...that the Healthcare Leadership Council met last night?
I now bring you all of the media coverage of that meeting that I have been able to find this morning:
Hmmm...something seems to be missing here.
Friday, September 14, 2007
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117 comments:
Should this surprise us??
I guess I would have hoped for a little coverage considering the number of elected officials, community leaders and LPNT senior managers who I assume would have been in attendance.
The inbreds that sold the hospital work the same way hmmmmmmm.
Shouldn't surprise anyone since the comm. can't really do anything anyway.
On another note:
I just wanted to let all of the DRMC staff know that we are holding an educational offering, "Chest Tube Management" on Tuesday, September 18th at noon on 3B. All DRMC medical and nursing staff are invited to attend.
ok this is sad..this forum is where you communicate with hospital staff?
Kristen is not stupid, more staff read this blog then any flier put up at work.
I don't think the poster was saying she was stupid. I think the comment was about the sad state of affairs that this is where such postings would get to the most staff.
That was what I meant. Not accusing the poster of calling her stupid. Actually giving props to Kristen because she realizes she can reach more people here than with fliers throughout the hospital. I happen to love working with Kristen and I am sad to see her leave when Dr. McCann leaves.
Diddo. Will miss her and Dr. McCann when they leave.
They've been great, but can you blame them for leaving?
So it must be true that the employees do not have e-mail or access to read e-mails. How does the word get out on anything efficiently?
We have a form of e-mail that can only be sent through the hospital. You cannot receive e-mails outside the hospital.
it's called MOX...everyone has it. We're really not much in the stone ages.
faxing to pharmacy and not using the windows included outlook for email = stoneage
Not what the previuos poster was referencing. Get your chisels and tablets out.
Most places I have worked at have a form of "MOX?". Some form of intranet and internet. But, we have regular e-mail also.
Of course this whole conversation relates to substandard patient care, right? And of course, someone will say it does because that's all this has turned into is a piss and moan forum.
It is about pt care as the fed gov't has studied med mistakes and found that handwriting and re writing (which is what we do now without a MAC type program ) leads to millions of mistakes each year.
DRMC had previously won Gov't award for an up to date SAFE timesaving system, NO MORE.
If it's the truth it ain't complaining it's advocating and that's what nurses do for their patients.
The previous posts were talking about the email system and that somehow pertains to patient care. That's what I was talking about. I do agree that our previous med admin. was leaps and bounds ahead of the EMAR; what I get tired of seeing is piddly stuff that turns into a crisis situation with patient care and that is not the case with an email system. I prefer Outlook, but I am glad we do have something to have hospital wide "communication" and I use that term lightly.
Taken from another thread:
Ruthless: fearless leader leading through fear
Ruthettes: big lips better to kiss a-- with
Ruthnots: regular real healthcare
workers
Does that sum it up?
Love it!!
So where does the new CNO Ms. Logan fit into this? Please give me hope?
Things are strangely quite....hopefully an indication improvement is occuring and things are getting better for you folks?
Maybe it is quite due to the fact that you all can't find anything to bitch about.
Silence does not always mean a positive. Silence can also result from a threatening environment. I know many who have been pretty much told to be quiet. I also know that many of the leadership team have adopted the plan of keep your head low, don't make waves, don't voice concern or negatives as you will be gone. Such an environment does not promote positive growth it creates paranoia, poor productivity and increased effort to cover up or maintain the status quo versus improving the needs.
Plenty of people looking for information but plenty not able or willing to vocalize. Taken from the site meter:
Last Hour 4
Today 105
This Week 1,125
Well here you go....need more proof LFPT's focus is $$$$$ not treatment?
"Less than a year out of the gate with its new business model, nTelagent Inc. has signed a group of major clients, including some local heavy hitters.
Psychiatric Solutions Inc., LifePoint Hospitals Inc., Iasis Healthcare and e+healthcare are among the Nashville health care companies on nTelagent's customer roster."
"Based in Franklin, nTelagent, has developed a Web-based program that allows health care providers to determine a patient's payment responsibility and ability to pay before care is delivered."
In all fairness it is supposed to be used to: "The self-pay management system takes into account co-pays, deductibles and discounted rates, and tells the registrar if the patient is eligible for charity care."
However, when they go on to say "We were looking for a way to improve our up-front collections," says Elaine Dixon, revenue cycle director at Rockdale Medical Center. "Because if you can't get it up front, it becomes a bad debt on the back end."
