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NRSKarenRN, BSN, RN Moderator 143,981 Views

Joined Oct 10, '00 - from 'RN Spirit from Philly Burb'. NRSKarenRN is a PI Compliance Specialist, prior Central Intake Mgr Home Care Agency. She has '35+' year(s) of experience and specializes in 'Home Care, VentsTelemetry, Home infusion'. Posts: 27,390 (22% Liked) Likes: 13,568

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  • Dec 15

    Internet search:

    Osteomyelitis secondary to an osteoenteric fistula.

    Pubic Bone Osteomyelitis and Pubosymphyseal Urinary Fistula

  • Dec 14

    Internet search:

    Osteomyelitis secondary to an osteoenteric fistula.

    Pubic Bone Osteomyelitis and Pubosymphyseal Urinary Fistula

  • Dec 14

    Internet search:

    Osteomyelitis secondary to an osteoenteric fistula.

    Pubic Bone Osteomyelitis and Pubosymphyseal Urinary Fistula

  • Oct 23

    Desire to experience world of nursing

    Better opportunity

  • Oct 22

    glad you had the personal experience of "nurses therapeutic use of self" to help in your healing... that's part of the art of nursing in my book; something not easily taught or believed until experienced.


    [color=#1122cc]therapeutic communication in psychiatric nursing

    therapeutic use of self
    • definition - ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions.
    • nurses must possess self-awareness, self-understanding, and a philosophical belief about life, death, and the overall human condition for effective therapeutic use of self.

  • Oct 12
  • Sep 3

    Great article in May 2012 issue of American Nurse Today:
    Launching yourself in nursing leadership


    This lead me to thinking about Ways to Develop Nursing Leadership Skills:

    Participate in Workplace Committees

    Participating workplace committees allows you to learn how and why decisions are made within your institution and healthcare politics involved in decision making. Observe how committee lead and members identify issues, problem solve, and resolve (or place on back burner) issues.

    After being on the committee awhile, you will soon realize who follows through on assignments, who's ideas usually work and who's opinions are respected. Consider asking one of the leaders to mentor you.

    Attend Nursing Conferences

    Learning new skills or reinforcing ones you have instills confidence. This allows YOU to take charge of your practice in areas of interest and often rekindles that initial passion you had for the career.

    It also allows one to network, share ideas and often discover you are not alone in having issues with particular device, newest healthcare craze or that you really have it better that some other work settings. BEST destressor too!

    Join a Professional Association, Meetings and Conventions

    Nursing Associations & Organizations (National & International)

    Participate in committee work. Become a presenter at event. Serve as delegate at national conventions--- exposes you to the best minds in the nursing world. Subscribe to a Nursing Journal

    Read each issue to keep abreast of evidenced based practices and emerging trends. Discuss info with colleagues at work.

    Meet Periodically with Nurse Educators

    Request training in areas of weakness or desire to learn more in-depth knowledge.

    Float to Other Units

    Floating to other units helps you to learn how others perform work -- can be better (or worse) than home unit. Helps to learn what NOT to do and learn to spread your wings.

    Read books on Leadership

    Read books beyond healthcare leadership. Look online for book reviews re leadership. Many hospitals have medical libraries which loan out books.

    Time and Experience

    Learning occurs over time and living through the shared healthcare experiences your patients have: unheard of diseases, code or rapid response situations, death and dying, difficult patients, "your the best nurse" moments, wrangling with physicians and other staff learning to be assertive for patients needs.

    Additional education

    Consider improving your education to move to the next level in nursing.

    Keep posting away at AN

    As I reflect back on my career, these are tips that I unconsciously utilized to prepare me to become a charge nurse and later Department Manager.

    Start out small and add these into your career mix over the coming months and years and you will soon evolve into the unit leader.

  • Sep 2

    Great article in May 2012 issue of American Nurse Today:
    Launching yourself in nursing leadership


    This lead me to thinking about Ways to Develop Nursing Leadership Skills:

    Participate in Workplace Committees

    Participating workplace committees allows you to learn how and why decisions are made within your institution and healthcare politics involved in decision making. Observe how committee lead and members identify issues, problem solve, and resolve (or place on back burner) issues.

    After being on the committee awhile, you will soon realize who follows through on assignments, who's ideas usually work and who's opinions are respected. Consider asking one of the leaders to mentor you.

    Attend Nursing Conferences

    Learning new skills or reinforcing ones you have instills confidence. This allows YOU to take charge of your practice in areas of interest and often rekindles that initial passion you had for the career.

    It also allows one to network, share ideas and often discover you are not alone in having issues with particular device, newest healthcare craze or that you really have it better that some other work settings. BEST destressor too!

    Join a Professional Association, Meetings and Conventions

    Nursing Associations & Organizations (National & International)

    Participate in committee work. Become a presenter at event. Serve as delegate at national conventions--- exposes you to the best minds in the nursing world. Subscribe to a Nursing Journal

    Read each issue to keep abreast of evidenced based practices and emerging trends. Discuss info with colleagues at work.

    Meet Periodically with Nurse Educators

    Request training in areas of weakness or desire to learn more in-depth knowledge.

    Float to Other Units

    Floating to other units helps you to learn how others perform work -- can be better (or worse) than home unit. Helps to learn what NOT to do and learn to spread your wings.

    Read books on Leadership

    Read books beyond healthcare leadership. Look online for book reviews re leadership. Many hospitals have medical libraries which loan out books.

    Time and Experience

    Learning occurs over time and living through the shared healthcare experiences your patients have: unheard of diseases, code or rapid response situations, death and dying, difficult patients, "your the best nurse" moments, wrangling with physicians and other staff learning to be assertive for patients needs.

