brimama

brimama

medical surgical

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About brimama

brimama has 12 years experience and specializes in medical surgical.


Latest Activity

  1. What is the maximum number of patients per nurse?

    nights is no different than days--our ratio on med surg stays the same and with oncology i think you need more due to the emotional aspect with the pt and family
  2. What is the maximum number of patients per nurse?

    i work in tennessee and the typical med surg unit has a ratio of 7 nurses and 3 tech with the charge nurse floating. this is a ratio of 1:6
  3. Any hospital hiring new grads? anywhere in the country?

    hiring in murfreesboro tennessee
  4. Med-Surg Roll Call

    Started out as a CNT for 12 years in LTC and then hospital setting. Currently have my BSN and am now a nurse manager of a 37 bed med surg unit. I LOVE MED SURG. I love the diversity and never knowing what is coming in. Yes we get alot of total cares ...
  5. Education on CHF core measures

    At our facility our core measures have been at 95-100% for years. The reason for this is we have all core measures in Cerner charting and all the nurse has to do is document that she has taught the patient. We also given the patient a booklet and exp...
  6. Seizure Pts: what to do when it happens?

    I agree with the above but I would like to add that you may have to suction down the nares. If the family tells you the pt just had a seizure you need to ask several questions but watch the pt for their reaction because they maybe psuedo seizures. I ...
  7. Am I crazy?

    i agree with you. these are standards of care and best practice is not being followed. I sure that there are care plans for this pt and I would ask the charge nurse or nurse manager what they consist of and why he was not being treated as he should ...
  8. sleeping problems

    There are several factors involved here. You are planning a wedding, working nights in the unit (stressful), and possibly have jet lag. Did you sleep during the day or night on your trip? I think follow up with your doctor is a wise decision. It soun...
  9. Favorite Dr or Nurse Name

    Dr. Payne Dr. Drey Dr. Bone-ortho Dr. Showalter-urology(we say show water)
  10. good luck
  11. As a nurse manager having 1 nurse out makes it so difficult for the other employees and the patients. It is your responsibility to check the weather report and my nurses have stayed in town or in the hospital.
  12. Med Surg Staffing Standards - Are there any?

    If you let your staff know how you are doing on the budget they can become part of the solution.
  13. Med Surg Staffing Standards - Are there any?

    I have 60 employees and 37 beds. My HPPD is 8.7 I am able to staff 7 nurses and 3 techs on days and nights( 12 hour shifts) The charge nurse floats and helps everyone. I have a secretary on days for 8 and nights for 8 hours. My staff is very happy ...
  14. Holiday Schedule

    I put up the sign up sheet for the holiday 2 months in advance. If you worked it last year you can be off this year, If you want to split a shift that if fine.
  15. Oh wow! I'm going to be a nurse!

    I wanted to be a nurse since I was 8. I am now 45 and have been in health care since I was 18. I knew that I would be a nurse, it was just a matter of when.