dhenceroth

Latest Activity

1. Quality Healthcare Week

   dhenceroth replied to QNurse's topic in Quality Improvement

   QNurse...sounds like you did a good job with such short notice. I'm Dir. of R.M./P.I. and I knew it was Healthcare Quality Week, however I was caught in the middle of a major "reduction in force"......no one felt like celebrating quality. Anyway, I...

2. Are We Really a Profession?

   dhenceroth replied to Q.'s topic in General Nursing

   My only concern in calling nursing a "profession" is the prevalence of unprofessional behavior that I witness...not only in nursing, but in other so called professional groups, such as Physicians, Lawyers, etc. It almost seems to be an oxymoron to u...

3. why did you become a nurse

   dhenceroth replied to pointhope's topic in General Nursing

   I never wanted to be a nurse....My girlfriend and I attended a "career day" presentation in high school. We both planned to go to college to be teachers. I had also had an interest in becoming an attorney. We heard an RN speak about the Nursing pro...

4. QI/UR/Risk Management question

   dhenceroth replied to greg in mass's topic in Quality Improvement

   I am a Dir. of Risk Management /PI in a hospital. I have a CPHQ certification and plan to take the CPHRM soon. Performance Improvement has evolved alot over the years and as Janis said...you need a sound knowledge of statistical process control (u...

5. assulting my ears

   dhenceroth replied to adrienurse's topic in General Nursing

   Some nurses can't seem to tolerate it being quiet. When I worked in ICU on night shift, it drove me crazy when some nurses would always turn the TV on (to MTV, etc.) in rooms w/ unresponsive patients. Due to the nature of the unit, there is not muc...

6. Pediatric Procedural Sedations

   dhenceroth replied to Alley Cat's topic in General Nursing

   Our moderate sedation policy allows for dose limited amounts of morphine, versed, valium on peds pts.. Chloral hydrate is used for sleep EEGs. If your physician is doing alot of intubating, then he is NOT doing "moderate" sedation, but administerin...

7. Discouraged and needing encouragement

   dhenceroth replied to tartay021's topic in Career Support

   I echo the above sentiments. It bothers me when nurses in our own profession put it down. There are so many opportunities in nursing. I have been in a hospital for 27 years, however I have worked in ICU (10 years), evening/night supervisor, IV Hom...

8. I think I have an ethical dilemma here...

   dhenceroth replied to MQ Edna's topic in General Nursing

   I agree w/ fed up nurse. I am an RN Risk Manager and I have had several clinicians come to me about unsafe practitioners. Please take accurate documentation of dates/times, factual first hand knowledge of specific incidents and documentation of th...

9. Patient Confidentiality

   dhenceroth replied to Flo1216's topic in General Nursing

   Tell your friends and co-workers that President Bush just signed the final Privacy Regs under HIPAA. Breach of confidentiality can result in hefty fines and even jail time against individuals!!

10. Alternatives to a traditional nursing carer

    dhenceroth replied to T's topic in General Nursing

    I left bedside nursing 8 years ago.....have been working as Performance Improvement Coordinator and then 1 year ago, I became Director of Risk Management/PI. I have a PI Coordinator (a bedside nurse that came from ICU) that works with me. I love it...

11. Walking Rounds/Report

    dhenceroth replied to CCU NRS's topic in General Nursing

    We do not have walking rounds at our hospital, however they do it at a SNF/LTC facility where I visit a family member frequently. I can often hear what they are saying and I think it is a definite confidentiality issue. I think the risks outweigh t...

12. Nurse addict?

    dhenceroth replied to banker321's topic in General Nursing

    I agree with the others that your wife needs help. However, you mentioned that you found a dose of oral morphine. ...this may not have been "wastage".....as someone said, this is "diversion"....the patient that needed the morphine may have had it do...

13. How much can a nurse do????

    dhenceroth replied to essarge's topic in General Nursing

    At our hospital, nurses are given authority by the medical staff to do specific interventions (XRs, foley, IV access, etc) by developing protocols and/or critical pathways for specific diagnoses, or certain presenting symptoms in the ED (i.e. musculo...