nursemaa replied to FireStarterRN's topic in General Nursing
gotcha. i do understand that scripting is difficult for most of us to accept. i always ask "is there anything else i can do for you", but the "i have the time" part does sound a little weird. i do have some scripts that i use, such as "how can i h...
nursemaa replied to FireStarterRN's topic in General Nursing
Hourly rounding is not really a new concept- it was considered standard practice when I entered nursing in the late 70's. If a patient is sick enough to be in the hospital, someone should be checking on him/her hourly. And, it is just good patient ...
The problem with discipline is, the person standing by the cup, or angio, or whatever else may not be the one who left it there. It's hard for me to tell exactly who is responsible for the mess. I too feel like "mom"- always picking up after everyo...
Proactively notifying manager of busy shift/multiple codes, any attempts to diffuse angry patients or just heads up in case problems later reported very helpful for Mgr to have facts at hand in dealing with issue next shift /day. Speaking as a manag...
American Heritage New Dictionary of Cultural Literacy, Third Edition empathy [(em-puh-thee)] Identifying oneself completely with an object or person, sometimes even to the point of responding physically, as when, watching a baseball player swing at ...
Most places have this policy- if it isn't workers comp or FMLA, it counts. They usually have a limit on how many times you can call off before disciplinary action is taken. If you have a chronic health problem, it's a good idea to get intermittent ...
at our hospital, they visited every nursing unit and the magnet surveyors (not management) selected which staff they had breakfast/lunch with. they were given a list of names of all staff working those days and the surveyors went down the list and p...
Probably referring to a matrix system of staffing. You take your hours per pt day (theoretically based on average acuity), and use that to determine how many staff members you need for each census point, or number of pts. There's a formula for that...
Usually they discuss things like attendance, attiude, teamwork, dependability to complete assignments, and any other issues (good or bad) that we want the other manager to know. Some places award the job based on seniority (the manager doesn't get t...
nursemaa replied to Cheyenne RN,BSHS's topic in General Nursing
Hmm...seems strange that they would only hold one meeting, and penalize those who are on sick leave or vacation, or may not know about it. Are you sure you didn't misunderstand? I've known of places that marked you down on evals or something if you...
nursemaa replied to nursemaa's topic in Management
On behalf of all of us managers on this board....THANK YOU ! We really do just as much work as the staff do, it's just different work. We're all part of the team, we just have different roles.
33 bed med surg unit: typical staffing when full is 5 RN, 2 LPN (days and nights), with 4 NA on days, 2 NA on eves and 1-2 NA on nights. Sometimes go with 3 RNs and 3 LPNs if there aren't 5 RNs available. LPNs do assessments, PO meds etc. RN only ...
nursemaa replied to nursemaa's topic in Management
All of the above statements make sense. I think you have greatly misunderstood me. I definitely do listen to my staff. Many great ideas and solutions to problems have arisen out of those hallway and coffee break conversations. I don't discount the...
nursemaa replied to nursemaa's topic in Management
I can't speak for any others, but for me it's not a matter of asking them to do my job. It's simply that I really do believe that when the team works together on a project or problem, the outcome is usually better than if one person (me) decides eve...
1. Many couples have met at work- not unusual, not necessarily unprofessional. 2. If he's married, then he's a pig and she should dump him, but unless I'm a close friend who can talk to her about it, it's really none of my business. 3. The patient...