NurseRachet

NurseRachet

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About NurseRachet

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  1. What is a Clinical Nurse Specialist?

    I am a Clinical Specialist. In my state, I enrolled in the Nurse Practioner Program. I finished with a Master of Science. It depends on meeting the requirements for the NP Program. I chose to take classes that pertained to management versus clini...
  2. At our hospital, nurses that do not get a meal, clock out "no-meal" and get paid for it. They are entitled to 30 minutes, and if they did not get any breaks, (entitled to 2 15-minute breaks in 8 or 10 or 12 hour shifts), they can take that with thei...
  3. Kiss the doctor's what???

    That manager is way out of touch with reality. She could be part of a harrassment suit...and better get with the program! I would not take that crap from any surgeon. I had a physician once that used to throw things, and one day threw a stool out ...
  4. How do you deal with rude patients?

    I love the "look" approach. At our hospital, we have a written policy in the patient handbook when they are admitted Patient Rights and Employee Rights. That includes that we are to treat each other with respect and courtesy. Our administration su...
  5. difficult staff-feeling lost

    I have been a nurse for 32 years and a manager for 22 years. I like the quote of Harry S Trumen. If you are in charge, then take charge. I think these nurses may be testing you and kind of "feeling you out" to see how much they can push you. I ha...
  6. What was most embarrassing moment as a nurse?

    The most embarrassing moment in my 32 years as a nurse, was walking into the restroom, and who did I find, the CEO of the hospital, sitting on the stool with his pants down around his knees. Needless to say, the only thing I could say, "Oh my God, ...
  7. It's hard to live with a nurse because...

    Living in a neighborhood of elderly people and on a "killer curve" we have had several accidents across the street from my home and illnesses in the neighborhood - and yes, guess who do they come and get??? One night at 3 am, we had a horrible motor...
  8. Charting by exception...

    We also chart by exception. All units have 24-hour Flow Sheets that have multiple boxes to check. The critical care units check boxes and write out long hand the same stuff....can't change them. All other units are pretty good about charting only ...
  9. Does anybody utilize admission nurses?

    I work in a 224 bed hospital. We utilize admission/discharge nurses in the critical care units (CCU/ICU/Telemetry) and the medical/surgical units (4 units). They come in at 11 am and work until 9 pm. They work 6 days a week. Every Sunday off. We...
  10. Experienced Nurse vs. Graduate Nurse

    AMEN to the response - boy, have we all heard that response before!
  11. Interesting, because at our hospital, the nurses believe that the computer is a waste of time and takes them away from patient care. From comparing QA results over the past 3 years, there is a definite improvement in clinical documentation from "pap...
  12. Acuity Systems

    Just when you thought acuity systems would disappear - here it is again:-) We had a trekking system that the nurses hated, never understood and "cheated on". The House Supervisors never enforced the rules, so needless to say, it just went to the wa...
  13. Computers in the workplace

    I agree, if you can navigate around the NET, you can work on a computer. Don't be afraid of the computer, it is user friendly. I build nursing forms for CPR - so I have a little bit of edge on the programming part. I can tell you that the nurses re...
  14. co-worker fired due to me

    We have a system in place for reporting medication errors that is non-judgmental and doesn't count "numbers of errors per nurse". We also do a "root analysis" of a medication error of a potential or dangerous reaction. I was more concerned about th...
  15. Rn Analyst Salary

    Hello - the field of informatics, although not new, is growing leaps and bounds. I have found that most companies and hospitals are hiring nurses for these positions. they need our expertise. I went for training about 2-3 years ago for just buildin...