It makes you wonder if "charity" cases will be less cared for or possibly directed to a different facility...based on their past actions.
Of course the protests are quieter from the consumer side. We have learned how to find excellent care elsewhere--so what's there to complain about?
Anybody checked on 3B and ICU today.
So where does the new CNO Ms. Logan fit into this? Please give me hope?
******HAve you noticed the new wannabees have already started buzzing around her? One new recently returned director is keeping close to her office! ***
I ran over there a little while, just to check on things, but I didn't take any vitals, of course. (It's really not my area) Looked like they had a few problems to work through. Then someone else started screaming down the hall. I just had to cover my ears, its enough to make you nuts, ya know? I thought, "Look Buddy, Keep your shirt on, they'll get to ya sooner or later. After all, the glass is half full, not half empty!" ..depending on who's looking at it.
Hopefully she will see the wannabees for what they are. She might notice that they aren't really doing their job but jostling for position. All would be better if RUTHless packed her bags. The longer she stays the longer she has to influence Logan.
Speaking of wannabees how about the new director of 5A and Dept of Ed? I guess you don't need qualifications these days.
I am not sure why anybody would want to try to bring down the new director of Dept of Ed. She is an excellent educator and will definitely be a breath of fresh air in DOE
You have got to be kidding. She cannot even speak clearly or pronounce words.
The new director for education is strong but the one heading to 5A is an ass kissing idiot
Half the middle management promoted hospital wide in the last 2 years are unqualified suck ups that just promote the company line. If I hear one more time that we are doing this or that because its a JACHO or CMS regulation, I'll puke.When is middle management gonna stick up for their staff and tell the Administration that they cannot cut anymore staff or use less staff per shift. Everyone bitches about LPNT but the middle management are all local people.
"The new director for education is strong but the one heading to 5A is an ass kissing idiot".
I agree with the ass kissing idiot assessment. Many people spoke up to caution this decision but of course if you speak up you are silenced. I think the director of education is motivated with good intent and will certainly do her best but she lacks a bit of finesse and qualification for the job. She deserves a chance to prove herself and needs to toughen up a bit. She has a difficult road to travel. It is interesting how these positions are filled. I am a 5A staff member and I never heard an invite to have the staff included in the interview process any one else on any of the other units get to be involved? Physicians are asked but not other leaders or certainly not staff. I understand we should not have the ultimate voice but we might have some insight.
"When is middle management gonna stick up for their staff and tell the Administration that they cannot cut anymore staff or use less staff per shift. Everyone bitches about LPNT but the middle management are all local people."
They are too afraid to speak up. Look what happens to those who speak up. They also don't have the skills or training to perform their jobs correctly. There is no support to them to learn how to manage. Most have perfected the brown nosing technique and those who have not or will not are just trying to keep their necks down.
Who are the new Directors?
Did all see Wendy Wagner's suck-up on the ad campaign. Tears in her eyes. BOO HOO!!!!
Unfortunately, they hoped this add campaign would ignite committment and pride amongst the staff. Leadership discussed how this would turn the tide of staff impressions. What they did not think about was the impression left to staff when they see the biggest problems and complainers speaking up in defense of this wonderful organization. Many of which present in a different manner depending upon who is watching. What a flop.
Let me just start with, thanks for the vote of confidence and compliments but that "toughen up".... I do not know you and you definitely do not know me.
I was tough enough to travel across the US by myself (at 18) to attend college in Texas. I was tough enough (at 19) to take care of my mother when she was dying with stomach cancer. I was tough enough (at 20) to stand by my best friend when she was diagnosed with cancer and had to make some tough decisions. I was tough enough to sit by the bedside of a dying father and talk to his wife and sons about the end of life decisions they now had to make. I was tough enough to work 3rd shift and graduate from RN school and my BSN program with honors. I am tough enough to walk into Ruth's office and tell her I disagree with her. I am tough enough to tell the house supervisor that she is not pulling one of our nurses and justify that with patient acuity.
I hope to be tough enough to continue to make a difference with nursing at DRMC.
I am tough enough to sign my name to my opinions.
I guess "toughen up" is a subjective thing.
Bonnie Turner, RN, BSN, OCN
Director of Education
It's tough for everybody , boo hoo
The difference is that Bonnie is the real thing. Give her her due.
