CV CNS CCRN

CV CNS CCRN

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About CV CNS CCRN

cv critical care CNS, >25 years experience, direct care, administrative, published author, affiliate faculty at university

Latest Activity

  1. Should nurses be allowed to strike?

    Should nurses have the RIGHT to strike? Absolutely. Should businesses/hospitals have the same right not to rehire them? It is food for discussion.
  2. Transporting Telemetry Patients off the unit

    Many Thanks, Zambesi! CV CNS CCRN
  3. I am very interested in how different hospitals are handling the transporting of Tele patients off the unit for tests. Do you require a Tele RN to go with monitor and meds, just a monitor, no RN, no nurse, a transporter, a tele tech, no monitor, no ...
  4. What are the skills and qualities of a great critical care nurse?

    As someone who has hired WAY over a hundred critical care nurses over the last twenty years, I can tell you that one of the characteristics I value mose in an ICU nurse is FLEXIBILITY!!! Things change in a heartbeat (no pun intended) in ICU's, and i...
  5. Shift Differentials for UNC vs. Duke Hospitals??

    I just left UNCH. The stories you hear about the huge shift diffs at UNC are true. More or less. What they may have left out is that the diffs there are by what they call pay plans. Each pay plan is a bit different, and there are limited numbers ...
  6. New Staffing ratios

    Can anyone out there tell me FOR SURE if, when a patient has orders written and on the chart for transfer from an ICU to a general or tele floor, but thhere are no beds available on the tele unit, if the ration for that patient will remain the same w...
  7. Gastric Bypass Surgery

    I hvae one relative and two close friends who have had the Roux en Y procedure. I recovered each of them in their post discharge recovery at home. None has had significant problems. The worst we saw was a wound infection at the site of a surgical ...
  8. rate calculation

    It is nice that we all now havavailable technology that will make these calculations for us. However, my personal beief is that one has a better understand of the infusion if one knows how to calculate the dosage manually. In a similar issue, it is...
  9. the cnas have taken over!!

    1) Leave the organization 2) Demand an exit interview with the Director of HR if there is one 3) Send a letter of concern to the State Board of Nursing 4) If there is a nurses' union, report this to them And... it does not matter whether or not th...
  10. Charge Nurse in ICU

    As both a practitioner and an administrator, I suspect that EVERY nurse that comes into your facility, whether traveler, regular staff or agency, has to have some kind of DOCUMENTED skills check list. Either with his/her agency or else on file in yo...
  11. Best SICU in Tennessee

    St. Thomas in Nashville certainly has one of the largest programs, volumewise. And, Nashville is a GREAT place to live. Good luck.
  12. Can nurses report MD;s and to who

    Fergus51, I LOVEDED your response. Not only do families like to see that kind of thing, but so, I assure you, do expert witnesses such as myself
  13. Nurse hours per patient day

    Consult your CNO, or VP/Nursing. He/she can tell you exactly how the hours are calculated in your organization.
  14. Open visitation policy

    To Ruby V... let me say this to you. As an ICU nurse, I was every bit as adamant against open visitation as you are. To say I hated it was to put it mildly. As I progressed in my experience and education, I was forced to look at actual research (so...
  15. Telemetry Protocol

    I suspect this rather etreme policy resulted from one mishap. This is likely a knee jerk reaction to prevent it from occuring again. Surely someone from nursing must have participated in creation of this policy change? That would be a good place to...