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Posts Tagged ‘Bureaucracy’

Visitor Topics

I have a question about Nursing Seniority.  We are having a bit of an issue on our unit between the "old" nurses and the "new" ones. Or, as our people put it, the senior vs the junior nurses. Sounds suspiciously like high school to me. The nurses with the most seniority feel they should get the best shifts, the most and first choice vacations, less [...]
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Reality Unscripted

Love the current proposal or hate it, it's hard to deny that this country needs health care reform.  And as a nurse married to a small business owner, I am certainly interested--and invested--in the topic.

As health care professionals, we have a first row seat to the drama as it unfolds.  We know the stories of patients who have insufficient or no coverage.  Who have not [...]
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Visitor Topics

Again, I've been careless and raising my blood pressure by listening to Fox News. As the debate over government funded healthcare rages, Fox News decided to support their ideas by saying the British health system is a disaster as well as the Canadian public system. They may as well have attacked my New Zealand system because we have a national health service.

Naturally they highlighted some [...]
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Seasoned with Sage

A nurse never wants to face a HIPAA violation.

I've never experienced the ramifications of such a violation personally, but I have seen the aftermath when others have been suspected.

Often the violation stems from one of man's greatest assets: curiosity.  We're geared for acquiring knowledge; yet some things we might be better off being unaware of completely.

Once on the unit I was working, a staff [...]
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Managing Your Career

Part one of a two-part exclusive interview with Sally Lemke, winner of the 2007 Super Star in Community Nursing award.

It’s a conundrum: How could the recipient of the VNA Foundation’s “SuperStar in Community Nursing Award”—a $25,000 prize—get the axe a mere few days later?

Sally Lemke, who was a nurse practitioner in Chicago’s Cook County healthcare system, became a local celebrity when this unthinkable scenario played [...]
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Managing Your Career
What nurses can do when the system undervalues you.

Part 2 of a two-part interview with Sally Lemke, winner of the VNA Foundation’s Super Star in Community Nursing award.

It had the potential to be one of the most rewarding times of her life—being honored with the VNA Foundation’s Super Star in Community Nursing award. Thirty-plus news agencies swarmed to the story about Sally Lemke, a Chicago Cook County nurse practitioner making a difference in [...]
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Nurse Relationships
Nurses must confront workplace abuse.

The new nurse was doing the best she could. But it wasn’t fast enough for the emergency room doctor. As the doctor struggled to triage the patient, he became more and more agitated. Finally, he yelled and threw a bloody sponge at the nurse—right in the middle of a procedure.

When physical and verbal abuse takes place in the workplace, immediate action should be taken. But [...]
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Nurse Relationships
Fixing a broken relationship.

Doctors and nurses have been trained to be suspicious of each other.

So writes Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006). And while this has historical roots, it is particularly dysfunctional today. In this RealityRN interview, Gordon describes the complicated relationship between nurses and doctors—and gives practical advice for nurses to help remedy the situation.

RealityRN:  Describe the history of nurse/doctor relationships.

Suzanne [...]
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