cab631

cab631

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About cab631

Outpatient Nurse Manager

Latest Activity

  1. Futile Care. Dead is dead.

    I was an ICU nurse for 15 years and have moved on to a happier playground, but in my old wise years I have decided that, although it is frustrating for us to watch and participate in, there are so many reasons we know nothing about which results in f...
  2. I agree with most everything said here. It seems that the men who come into the nursing profession gravitate towards the more technical areas such as critical care, cardiac cath, OR, ER. Nursing shifts are long, even on an 8 hour shift, it is usual...
  3. PICC Lines in Radiology

    We are in the process of beefing up our PICC abilities hospital-wide. Right now there are a few nurses, hospital certified, who are placing the PICCs at the bedside, confirmed by STAT port CXR with a wet read. If we cannot get it in after two tries,...
  4. staffing a freestanding endoscopy unit

    We have one doc using 3 rooms 5 days a week. Those are essentially "his" rooms. A couple of days of week, one or two other docs share the other 2 rooms. They're good for anywhere from 3-10 additional cases on the days they are there.
  5. staffing a freestanding endoscopy unit

    We have one doc using 3 rooms 5 days a week. Those are essentially "his" rooms. A couple of days of week, one or two other docs share the other 2 rooms. They're good for anywhere from 3-10 additional cases on the days they are there.
  6. staffing a freestanding endoscopy unit

    I currently staff my unit with enough nurses to take 5-7 patients per day. We use all RNs. They are responsible for prepping and admission paperwork, the return and post procedure paper work, and discharge of the patient. We have approx. 14 beds d...
  7. I currently work for an HCA hospital in middle management. I think the bonuses you speak of depend on the location and need of the particular area. We have sign on bonuses here, but they fluctuate, and I don't know of any retention bonuses. It must...
  8. pediatric iv standards

    I am in the process of rewriting the pediatric policies for our hospital. In the past, children under 12 required the use of a buretrol and a pump, but the new policy will require a pump always, and buretrol only if the amount of fluid in the IV bag...
  9. Floor nursing vs ICU nursing

    I find floor nursing much more frustrating than ICU nursing. In ICU, yes you have to know EVERYTHING that's going on with your patient. You have to know a lot about a lot of things. You have to be able to confer with the MD on a knowlegeble level....
  10. About charting...

    I would not rely on the voice mail thing. I don't know about anyone else, but i erase my voice mails after I note who called and about what. And I don't see where they would last very long. Most systems start knocking off old voice mails when they ...
  11. Nurses week Cheap gifts from admin.

    At my hospital we have received portable fold up carry-around chairs, great umbrellas, duffle bag totes, lunch bags to name a few. Plus the administration serves the nurses breakfast twice during the week, at our stations, and we have a reception wi...
  12. Disappointment

    Come to Florida!
  13. Patient Assessment - Respiratory Distress

    When I was in BFE with that patient, helicopter ambulance wasn't flying due to altitude and weather, ground ambulance wasn't an option either for the same reason. The patient survived BTW, and I had an exciting night. Learned a lot when I realized ...
  14. need lots of mgt advice----wanna online mentor??

    I too, am new to the management arena. I have been Outpatients Nurse Manager for 6 months now, following a 4 year stint as night supervisor. Previous to that, 17 years of ICU/CSICU experience. I have a few "problem"children of my own, but my mento...
  15. Nurses who let NAs Boss them around

    The depth of the slobber puddle was usually and indicator as to how long it would take to wake up.......I did a little throat clearing or chair-leg stumbling sometimes. It's the ones with their head on a book that usually woke up and said they were...