BELCJ

BELCJ

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About BELCJ

Latest Activity

  1. What is your average census? How many RRT calls do you average? When not responding to a call, what other job duties does the ICU nurse do?
  2. What is your average census? The RT (supervisor) that responds, I assume that they are the one to respond due to no patient load?
  3. Length of Preceptor & patient ratio

    Quick question: The 1-2 patients for the orientee, is that 1-2 in addition to the 4-5 that you have, or is it 1-2 of your personal patient load?
  4. We are trying to improve our preceptor program and are seeking advice from the general nursing population for help. 1. How long does your facility preceptor new grads? 2. How long does your facility preceptor experienced nurses who are just new to ...
  5. Questions about L&D staffing and scheduling

    It's only been about the last 6-9 months were this has become the "norm". The previous director submitted an FTE budget for the new year of about 36 I think, and said she wasn't adding any nurses, just trying to keep what they already had. With an ...
  6. Questions about L&D staffing and scheduling

    Our postpartum are on the same floor, but on the other side, (seperated by a walk-thru storage area) and it is staffed separately. The entire area has three actual departments, L&D, Nursery, Post Partum, but it's one unit, Women's Services, all ...
  7. Questions about L&D staffing and scheduling

    Yes, those guidelines do help. That is how I'm trying to staff, but that means letting all these travelers go because we don't need them, and the nurses are saying it's not right and they can't do it without the added staff. Obviously administratio...
  8. Questions about L&D staffing and scheduling

    Active labor is 3 nurses, but for how many patients? The antepartum is 4 nurses, but again, how many patients is that?
  9. I am a new L&D Nurse Manager, and I'm still having trouble trying to staff appropriately. We average about 2000-2100 deliveries a year, which is about 6 a day. When I look at the guidelines on AWHONN, it says the staffing is 1-2 for active labo...
  10. do you team nurse?

    You have 1 nurse per couplet? So if you have 10 postpartum couplets, you have 10 RNs? Your hospital must have very deep pockets. That would never fly here, but I wouldn't want it to either. That seems too exessive.
  11. EMTALA question

    Emtala deals with patient care associated with their ability to pay. If the ER doc had said "we have a self pay patient needing surgery", and the OC doc had refused to come in and treat, then YES he would be in violation of EMTALA. The OC not respo...
  12. Direct Discharges from ICU/CCU

    I'm looking for information on what the standard is regarding discharges home from ICU. It's been quite a few years since I worked there, and it used to be that if the patient was well enough to go home, then they didn't need to be in ICU. We were ...
  13. About productive hours per patient day?

    There isn't a program per se, since each facility may define hours differently. At our facility we use only "productive" hours. We total all productive hours for the unit, (this includes the director) and divide by the number of patient days. This...
  14. Need Help

    It depends on the state. Most states however, require you to take their exam for certification in that state.
  15. c-section OR time study

    We don't use nurses for cleanup and restocking. We use the techs. Whether in OB or OR, the tech's job is with the patient is done once the procedure is done. They're not saying it will be an hour before they get the job done, they are telling me ...