nightbreak

nightbreak

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About nightbreak

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  1. Suggestions for new med surg nurse?

    Perhaps during January you could review head to toe assessments, lung sounds, iv inserts, etc on youtube? There are some really excellent channels and you might brush off some cobwebs! If you have the luxury and the $ a good basic review like Hurst w...
  2. Floating Policy

    The California BRN has a position statement on floating, perhaps other states do as well? Of particular interest is section C. http://www.rn.ca.gov/pdfs/regulations/npr-b-21.pdf
  3. california nurse practice act

    California Ratios Pg 41+ http://www.nurseallianceca.org/files/2012/06/Title-22-Chapter-5.pdf
  4. THANK YOU, to the staff, mods, and admins....

    Warmest thoughts and internet hugs out to all of you. Thank you so much for all you do. Please take time to grieve and heal - we're here if you need anything.
  5. Reporting a facility for staff ratio issues?

    This is a terrible and unacceptable situation. herring_RN has given you the best advice regarding ADOs and filing complaints with the state. Some nurses have a difficult time "making waves", but it is our responsibility as patient advocates to speak...
  6. Spin off: patients with phones

    I don't mind so much when patients are on the phone when I arrive with meds - my pet peeve is the patient that sets their smart phone to wake themselves up every two hours for their prn dilaudid. That kills me.
  7. Has TeamSTEPPS come to your hospital?

    We had TeamStepps training at our hospital. I really didn't think there was anything cutting edge about it. Basically the same communication/hand-off skills that I learned as an EMT and during nursing school. I think the medical director had hopes th...
  8. white boards in patients room

    Our "white boards" have glass covering a paper template. The paper template ensures that we are not tied down to a format that might not work over time. We have times and lines for hourly rounding, a faces pain scale and sections for nurse, nurse man...
  9. new nurse unsure of how to get along

    newnurse - Unfortunately it is a fact of nursing life that some nurses are really horrible to give/get report from. You may have stumbled into a department where the unit culture is not supportive and the nurses enjoy belittling or gossiping about ot...
  10. Are American hospitals ready for Ebola?

    Saw this earlier in a press report from the Dallas hospital where the ebola patient was originally sent home from the ED: "The hospital said in a statement today that the physician and the nurses followed protocol, but his travel history didn't auto...
  11. Pt having a "friend" over for "special nursing care"

    liberated847- As a flight nurse you would feel comfortable looking away from a patient while they pleasured themselves? How long would you be comfortable not visually monitoring the patient you were transporting?
  12. California's 5 Hour Lunch Rule

    Division of Labor Standards Enforcement (DLSE) Law section These sites from the CA labor board and the CA legislature might help.
  13. California's 5 Hour Lunch Rule

    I was wondering if you work an eight or twelve hour shift? When you were hired did you agree to an alternative work schedule (somewhat common for california nurses)? Are you an independent hospital? If not, how are other hospitals in your chain handl...
  14. My one big issue

    I believe in this: everyone is legally entitled to rest and meal periods. I believe in this: rest and meal periods should include complete relief from patient care duties. I believe in this: patient safety is increased when staff is well-rested and f...
  15. Is this a common attendace policy?

    Your facility needs a union. Your manager needs a public shaming (and, apparently, a soul). Prayers and love to your coworker.