Sure the ads are stupid and transparent, but we do have some good people who are trying as hard as they can. Bless them one and all.
Now, if we could just dump Lifepoint, we would be on the road to success!
So are all of the rest of the "real things" that help people of THIS community everyday and night , give them ALL their due.
And dump this corporate leech known as lifepoint.
The thing about these leeches is that they are low-class leeches--rejects from hospitals all over. I have to stay here, and I'm trying. But I feel like a whore whenever I am respectful to them. Now, I feel better!
Who is the nursing director for 5A? My physician husband regularly admits patients to this floor but he has not been informed of any changes.
Your physician husband is in the same boat as the 5A staff. We "know" her and we KNOW her! Did anyone share with us the paln for our new director? NO! Are we pleased? NO! The earlier comments about her is what we have learned about her as a supervisor.
Bonnie...I like you but "tough", you are not!!
We'll see how long you last in this position.
The info about the new directors of 5A and Education were just announced on the 21st of September and they were due to start yesterday. That's seem pretty fishy!
Tough in a management position is completely different than tough in personal situations. I feel that I am a tough person, but I do not feel that I am tough for a management position. Anyway, good luck Bonnie!
If you want bash and "HATE" on people why don't you use your name and stop writing as "anonymous." "TOUGH YOU ARE NOT."
Excuse me...the previous message goes out to the "Shit-talkers" that are scared to step up and tell things to someone's face.
If you want bash and "HATE" on people why don't you use your name and stop writing as "anonymous." "TOUGH YOU ARE NOT."
Don't you think you should take your own advice?
Where is Sentinel Event?
Looks like this blog has exposed even more the underbelly of the problem: That locals not only attack outsiders, but they even eat their own. What a shame that we use this forum like we're using it. Looks like the Boys aren't the only evil-spirited ones in our midst!
So it's OK for others to talk about the hospital and we as hospital workers cannot defend the hospital either. But we are also not allowed to vent about the hospital politics either. The only people allowed to talk ugly on this website (that was created by a hospital employee, no less) are the outsiders, right? Im glad I cleared that up.
Did Sentinal Event leave to go to Duke?
Why would Sentinel Event go to Duke? Are they having problems down there?
"The info about the new directors of 5A and Education were just announced on the 21st of September and they were due to start yesterday. That's seem pretty fishy!"
I am not sure about fishy but that is the way things happen. I work odd shifts and off times and I just learned on this blog that laurie resigned. Why is it we can't have communication about these things? Was the job ever posted? I would have liked to have said goodbye to a person I respected greatly. Why is it people seem to leave in the dark of night?
Gee, I am glad to know management reads the blog! Ms. Turner did you write what Ruth told you to write? I have you seen you waffle to the big lady and you are in self preservation mode just like the rest of us.
I think Sentinal Event has left the building.
"The only people allowed to talk ugly on this website (that was created by a hospital employee, no less) are the outsiders, right? Im glad I cleared that up."
NOt sure what you cleared up. It looks like the poster above you is from Danville. I didn't see anything about not being able to talk how we want. How 'bout just a little rational dialogue vs. viciuos diatribe?
My humble opinion is:
I wouldn't put it past management of this organization to post things to incite the viciousness.
I'm sure this blog has been a thorn in their sides and anytime the diatribes start they can point them out to discredit the entire blog.
I agree with the above poster 100%. What gets me about the Lifepoint people is their self rightous arrogance. None of them could take care of a patient at the bedside, yet they can dictate what the minimal amount of care should be. Don't ever lose sight of the fact that they are here to make and take profits. Lifepoint is not concerned whether patients receive the proper care.
Oh good lord. I'm not a fan of current management, but the thought that we'll now blame them for various postings is ridiculous. Why can't we use the postings for positive and constructive comments vs. tearing each other down.
What's the latest on a permanent CEO and the new CNO?
They have been posting on this blog almost since its beginning. They have tried to plant various and sundry ideas hoping to make the people against them doubt support from hospital employees. The style of writing has changed over the course of time, but so have the players.
"I think Sentinal Event has left the building."
Nope...haven't left the building. Just nothing new to report.
If you have news of major import, please send it my way and I'll put it on the front page.
New chief nursing officer named at hospital
Danville Register and Bee
September 27, 2007
Advertisement
DANVILLE -Rebekah (Becky) Langston Logan has been named chief nursing officer of Danville Regional Medical Center.
