
unschooled practitioners attempt to cash in on vanity. The doctors
cited recent cases in New York, including one earlier this year in
which a Manhattan financial analyst died at the hands of an unlicensed
cosmetic surgeon. Police say Dean Faiello gave his victim an overdose
of anesthesia.

"There's a lot of stuff out there that is being used that is not safe,
and people need to know," said Dr. Roy Geronemus, director of the
Manhattan-based Laser & Skin Surgery Center of New York. He said the
Florida patients hospitalized after injections to treat wrinkles
represent a growing public health problem.

Fake doctors, he said, are selling patients on dramatic makeovers at
cut-rate prices, and many are using not only devices designed for use
by trained physicians but also shady products.

The wares include "fillers" used by cosmetic surgeons; bootlegged
compounds, high-powered lasers and smuggled concoctions from abroad,
Geronemus said.

Though about 32,500 people die annually in U.S. hospitals due to
injuries caused by licensed physicians, no statistics are available on
how many die as a result of botched procedures caused by fake doctors.

"They're flying under the radar and they're hurting people," Geronemus
said.

Dr. Rhoda Nairns, president of the society and a clinical professor of
dermatology at NYU Medical Center, said the victim of a botched facial
injection sought her care last week. The patient hoped an injection
would erase lines on either side of her mouth, Nairns said. But the
filler turned out to be an unlicensed form of silicone and caused
disfigurement.

"This is a form of silicone that is not approved by the FDA to be used
in humans or animals," Nairns said.

Dr. Brett Coldiron, a dermatologic surgeon from Cincinnati, said
problematic cosmetic procedures extend to licensed physicians who
perform a combined "tummy tuck" and liposuction, which he said can be
deadly.

The problem, he said, is the lengthier office procedure that forces
patients to remain under general anesthesia for an extended period.
Two studies of adverse events associated with the surgeries are to be
published by Coldiron and colleagues later this month. His earlier
data show that 1 in every 5 patients who undergo the cosmetic
procedures at the same time die of pulmonary emboli within a few days
of the operation. That's because the heart pumps slower under general
anesthesia and blood tends to pool in the extremities, which can lead
to clots. Such clots can then migrate to the lungs, causing lethal
obstructions.

