NextGen

NextGen specializes in Orthopedics/Trauma/Med-Surg.

Latest Activity

1. Where do patients go?

   NextGen posted a topic in General Nursing

   I have been a nurse for 7 years, worked 5 in acute care and the last 2 in Acute Rehab. Patients are being discharged from acute care much sicker than they were 5 years ago. The theory behind Acute Rehab is that patients are medically stable when th...

2. Tertiary Intention Wound Healing

   NextGen posted a topic in Wound

   My patient's large and deep wound has been intentionally left open. She was transferred from the surgical unit to my unit without adequate wound care orders. The wound is continuously seeping yellow exudate. Yes, all doctors have been called. In t...

3. Anxious Vent patient - looking for alternative therapy

   NextGen posted a topic in General Nursing

   My patient was put on a vent during a pneumonia episode and has not been able to be weaned off. Now she is on my LTAC. Her O2 levels are always good. She has coughing spells and periods where she feels like she cannot breath. Nursing and respirat...

4. Nurse Manager gossiping about employees?

   NextGen replied to Cola89's topic in Relations

   This is an example of a poorly trained nurse manager. She does not know how to (1) investigate a complaint made by a nurse about another nurse, (2) differentiate between staff gossip or targeting another staff member, (3) find out if the complaint i...

5. Death came to visit

   NextGen replied to madwife2002's topic in General Nursing

   A cautionary tale: Children are not always the best medical POA. Appoint someone who is able to listen to medical advice and understand it. My mother-in-law appointed her daughter as her medical POA. She spent her last 3 months of life in and out ...

6. Trouble getting a job in a "Good Ole Boy Town"

   NextGen replied to Nurse Beth's topic in Nurse Beth

   You were in the military. Have you considered applying for a nursing position with the VA?

7. November 2016 Caption Contest. Win $100!

   NextGen replied to Joe V's topic in Announcements

   Can you just keep me till after Thanksgiving?

8. Would you report this error?

   NextGen replied to caffeinatednurse's topic in Safety

   I agree with your thoughts and advice. All you can ever do in life is what you believe is the right thing to do. You are so very correct about how middle mgmt operates. I went to my manager about an incident and kept the conversation patient orien...

9. Best strategy for answering "Why are you leaving your current job?"

   NextGen replied to Nurse Beth's topic in Nurse Beth

   Hers is an answer to this question that is well received: I am looking for a hospital that has a stronger emphasis on patient centered care

10. Just Say No to Lateral Violence in the Workplace!

    NextGen replied to Bridgid Joseph's topic in General Nursing

    What I have found is that lateral violence has been inbred into the hospital culture for a very long time. If you are the nurse or aide who speaks up about unfair treatment to your manager or to human resources, you are targeted that much more. The...

11. Required By Work to Get BSN - Don't Want to Write Endless Papers

    NextGen replied to Nurse Beth's topic in Nurse Beth

    While I understand not wanting to write papers, the articles that you research to write those papers is important. You have a choice in how you get your BSN. You can write meaningless papers just to "get it done". Or you can research articles that ...

12. Confused Seniors: Any suggestions?

    NextGen posted a topic in Med-Surg

    I work night shift on a busy med-surg unit. Often, our senior patients get confused at night. These are patients who are not diagnosed with Alzhemier's or dementia and are not confused during the day shift. Does anyone have creative solutions that ...

13. Verbal Hand-off Reports - Are they no longer necessary?

    NextGen replied to yr.pedsnurse's topic in General Nursing

    In EPIC, go to the blank field (or search area) in Patient Summary and type in "ED Encounter Ed Only". This will bring up all the emergency department information on a patient you could ever need. My hospital used EPIC for years before someone stum...

14. Nurses Fight Back! Why Some Hospitals are Despicable

    NextGen replied to allnurses's topic in General Nursing

    I found out the hard way that if you complain to a manager about just about anything, you are tagged as "not being a team player". Not being a team player has become the euphemism for complaining about anything in the hospital environment. After wo...

15. Are all these certifications worth it?

    NextGen replied to jvl2's topic in Emergency

    We are in a profession that is constantly changing due to new technology, advances in our understanding of medicine and new protocols. We will be learning new things every day for the rest of our careers. So, think of the certifications as a way to...