Logan’s 12 years of healthcare leadership experience in the healthcare field includes includes positions as chief operating officer and chief nurse executive for hospitals in Georgia and South Carolina.
Read about her plans and goals for her position in Saturday’s Register & Bee.
I know this is off the subject, but I have to ask. Since we have these brilliant minds from Texas (Insight Advantage), Arizona (Art), Brentwood (Ruth and the owners), and other parts of the country since, as Insight Advantage so eloquently put it, "People in Dumbville make to much money for the low level of education in this area"..Why haven't these brainics figured out that Dan Janiak (left over 6 months ago) and Kim Grossman (fired over a year ago)are still signing our paychecks? Just wondering, since I am one of the born and bred dumdvillians. Obviously, I cannot be the only one who has noticed this and stand in awe at the idiocy of the situation.
funny I just received my check and neither name is on it......And since I never worked "for " them to start with.
...and I'm assuming the checks have always cashed with no problems.
Such petty things for us to gripe about. Should we now start not using old $20 bills that have the previous Secretaries of the Treasury?
Yep they cash , but at a CONSIDERABLY LOWER PAYSCALE than what I'm going to . Oh and the ratio is lower and the compensation scale is faster.
We don't want outsiders brought in for management positions, but when people move up from the ranks, we treat them like they are sell outs. We criticise them at every turn. Trying to move up and help the situation, means making yourself a target. Wonder where management is supposed to come from?
Maybe those that are the loudest critics could spend a day or two in the shoes of a leader and then be qualified to crticize.
"Yep they cash , but at a CONSIDERABLY LOWER PAYSCALE than what I'm going to . Oh and the ratio is lower and the compensation scale is faster."
And if I were a gambler, I'd bet you'll find somethnig to bitch about ther too. Just a guess.
"Yep they cash , but at a CONSIDERABLY LOWER PAYSCALE than what I'm going to . Oh and the ratio is lower and the compensation scale is faster."
And if I were a gambler, I'd bet you'll find somethnig to bitch about ther too. Just a guess.
Amazing. Did anyone read the above post about the checks. Yes, they cash. No, we wont stop using old money to buy things. Personaly, I think anyone trying to improve themselve should be applauded. The meaning of the post was how we have been called dumb, low hanging fruit, and blamed for all the wrong things that Lifepoint did. But, if we are all of these things, how come these "smart people" from all over the country can't change a simple computer program and have the current people sign our checks and not folks who haven't been here for 6-12 months or longer.
I don't think every internal candidate who moves into management is terrible. I know of many able directors throughout the hospital. I think the issues staff have are that positions are not posted, often more qualified individuals may be interested. And sadly people who are more then qualified leave. Staff take no part in the interview process. All this adds up to disatisfaction. if the 5a staff had been included in the decision possibly they could have pointed out how the individual choosen behaved around staff and her less then appropriate manner. You can't tell me that if they posted and allowed time for applicants that a more qualified candidate could not be found.
Unless they wanted to change the checks, and the authrizations at the bank every few weeks, I guess they are waiting for someone "permanant" to be in these positions before they change the checks. It may take a while! As long as the checks are good, I have much bigger concerns. I just hope those direct deposits keep rolling in every other Thursday! When that stops I stop. I guess I am for profit too.
Looks like low-hanging fruit talk. no wonder we're called dumb.
I just got out of that place and would like to say that I found nothing wrong with the cleanliness and the doc I had was okay but the nurses were a ragged bunch. Some good. Some bad. Some unspeakable they were so arrogant.
It probably was about an average hospital experience.
Friends say I was just lucky, so I'll probably go elsewhere next time. But no big complaints beyond the arrogance and incompetence of some of the nurses.
Surely Mr. or Ms. Patient, you didn't think our very own local nurses were arrogant? Lord save us.
we sho' is, boss.
Friends say I was just lucky, so I'll probably go elsewhere next time. But no big complaints beyond the arrogance and incompetence of some of the nurses.
September 28, 2007 6:58:00 PM EST
I bet if you were as overloaded by a greedy company people would say this about you too.
They were probably arrogant because you badgered them for something you know nothing about ,
and as for the incompetence how would you know ? Did you pass the NCLEX ?
