tippeny

Latest Activity

1. DOD Civilian Pay (How does it work?)

   tippeny replied to MyNameIsJeff's topic in Government

   I'm no sure how the ADN to BSN will affect things, but the step increases are automatic in the GS system. The first couple of increases are yearly, then they go to every 2 years, then to every 3 years. Just Google GS step increase and you will find l...

2. GS LPN-to-RN

   tippeny posted a topic in Government

   I manage a section at a military clinic and I have a wonderful LPN who would like to go to school to earn their RN degree. Does anyone know of any programs out there that would allow a nurse to earn their RN and maintain employment? I have been told ...

3. Do you simethicone?

   tippeny posted a topic in Gastroenterology

   Our GI doc likes to use a Simethicone rinse to get rid of bubbles in the colon. He will tell the GI tech how much, but I am looking for something written that recommends a specific concentration of simethicone for this use. I'm coming up empty handed...

4. Room turn over times

   tippeny replied to Gi rn acm's topic in Gastroenterology

   I would also think that 5 minutes is super fast in regards to infection control as well. That doesn’t allow much to time wipe down the room/equipment and allow for an adequate dwell and drying time for a number of products.

5. Post procedure phone call from nursing

   tippeny replied to KneKno's topic in Gastroenterology

   I work in an outpatient clinic and we do routine colonoscopies and EGDs. I don’t have a specific script, but we have a checklist for our follow-up calls. Basically we are asking if they are experiencing any pain (if so, get a pain score); are they to...

6. Probationary Period for New Empolyees

   tippeny posted a topic in Government

   Hoping someone on here could answer a general question regarding the probationary period of new government empolyees. If a nurse has previously held a gov job and completed their probationary period, do they have ANOTHER probationary period at a new ...

7. How do you know when to let a new employee go?

   tippeny replied to tippeny's topic in Management

   Thank you for all of the comments. They really are helpful. I have engaged senior leadership as well as HR, so everyone is aware. I have had a sit down with the employee to let them know of the deficiencies and have a written record of the conversat...

8. How do you know when to let a new employee go?

   tippeny posted a topic in Management

   I am relatively new to the management side of things. I have a new(er) employee who is still in a probationary period and they are just not picking things up very quickly. We are in a clinic setting and this nurse has been here for over 5 months and ...

9. Endoscopy Center without RN in procedure room ??

   tippeny replied to hatfieldrocks's topic in Gastroenterology

   I work with a gastroenterologist who only does Colons & EGDs. We mostly use conscious sedation as our patients are typically healthy. For the less healthy folks (high BMI, cardiac problems, PTSD, anxiety, etc) we use CRNAs and MAC (protocol). Whe...

10. Rapid response in the clinic

    tippeny replied to Gamecock RN's topic in Ambulatory

    We do have a RRT where I work but it doesn't seem at ALL efficient to me! They overhead page- sometimes code purple, sometimes Rapid Response, sometimes code BLUE!!- but the response time is very lagging. A crash cart is brought (just in case) even t...

11. Do you have an SOP for patients who vagal?

    tippeny posted a topic in Ambulatory

    The specialty clinic that I work in is overhauling how we treat patients who vagal in the clinic. We see derm, GYN, and GI patients and have at least 2 or 3 patients each week who vagal after minor procedures (IUD insertion, skin biopsy, etc). We typ...

12. Is school nursing stressful?

    tippeny replied to blueindigo79's topic in School

    Stressful? Absolutely! Worth it? Absolutely! My experience as a school nurse was that there was a fairly steep learning curve the first year- just like any new job. But like the previous posters said, you are the only medical professional in the buil...

13. Delegation of Diabetic Care

    tippeny replied to JoyMomNurse's topic in School

    You didn't mention what kind of school you are at (or did I miss it?) When I was at my middle school, the kids were fairly independent. They could work calculations, dial up insulin (all had pens or pumps) and self administer. They were, however, req...

14. Inappropriate to ask teachers to stop sending kids after a certain time?

    tippeny replied to Scorchednurse's topic in School

    Our middle school did send and email and told the teachers at the beginning of the year during a staff meeting that the Health Room hours were from 9:00-3:00 (school was open from 8:45-3:25). We explained that the times before/after those were for ki...

15. Problems changing specialty after school nursing

    tippeny replied to blueindigo79's topic in School

    I, unfortunately, just left school nursing for financial reasons and had no problem returning to a clinical position. I am not doing bedside however- I am working in a multi-specialty clinic a as an RN. I only hve 4 years of nursing under my belt, bu...