P B and J

P B and J

Nursing Supervisor

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About P B and J

P B and J has 3+ years experience and specializes in Nursing Supervisor.


Latest Activity

  1. Question about BSN at WGU

    Racer15 is correct. My ADN program also did not require Stats or Chemistry. WGU added Stats and Biochem to my program as required classes. I definitely recommend checking out WGU, it was much faster and cheaper then alternatives for me, plus it works...
  2. Flexible acuity beds?

    We staff with our med-surg nurses (around half of them are trained), although sometimes it means our capacity isn't as high. The unit we place them on usually goes up to 20 patients. If for instance, we have 2 Adaptable Acuity patients (and no extra ...
  3. Flexible acuity beds?

    We recently implemented Adaptable Acuity beds in our hospital. These are on the med-surg unit and staffed by nurses with additional training. These nurses also have a reduced patient load. Our Adaptable Acuity beds are used for patients that don't qu...
  4. Pay renegotiation ideas needed

    I am the same way, I HATE confrontation, and don't want to come across as being disagreeable. I recently accepted a decent promotion, and when HR called to "officially" offer me the position, she offered me about $0.65 in raise. I (legitimately) paus...
  5. Calling them like you see them: Codes

    I actually called a code before the pt coded... I was talking with a pt and they seemed to suddenly act strange, my charge nurse happened to be walking by in the hall, and I asked her to call an RRT for me (rapid response team), (I didn't know what ...
  6. Jehovah witnesses and ADL'S

    I as well am unsure what you mean by affecting ADLs? JW's don't have dietary restrictions (unless health related or personal preference), and nothing else stands out to me other than the blood/blood products refusal. Can you elaborate on what exactl...
  7. How to be a polite patient/family member

    I work med-surg, and sometimes our aides have 12 patients each. Depends on the night, the floor, acuity, and lots of other things. But we appreciate when the call light is used. If someone stops me in the hall to ask for something, I feel like they ...
  8. Am I crazy for this?

    OK, I'll say it. Yep, you're crazy. Nosey sister-in-law not withstanding, you're 35... It's time to put your big girl panties on and grow up. Get a job, move out, support yourself, and then if you feel the yearning for further education go ahead and...
  9. Some questions for nurses?

    My only regret is that I didn't do it sooner. I was a stay at home mom of 4 for about 14 years before I decided to try nursing, but I was too scared. Bit the bullet and 1 year in, I am loving it, finding my place and my way, and feeling successful. I...
  10. Uncontrolled pain- how to approach the Doc?

    This. In my facility asking pharmacy for a pain consult is a nursing judgment. We call pharmacy, talk to them about pain management (or lack of) and they come do a thorough assessment, including gleaning info from the chart as far as current pain med...
  11. How is the night shift for a new nurse?

    Hello, I graduated last December as well, and have been on nights on the med-surg floor for about 6 months now. I love it :) If anyone tells you nights are easy, all the patients do is sleep, yada yada... tell 'em to kiss off... Night shift has issu...
  12. Negative Feedback from GN Interview - HELP!!!

    By the by... no feedback is negative if you learn from it!! :)
  13. Should I self report?

    I would think this would be a good question for your PCP, the one who has prescribed your methadone... or I guess I should ask where you're getting that from? You should self-report, and I think you think you should, or you wouldn't be asking. And p...
  14. Multidisciplinary rounds

    We do something similar at my hospital, only the nurses don't usually go to rounds. We report to our Clinical Leader (Charge Nurse), who then takes any outstanding issues to rounds. Sometimes the nurses do go too, mainly if the issue is complex and/o...
  15. Sadness after a child passes

    Devil's advocate here, It's not always "a fantasy" or unwillingness to accept reality... Sometimes it's "hope", and that hope is all they may have left.