Bwick

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1. Considering moving to the south east - advise

   Bwick posted a topic in General Nursing

   Hi, I'm a CNS from the northern midwest region and looking to relocate in NC, SC, Georgia or possibly northern Fl states. I'm a CNS for critical care with lots of experience. Any folks live/work in these states have advice for me and some names of...

2. New Grad and Unit orientation

   Bwick posted a topic in General Nursing

   We are looking at our orientation process. How long an orientation are you giving new grads in different areas of the hospital? Medical, surgical, peds, OB, ICU, orthopedics, etc. Is it all clinical or are classes included (what kind of classes) Th...

3. Nursing "General" Orientation

   Bwick posted a topic in General Nursing

   How long is your general nursing orientation and what kinds of things are included? We are looking at revamping ours and are curious about what other places are doing. Thanks Sue

4. IO catheters - Adult

   Bwick replied to Bwick's topic in MICU

   Thanks for your input! Any and all is apreciated! Sue

5. IO catheters - Adult

   Bwick posted a topic in MICU

   We are starting to see more IO catheters with some of our trauma patients. I've been looking for some info and there isn't a ton out there - especially nursing info. If you use some of the newer devices, what kind of dressing do you use? Also, whe...

6. Telemetry monitoring

   Bwick posted a topic in Cardiac

   Our hospital has a centralized non-nurse monitor tech that monitors patient throughout the hospital on tele (all areas except ED, ICU and OR). The nurses on the floors are not trained to read monitors and rely on the MT to tell them about the rhythm...

7. Examples and anecdotes, please, for EBP.

   Bwick replied to Miss Chybil RN's topic in General Nursing

   When the literature came out that using saline down an artificial airway for suctioning was a bad practice, we stopped doing it. We have added using biopatch and chlorhexidine in central line management due to EBP. We keep the HOB elevated on vent ...

8. Telemetry monitoring

   Bwick posted a topic in Cardiac

   I have two questions. 1. How often are the stips mounted for telemetry patients? 2. Do you use non-nurse monitor techs and do they monitor units where the nurses are not trained on telemetry? We currently do and feel it may be a questionable pract...

9. Clinical Nurse Advancement

   Bwick replied to Bwick's topic in General Nursing

   Thanks for your help. Would anyone be able to send me more specifics on what's required to differentiate the upper levels. I want to be sure that our program ends up being "reasonable" - don't want to overwhelm with requirements that would turn som...

10. Clinical Nurse Advancement

    Bwick posted a topic in General Nursing

    Does your facility have clinical ladders or any other clinical advancement program for bedside hospital nurses? Would you mind sharing with me about your program? We are in the process of re-vamping our clinical ladder program and I wanted to see wh...

11. Locking up IV solutions

    Bwick replied to Bwick's topic in General Nursing

    thanks for your responses. Our IV solutions are from Baxter and it says on the bag "for Rx only" on all bags, even the plain ones. Our pharmacy department is interpretting that to mean that we include them in the lock up. It's not just about the mo...

12. Locking up IV solutions

    Bwick posted a topic in General Nursing

    With the medication safety mandates, how are you handling IV solutions? Do all of them need to be locked up? Do just those solutions with meds like potassium in them? How are you handling this mandate? Thanks Sue

13. What's your story? Why did you take up nursing?

    Bwick replied to Joe V's topic in General Nursing

    When I was 15 I had surgery on my hand. I was scared and didn't have a clue. No one explained anything to me, no one comforted me, I felt totally alone. I figured it didn't have to be like that and maybe I could help. I keep that thought in the b...

14. Rapid Response Team

    Bwick posted a topic in General Nursing

    We are looking at this at our facility. Am wondering how other facilities are dealing with the issue of getting help to the patient before they code. If you have a team - who makes up the team? How are they activated? Thanks sue

15. Setting up A-lines in advance

    Bwick posted a topic in Operating Room

    Our anesthesia department wants to have and IV via the hotline, an arterial line set up and the rapid infuser set up - meaning everything spiked and ready at all times. We are not that big of a hospital. There will be many times where this stuff is...