    Additional education

    Consider improving your education to move to the next level in nursing.

    Keep posting away at AN

    As I reflect back on my career, these are tips that I unconsciously utilized to prepare me to become a charge nurse and later Department Manager.

    Start out small and add these into your career mix over the coming months and years and you will soon evolve into the unit leader.

  • Aug 28

    In most states, the Department of Health regulates Skilled Nursing Facilities, not board of nursing. Have you notified SNF administrator of these issues.... if they have not been concerned, there should be a corporate DON you should notify. It's not unusual for cash strapped corporations to be late paying bills, especially if reimbursement from Medicare/Medicaid late. If these persons appear unconcerned or hushing up issue, you can file a whistleblower complaint with Dept of Health or state Inspector General hotlines.

    Excellent advice here:
    Preparing to Blow the Whistle: A Survival Guide for Nurses - Medscape requires free registration

  • Aug 25

    In most states, the Department of Health regulates Skilled Nursing Facilities, not board of nursing. Have you notified SNF administrator of these issues.... if they have not been concerned, there should be a corporate DON you should notify. It's not unusual for cash strapped corporations to be late paying bills, especially if reimbursement from Medicare/Medicaid late. If these persons appear unconcerned or hushing up issue, you can file a whistleblower complaint with Dept of Health or state Inspector General hotlines.

    Excellent advice here:
    Preparing to Blow the Whistle: A Survival Guide for Nurses - Medscape requires free registration

  • Aug 25

    In most states, the Department of Health regulates Skilled Nursing Facilities, not board of nursing. Have you notified SNF administrator of these issues.... if they have not been concerned, there should be a corporate DON you should notify. It's not unusual for cash strapped corporations to be late paying bills, especially if reimbursement from Medicare/Medicaid late. If these persons appear unconcerned or hushing up issue, you can file a whistleblower complaint with Dept of Health or state Inspector General hotlines.

    Excellent advice here:
    Preparing to Blow the Whistle: A Survival Guide for Nurses - Medscape requires free registration

  • Aug 24

    In many areas of US, syringe driver pumps are not used on patient care units due to them not being tamper proof. Instead, self contained CADD PCA pump most popular in Philadelphia PA area as allows patient to be ambulatory or move around in bed more freely.

    Examples of syringe driver pumps:


    s-l225-jpg


    ip-22a-syringe-


    -mg-2987-jpg

    Some articles of interest

    Syringe driver pump use and setup:

    Syringe Drivers: Setup, Patient Use, Problem solving


    Clinical protocol for the use of syringe drivers in Palliative Care

    Safe practice in syringe pump management

    Guidelines for Syringe Driver Management in Palliative Care


    Overcoming fear of administering last dose pain medication hastening death involves coming to terms with ones immortality, understanding disease process in end stage illness, nursing ethics, end of life care and effective medications for symptom management.

    The Double Effect of Pain Medication: Separating Myth from Reality

    Managing Pain in the Dying Patient

    Managing end-of-life symptoms - American Nurse Today

    ANA 2016: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life


  • Aug 22

    In many areas of US, syringe driver pumps are not used on patient care units due to them not being tamper proof. Instead, self contained CADD PCA pump most popular in Philadelphia PA area as allows patient to be ambulatory or move around in bed more freely.

    Examples of syringe driver pumps:


    s-l225-jpg


    ip-22a-syringe-


    -mg-2987-jpg

    Some articles of interest

    Syringe driver pump use and setup:

    Syringe Drivers: Setup, Patient Use, Problem solving


    Clinical protocol for the use of syringe drivers in Palliative Care

    Safe practice in syringe pump management

    Guidelines for Syringe Driver Management in Palliative Care


    Overcoming fear of administering last dose pain medication hastening death involves coming to terms with ones immortality, understanding disease process in end stage illness, nursing ethics, end of life care and effective medications for symptom management.

    The Double Effect of Pain Medication: Separating Myth from Reality

    Managing Pain in the Dying Patient

    Managing end-of-life symptoms - American Nurse Today

    ANA 2016: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life


  • Aug 22

    In most states, the Department of Health regulates Skilled Nursing Facilities, not board of nursing. Have you notified SNF administrator of these issues.... if they have not been concerned, there should be a corporate DON you should notify. It's not unusual for cash strapped corporations to be late paying bills, especially if reimbursement from Medicare/Medicaid late. If these persons appear unconcerned or hushing up issue, you can file a whistleblower complaint with Dept of Health or state Inspector General hotlines.

    Excellent advice here:
    Preparing to Blow the Whistle: A Survival Guide for Nurses - Medscape requires free registration

  • Aug 22

    In many areas of US, syringe driver pumps are not used on patient care units due to them not being tamper proof. Instead, self contained CADD PCA pump most popular in Philadelphia PA area as allows patient to be ambulatory or move around in bed more freely.

    Examples of syringe driver pumps:


    s-l225-jpg


    ip-22a-syringe-


    -mg-2987-jpg

    Some articles of interest

    Syringe driver pump use and setup:

    Syringe Drivers: Setup, Patient Use, Problem solving


    Clinical protocol for the use of syringe drivers in Palliative Care

    Safe practice in syringe pump management

    Guidelines for Syringe Driver Management in Palliative Care


    Overcoming fear of administering last dose pain medication hastening death involves coming to terms with ones immortality, understanding disease process in end stage illness, nursing ethics, end of life care and effective medications for symptom management.

    The Double Effect of Pain Medication: Separating Myth from Reality

    Managing Pain in the Dying Patient

    Managing end-of-life symptoms - American Nurse Today

    ANA 2016: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life



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