delphine22

delphine22 has 5 years experience and specializes in Quality, Cardiac Stepdown, MICU.

Latest Activity

1. Is leaving before hurricane abandonment?

   delphine22 replied to CNAbutLPN2be2017's topic in General Nursing

   They had a plan. Believe me a healthcare facility in Florida has a hurricane plan. She just didn't sign up for the team that fit her family's needs and now has buyer's remorse now that she realized she never took her child's needs into account when p...

2. Is leaving before hurricane abandonment?

   delphine22 replied to CNAbutLPN2be2017's topic in General Nursing

   I'm sorry, no one who hasn't worked in a hurricane prone area should be weighing in. These cries of "the hospital must evacuate!!" just don't make sense when there may be nowhere for the patients to go, if the whole state is under threat. For those ...

3. Writing doctors orders without an actual doctors order

   delphine22 replied to Toadroad's topic in Critical

   I say this all the time. If they don't like it, don't go to medical school and don't be on call. I'm not the doctor. I worked in an ICU at night where if the pt came up vented from the ED we'd write our own sedation orders before the pulmonologist ...

4. CCRN exam and Laura Gasparis lecture

   delphine22 replied to angmags's topic in Critical

   I'm originally from the NYC area and I still find her accent super annoying. The videos I've seen of her contain so many side conversations -- like about her family, and how to start a business -- that I find them distracting. But they are indeed mem...

5. Clinical Document Specialist, is it right for me?

   delphine22 replied to Bunnybop's topic in Quality Improvement

   I can tell you that the majority of our CDI queries at this time (I do not do this job but just sat and talked with them yesterday) are related to sepsis, because it's difficult for the physicians to master and a high-value code that often gets misse...

6. Spread Sheets, not bed sheets!

   delphine22 replied to RN_Rabbit's topic in Quality Improvement

   I can't really recommend a particular book because the spreadsheets are 100% what you make them. The point of the spreadsheet is to take all those different random points of "data" so you can turn that data into "information," something your colleagu...

7. How to become a RN Qualty Coordinator with no experience

   delphine22 replied to nurselynn20's topic in Quality Improvement

   I would not get that certification. After you have been working in quality for a while I highly recommend the CPHQ certification (that does go behind your name) as that's a very respected certification in quality, also available from NAHQ. I went fr...

8. MSN vs MBA

   delphine22 replied to cablefree's topic in Management

   I think it depends on the leadership track you are interested in. If it is mostly nursing (unit director, with the eventual goal being a CNO) I would get an MSN in leadership. I am looking for leadership positions away from the bedside, for example i...

9. I need a name for my position, please help

   delphine22 replied to JessicaR2009's topic in Management

   A hospital near me has a position called Manager of Patient Experience. This person mostly dealt with the Press-Ganey numbers and training the staff on how to raise them but it sounds like something that could also be applied to your job.

10. new to management, and HCA possibility?

    delphine22 replied to redreba's topic in Management

    I work for HCA now and I can tell you the culture is definitely, promote from within. They have a lot of leadership development programs available. Make sure to ask about them in your interview.

11. WHAT TO DO...Nurse is refusing to give PRN medication

    delphine22 replied to purplenurse1's topic in Geriatric

    Be very careful going around one doctor by calling a covering doctor who doesn't know the first person was asked and explicitly said no. It's one thing to be a patient advocate but that's sneaky and dishonest. You do still have to work with these peo...

12. WHAT TO DO...Nurse is refusing to give PRN medication

    delphine22 replied to purplenurse1's topic in Geriatric

    If i were that pt, I'd "fire" that particular nurse. Have them tell the charge they don't want that particular person caring for them again. Problem solved.

13. Vent management and sedation/pain management

    delphine22 replied to MaxAttack's topic in Critical

    No, but I had a family member who was awake while intubated and self-extubated. His vivid description of the experience has stayed with me and I think of it every time I see a pair of frightened eyes look up at me as they try to speak, to tell me th...

14. Does your ICU use CHG wipes for bathing patients?

    delphine22 replied to fatrabbit's topic in Critical

    Please note, according to Bard the CHG wipes or any CHG cleanser are NOT to be used on Foley catheter tubing as it can cause corrosion or remove the silver antimicrobial coating. They recommend castile soap wipes or their own proprietary peri care w...

15. Will paramedic be useful for ICU job?

    delphine22 replied to BradS's topic in Critical

    Nurses who want to do flight nursing need their paramedic license (at least in Florida). But it's preferred they have ICU experience first. The only paramedics I've dealt with in the hospital were moonlighting as monitor techs. And each one has bee...