Patients, nevertheless, like the idea of one-stop surgery in
convenient office settings. "Consumers will have to decide what an
acceptable number of deaths are," he said.

~~~~~~~~~~~~~~~~~~~~~~~~~~

www.BreastImplantAwareness.org
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Inaccessible
medicine forum beginner


Joined: 24 Mar 2005
Posts: 1

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: I'm curious Reply with quote

In article <5OSdnZMao5hHq5_fRVn-ow@bright.net>,
"Steve Young" <bowtieATbrightdslDOTnet> wrote:

Quote:
"Richard Crowley" <rcrowley7@xprt.net> wrote

"Steve Young" <bowtieATbrightdslDOTnet> wrote in message

I'm curious how you pegged Verizon:

The return address. You can see it above. Twice.

It's a fake address, there is no connection to Verizon.
Try Google abuse if you're serious.

Hey can you quit cross posting this stuff to rec.darkroom. thanks.
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Mark Probert
medicine forum Guru


Joined: 01 May 2005
Posts: 1720

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: Campaign launched against dietary supplements Reply with quote

"Robert" <RobertJ@hotmail.com> wrote in message
news:GK2dnWPLw5vsHJzfRVn-2w@got.net...
Quote:

"Mark Probert" <Mark Probert@lumbercartel.com> wrote in message
news:QecMd.340$qp1.296@fe08.lga...

"Robert" <RobertJ@hotmail.com> wrote in message
news:3bidnfUSL5kHo5zfRVn-1Q@got.net...

"Mark Probert" <Mark Probert@lumbercartel.com> wrote in message
news:IC5Md.282$pl5.278@fe08.lga...
companies which is in the millions to get a drug approved. It
makes
it
no
more bogus for the drug companies to do it their own research that
they
will
make millions and billions on. People doing research on their own
don't
have
the resources that the billion dollar companies do.

I am referring to the patient paying directly for unproven
treatment.
Not
what you are bleating about.

All clinical trials are unproven and as to who pays for those trials,
we
all do.

So? Someone has to pay for them and the patient is not charged directly.
In
fact, many of the clinical trials reimburse patients for their time and
out
of pocket expenses.

Paid out of the direct pocket of those patients paying high drug costs
with
new drugs. Don't tell me that insurance pays, yes but it is out of
premiums
that keep on raising because of the high cost of meds.
Sure, nobody pays for those reimbursed patients by the drug companies.
What
kind of drugs are you on?

I am high on life and living. Other than Vitamin E, I take nothing. Of
course, such a question demonstrates that you have run out of less moronic
things to say.

Quote:


The charlatans charge directly. Do they warn the patient that their
"treatment" is experimental? I do know that the patient in a clinical
trial
is. Some can do it better, though.

And that is the BIG difference.

Drug companies can afford to do it indirectly and transfer the cost.
Individuals can not do this.

Hogwash. These charlatans make big bucks charging their customers.

Quote:




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Steve Young
medicine forum beginner


Joined: 24 Mar 2005
Posts: 1

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: I'm curious Reply with quote

"Richard Crowley" <rcrowley7@xprt.net> wrote

Quote:
"Steve Young" <bowtieATbrightdslDOTnet> wrote in message

I'm curious how you pegged Verizon:

The return address. You can see it above. Twice.

It's a fake address, there is no connection to Verizon.
Try Google abuse if you're serious.
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Richard Crowley
medicine forum beginner


Joined: 24 Mar 2005
Posts: 1

PostPosted: Thu Mar 24, 2005 8:26 pm    Post subject: Re: I'm curious Reply with quote

"Steve Young" <bowtieATbrightdslDOTnet> wrote in message
news:ReednYsCdf48Rp3fRVn-jA@bright.net...
Quote:
"Richard Crowley" <rcrowley7@xprt.net> wrote

ROBERT MCCLENON - NO DEGREE OF CLASS, STYLE, OR INTELIGENCE
(pseudo-human) (oh, and a big PLONK to you too!)

"robert.mcclenon@verizon.net" <robert.mccIenon@verizon.zzn.com> wrote
in
message news:1107308807.975818.179720@o13g2000cwo.googlegroups.com...

Verizon should be informing you of several abuse complaints
real soon now.

I'm curious how you pegged Verizon:

The return address. You can see it above. Twice.
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Candide
medicine forum addict


Joined: 24 Mar 2005
Posts: 71

PostPosted: Thu Mar 24, 2005 8:41 pm    Post subject: Re: Nurse on CNN re: Schiavo Reply with quote

"YvetteMichele" <yvettemichele@yahoo.com> wrote in message
news:8oz0e.18061$pm.6360@newssvr31.news.prodigy.com...
Quote:
I didn't see the TV show, but I heard the radio recap. She claimed
that the
chart notes had "disappeared".

"Disappearing" chart notes is something you'll hear about if you do
enter nursing.

Charts are legal documents, and the only way to save your hinnie if
brought up on malpractice, discipline or other charges. You'll learn in
Med/Surg I to CYA by charting everything, especially when you think or
know something is not right. If you are asked/told to give medication
you did not personally prepare, better make sure you note where and how
it came from and who told you to administer it.


Using the popular show "ER" as an example: One of the residents ordered
and gave via IV push a drug to a patient without checking his past
history for drug interactions. Patient had a reaction and subsequently
died. As things started getting ugly the attending tried to cover for
the resident and state HE ordered and gave the drug even though he
hadn't and went to alter the chart (the original resident hadn't charted
her actions yet). Long story short, chief of staff hauls everyone from
nurse to attending into her office to get to the bottom of things, the
whole affair goes upstairs to legal, attending got sacked and others
involved their own share of discipline.

In the days of paper charting held in binders it was not "uncommon" for
pages to go missing or turn up rewritten. All of this is illegal if
proven but some doctors/nurses and hospitals seemingly would rather take
that chance versus huge malpractice payouts and or loss of license.

Candide
--
"If I owned both Hell and Texas, I'd live in Hell and rent Texas."
+++++++++++++++++++++++++++++++++++++++++++++++++++
General William T. Sherman
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linda-renee
medicine forum beginner


Joined: 25 Mar 2005
Posts: 8

PostPosted: Fri Mar 25, 2005 8:50 am    Post subject: Re: 2nd career as nurse Reply with quote

"Candide" <PityMePines@bigfoot.com> wrote in message

Quote:
In general one usually finds floor/staff nurses starting out around the
same in terms of salary with pay rises coming with sonority, and
perhaps education (more for BSNs). Pay usually goes up for those working
in the specialty care units like cardiac,critical, neonatal etc. Again
this can also vary by hospital and supply of qualified nurses
available.

Huh? In all my years in critical care, I never got an extra dime for
working in a specialty, or for having my CCRN. I was hired in based on
years of nursing experience. Then the minuscule so-called merit raises
almost always guaranteed that new people were brought in at a higher rate
than current employees. So much for seniority.

In my current job, I was hired in based on never having been in that
department before; i.e., at the bottom of the pay scale, despite 20 years as
an RN.
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