kayern

kayern

Medical Surgical & Nursing Manaagement

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About kayern

kayern has 21 years experience and specializes in Medical Surgical & Nursing Manaagement.


Dual certified Medical Surgical Nurse Manager

Latest Activity

  1. Interview Question

    Trend lightly especially if a staff member sits in on the interview. I suggest you use words I.e., my observation is but qualify it by saying something to the effect I haven't worked on that unit. If you can get the new units outcomes you can ad...
  2. "Do Nots" New to Administrative Role

    As a nurse manager for 15 years one thing I won't do.......ask my staff to do something I would not do. I make sure I stay current with clinical practice so if necessary I can lend a hand. Remember......you are just as much part of their team as t...
  3. First of all..........I've had multiple kidney stones........and three natural childbirths and I would take childbirth over the pain of a kidney stone. That being said, as another poster posted, pain to someone is an emergency. Patients can't be emp...
  4. CVC dressing change

    I manage a M/S Tele & Step-down unit, neither unit has had a CLABs in over 18 months. Gloves to remove the dressing, sterile gloves and mask to change dressing. We have biotin patches for central lines and our patients with central lines receiv...
  5. My preceptor is everything they taught us NOT to be...

    Consider this.........a hospital that has such a sloppy nurse precepting maybe isn't the right hospital for you. I would have advised you from the onset to report some of the practices directly to the educator or manager, now it will appear as if y...
  6. This has nothing to do with Magnet status! For goodness sake....get over yourself. Its everyone job to care for the patient and if that means keeping the environment clean and safe, so be it. Prioritize and take care of the patient first, then ad...
  7. I saw another nurse assault a patient

    You have an ethical obligation to report it and do not do it anonymously, as some posters suggest. Institutions do not take anonymous tips/complaints as serious. That nurse went over the line and assaulted the patient. Not reporting it, makes you ...
  8. New Grad Interviews - What should I take?

    And PLEASE research the institution that is interviewing you! Do your research........are they Magnet? Do they have awards? etc. I believe you should bring your transcript, we ask for it because we only hire BSNs and have a minimum GPA requiremen...
  9. I ask these types of question on interview.......Do you have any plans that may interfere with classroom orientation/clinical orientation? Write the response right on the interview papers. As a manager, my philosophy is when staff have a personal i...
  10. Anticoagulant Preventing CVC Insert?

    I think consideration needs to be given to the risks v. benefits. Wait because of the SQ for DVT prop v pressers to sustain life.........in my opinion = no brainer! I work in a cardiac care facilitity EVERYONE is on some kind of anticoagulation. I...
  11. Common courtesy....if you picked it up, you should put it down! Think of it this way....if you open a drawer, do you not close it? Perhaps your co-workers view it as being inconsiderate to them. For goodness sake don't be so sensitive.
  12. Hiring experienced nurses vs hiring new graduates

    Can we agree to disagree? As a Manager who does a lot of hiring and interviewing, I would not expect an experienced nurse, say in L&D applying for M/S, to progress any differently than a new grad, except maybe in time management and delegation s...
  13. Time to vent - my apologies in advance.

    The scenario you describe is not new! Unfortunately, M/S nurses spend a lot of time completing tasks, infusions, admissions, etc from the ED. I know in my institution, the ED nurses cringe when I take report from them because I expect true SBAR HOC...
  14. Hiring experienced nurses vs hiring new graduates

    What the rush? If your institution wants 2 years experience, then wait the full two years. Nurses are still acclimating to their units during the first 12 months. I will be honest with you.........as a manager of a medical surgical unit, I would ...
  15. Nurse Management

    I agree with MrChicagoRN........the patient ALWAYS comes first. I expect my new grads to follow policies/procedures, know when to ask for help and be truthful/honest. I can and will teach them the rest provided they treat my patients with respect, ...