nursemaa

Latest Activity

1. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

   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...

2. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

   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 ...

3. Mothering?

   nursemaa replied to DEB52's topic in Management

   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...

4. How Would You Handle Pt Anger r/t Wait?

   nursemaa replied to UM Review RN's topic in General Nursing

   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...

5. Empathic part of nursing

   nursemaa replied to Antikigirl's topic in General Nursing

   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 ...

6. Write-Ups & Disciplinary Action

   nursemaa replied to TheCommuter's topic in General Nursing

   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 ...

7. Magnet hospitals

   nursemaa replied to mattcastens's topic in General Nursing

   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...

8. The MATRIX

   nursemaa replied to RN130's topic in Washington

   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...

9. in house job transfers

   nursemaa replied to irmaRN's topic in General Nursing

   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...

10. legal question about off duty mandatory meetings

    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...

11. Getting staff to "own" the unit

    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.

12. Adequate Staffing

    nursemaa replied to mjscan_07's topic in Safety

    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 ...

13. Getting staff to "own" the unit

    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...

14. Getting staff to "own" the unit

    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...

15. Nurse dates doctor openly at work.

    nursemaa replied to castle's topic in General Nursing

    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...