I heard a family member the other day while at work on a different floor speaking to a nurse in a way no one should be spoken too If the family member is so smart and capable she should have kept her family member at home as her "medical knowledge was completely totally incorrect....
The last post is an excellent example of the arrogance. First of all passing the NCLEX does not exhibit competence. It clarifies knowedge base acceptable for a beginning practitioner. Competence comes from putting those pieces together to plan and direct the care of the patient. This includes prioritizization, advocacy and delegation. Which is not evident in most nursing practice I see at our little hospital.
Second axample of arrogance if the family is making demands with little knowledge of what is needed it is the nurses job to give appropriate and needed education, discuss the plan of care and educate the family and patient. The nurse should not be criticizing family members for their lack of knowledge. And lastly, an important piece of excellent nursing is compassion and possibly understanding the stress, lack of control and issues with the family members and how that might motivate their less then acceptable behavior would be the best nursing care possible. I do not see the majority of nursing practice at Danville up to standard and that is not due to high ratios etc. it is due to the fact most do not understand their professional responsibities or do not have adequate education or role models. Scattewred amonst these lost causes are many gems who are working extremely hard to raise that standard. I hope and pray that Ms. Logan can sift through and make appropriate decisions of who should stay and who needs to go at all levels of nursing.
Second axample of arrogance if the family is making demands with little knowledge of what is needed it is the nurses job to give appropriate and needed education, discuss the plan of care and educate the family and patient. The nurse should not be criticizing family members for their lack of knowledge.
You missed the poiny completly.
The one above yours was to show how understaffing and the lack of OJT lead to such mindsets and the response of the public to lifepoint and it's skeleton workforces.
Lack of mentoring and On the job training for new hires is directly related to high ratios.
Running off the experienced nurses making the most money and replacing them in mass with new grads making much less money...shows you what for profit medicine is all about. So when lifepoint whines about arrogant and unprofessional nurses, it tickles me. You asked for it, you got it.
The only post that has credibility in this entire thread is the one that so rightly pointed out the definition of arrogance. As one of the nurses working very hard to earn a good reputation for DRMC, I'm appalled at the last three posts. You are the nurses we all dread working side by side with because you just don't get it. Ratios have nothing to do with the attitude you bring and spread everyday. Please for the sake of us all, go soemwhere else. We'd rather work short-handed than to have our patients judge us based upon your care (or lack of it).
AMEN!!!
Was anyone aware that when your are nominated for " super-hero" and they give you that nice gift certificate that they take it out of your check. does this mean if i dont want my gift certificate that they will credit me 15 dollars on my pay check???
Danvillian at its finest.
"Ratios have nothing to do with the attitude" "We'd rather work short-handed "
Sorry, but they affect morale which affects attitude,
Oh wait that's nebulous, sorry nevermind.
Ignorance and lack of management knowledge at it's best.
You can have the best attitude in the world and get slammed with too many patients and the provision of care WILL BE affected.
Talent does not compensate for overload.
Why then are there those of us that work with teh same load as you that don't bring the kind of attitude you bring? Again...please find another place to work.
First of all you don't know what my load is :
secondly if you're not advocating for safer ratios for patients , well , that tells us all we need to know about your care.
One reason for bad attitudes in DRMC/lifepoint and for profit facilitis in general is the desire for a better environment for the patients and having greedy millionaires not listen, due to the fact that they have no interest in the families of this community beyond their insurance abilities and finances.
Not totally disagreeing , I go with a smile and enjoyment but it (usually)quickly deteriorates having known what DRMC was compared to what it is now.
Loud advocacy seams to be the only way.
I think the definition of arrogance is right on. the writer touches on the fact DRMC has an inexperienced staff, mostly diploma prepared, mostly only having worked here, little mentoring opportunities, high patient ratios and little voice to better prepare. This will all lead to the arrogance that is so evident.
The second contributor is the arrogance that comes from above. Look at how the leadership of nursing behave. Ruth has allowed a level of arrogance that is inexcusable. All the non-nursing professionals see it every day. Did you ever stop to think that respiratory therapist, rad techs, physical therpaist, lab personel etc. have most likely more education and experience but are given less respect, support and $$ than nurses.
Somehow the discussion has gotten twisted I agree with the above
post(s)in regard to education mentoring etc.Especially the mentoring educational ops. and the arrogance of lifepoint, what I do not agree with is the smile and take it attitude.
Also not all nurses in DRMC make bigger bucks there a few educated that make less than the RT's and alot less than the other RN's.
But generally and Overall I agree.
Sorry for the misconveying of opinion.
These posts have turned to the "same ole same old" griping and complaining. In the end, you guys obviously have nothing better to do with your time then to post crap that no one is interested in anymore. Once it's posted the first 500 times, it does get old!!
AMEN!!!!!!!
"I think the definition of arrogance is right on. the writer touches on the fact DRMC has an inexperienced staff, mostly diploma prepared, mostly only having worked here, little mentoring opportunities, high patient ratios and little voice to better prepare."
I must say, I take great offense of your arrogance by putting down us mostly "diploma prepared" nurses. Diploma prepared nurses are some of the best entry level clinical nurses due to the large amount of patient care that is performed during their clinicals. The problem at hand is that these new "diploma" nurses are not oriented properly. They are told so many times by their managers and directors that they are doing so well that they are taking them out of orientation early. This is being done so that these poor unsuspecting "new nurses" can staff the floors even though they have not been properly trained. They are then blamed when there are poor patient outcomes or mistakes made that could potentially harm the patients they are caring for. The school of nursing does an excellent job of providing these nurses with the very basics needed to start out as entry level nurses. It is Lifepoint that shortchanges these new nurses with decreased orientations and poor training that is to blame for these outcomes and mistakes.
So as a new nurse whether it is diploma, associate, bsn, or msn, it makes no difference in your ability to properly care for your patients if your hospital facility cannot even take the time that is needed to nurture a new nurse and provide them with the necessary tools and training to develop them into outstanding nurses.
Lay blame, not on the type of education, but on Lifepoint. Lifepoint encourages mediocracy as is evident in the middle management of this facility.
Absolutely
Why are we constantly stabbing each other in the backs and not trying to support one another? I mean get real people, who should we really be mad at? Our fellow nurses? What the hell is going on?
Because the ones that are complaining are expecting everything to be handed to them and they don't want to work hard for their patients.
They want to work for the patients ,just not endanger them so that someone else can be rich.....
If you think anyone's getting rich off DRMC, think again. How 'bout just taking care of the patients, cashing your check and not worrying about anything else??
Now that would be just too easy, wouldn't it?
Give it up idiots!! LPNT won this battle and YOU have become them!!!
Research shows the more BSNs you have employed the better the outcomes. Diplomas are good entry level but they should be fostered and encouraged and supported to reenter school. The issue with hiring the majority of your nurses from one program is that you develop a very narrow view of the role of the nurse. It is not a wrong view but a very narrow view. I would also like to add that I completed a BSN program and worked clinicals in four different organizations with a transition semester of 24 hours a week in clinical working my own assignment of 4-5 patients. The idea that only diploma prepared nurses receive quality clinical experience is not well informed. This organizaiton needs a strong nurse leader who understands the profession of nursing and can lend a voice and an identity to nursing practice.
The majority of nurses I see at DRMC (both pre and post lifepoint) focus on the tasks at hand not the true practice of nursing. The patients suffer from this limited approach.
Define the true practice of nursing.. Do you mean like critical thinking skills? I am curious about your point of view.
LPNT wants RNs, they're not interested in education beyond AD or Diploma nurses...right guys???
They get cheaper labor without degrees...you know it's true.
I know for a fact (wish I could tell you how)...they only want RNs...no degrees.!!
I think the true practice of nursing is exactly that of critical thinking. Putting the pieces together, planning appropriate monitoring and care, formulating teaching plans. Advocating for the patient etc. True nursing practice is what goes on in the nurses head not the actions people see.
Wrong. Period.
Not wrong . Go to class and learn something , you're one of the people who think CNA's are not needed or that critical thinking isn't needed or that nursing is 100% tasks based,or that staffing ratios are a joke, your statement paralleled with a USA legacy of corporate greed is the epitomy of what is wrong with the healthcare system in the US.Not using critical thinking, and having high pt loads is one of the main reasons pt's end up in OR's and ICU's from nursing floors all over the US.
To "Wrong. Period."
Please define nursing practice for me if it does not include critical thinking.... and then justify why nurses should earn the salaries they are demanding.
To the jackass that wrote "Wrong. Period."
Critical Care = Critical thinking.
You sound like one of the five crooks that robbed Danville .
Get an education!!!!!!!!!
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