BELCJ

BELCJ

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All Content by BELCJ

  1. What disciplines make up the Rapid Response Team?

    BELCJ replied to Jo Dirt's topic in General Nursing

    What is your average census? How many RRT calls do you average? When not responding to a call, what other job duties does the ICU nurse

  2. What disciplines make up the Rapid Response Team?

    BELCJ replied to Jo Dirt's topic in General Nursing

    What is your average census? The RT (supervisor) that responds, I assume that they are the one to respond due to no patient

  3. Length of Preceptor & patient ratio

    BELCJ posted a topic in General Nursing

    We are trying to improve our preceptor program and are seeking advice from the general nursing population for help. 1. How long does your facility preceptor new grads? 2. How long does your facility...

  4. Length of Preceptor & patient ratio

    BELCJ replied to BELCJ's topic in General Nursing

    Quick question: The 1-2 patients for the orientee, is that 1-2 in addition to the 4-5 that you have, or is it 1-2 of your personal patient

  5. Questions about L&D staffing and scheduling

    BELCJ posted a topic in Ob/Gyn

    I am a new L&D Nurse Manager, and I'm still having trouble trying to staff appropriately. We average about 2000-2100 deliveries a year, which is about 6 a day. When I look at the guidelines on...

  6. Questions about L&D staffing and scheduling

    BELCJ replied to BELCJ's topic in Ob/Gyn

    It's only been about the last 6-9 months were this has become the "norm". The previous director submitted an FTE budget for the new year of about 36 I think, and said she wasn't adding any nurses,...

  7. Questions about L&D staffing and scheduling

    BELCJ replied to BELCJ's topic in Ob/Gyn

    Our postpartum are on the same floor, but on the other side, (seperated by a walk-thru storage area) and it is staffed separately. The entire area has three actual departments, L&D, Nursery, Post...

  8. Questions about L&D staffing and scheduling

    BELCJ replied to BELCJ's topic in Ob/Gyn

    Yes, those guidelines do help. That is how I'm trying to staff, but that means letting all these travelers go because we don't need them, and the nurses are saying it's not right and they can't do it...

  9. Questions about L&D staffing and scheduling

    BELCJ replied to BELCJ's topic in Ob/Gyn

    Active labor is 3 nurses, but for how many patients? The antepartum is 4 nurses, but again, how many patients is

  10. do you team nurse?

    BELCJ replied to NITEOBRN's topic in Ob/Gyn

    You have 1 nurse per couplet? So if you have 10 postpartum couplets, you have 10 RNs? Your hospital must have very deep pockets. That would never fly here, but I wouldn't want it to either. That...

  11. Direct Discharges from ICU/CCU

    BELCJ posted a topic in CCU, Coronary, Cardiac

    I'm looking for information on what the standard is regarding discharges home from ICU. It's been quite a few years since I worked there, and it used to be that if the patient was well enough to go...

  12. EMTALA question

    BELCJ replied to hogan4736's topic in General Nursing

    Emtala deals with patient care associated with their ability to pay. If the ER doc had said "we have a self pay patient needing surgery", and the OC doc had refused to come in and treat, then YES he...

  13. About productive hours per patient day?

    BELCJ replied to rrroyer's topic in Nurse Management

    There isn't a program per se, since each facility may define hours differently. At our facility we use only "productive" hours. We total all productive hours for the unit, (this includes the...

  14. Need Help

    BELCJ replied to sheebsalt's topic in General Nursing

    It depends on the state. Most states however, require you to take their exam for certification in that

  15. c-section OR time study

    BELCJ posted a topic in Operating Room

    I'm posting this in both the OB and OR forums, since different facilities may do their c-sections in one or the other. Sorry for the duplication. I am interested in knowing if anyone has done any...

  16. c-section OR time study

    BELCJ replied to BELCJ's topic in Operating Room

    We don't use nurses for cleanup and restocking. We use the techs. Whether in OB or OR, the tech's job is with the patient is done once the procedure is done. They're not saying it will be an hour...

  17. c-section OR time study

    BELCJ replied to BELCJ's topic in Operating Room

    I know you said no joking, but come on. 2 hrs versus 30 minutes? Sounds to me like either the L&D staff are taking their time so they don't have to go back to the floor, or some serious...

  18. C-section time study

    BELCJ posted a topic in Ob/Gyn

    Has anyone done any time studies at their facility to determine average time of c-sections? This would include turn-around time for cleaning and restocking the

  19. Staffing ratios for C Sections

    BELCJ replied to KRoman4's topic in Ob/Gyn

    Your RN or LPN that 'assists' the OB.... Obviously they're not RNFA since you use LPNs too. You provide an assistant and a surgery tech? Just want to make sure I understand. Our docs want us to...

  20. HPPD Justification - Calculations

    BELCJ posted a topic in Nurse Management

    I am trying to see what other facilities use to calculate a "patient day" for their L&D department. I have been on the OB forum, and I have searched the Manager's forum clear back to 2003 and it...

  21. RNFAs in C-Sections - Pro/Con

    BELCJ posted a topic in Ob/Gyn

    I would like to hear from other facilities as to whether or not your hospital provides first assists for C-sections, and also if you know where I can find information on whether or not one is actually...

  22. HPPD Justification - Calculations

    BELCJ replied to BELCJ's topic in Nurse Management

    Does your staff do C-sections, or is that done by Surgical

  23. HPPD Justification - Calculations

    BELCJ replied to BELCJ's topic in Nurse Management

    Our current budget is based on 4.5 hours for each Labor Eval we do, 3 hours for each NST we do, and 8 hours for each delivery we do. Based on our budgeted projections, and staff, we have a budget...

  24. About productive hours per patient day?

    BELCJ replied to rrroyer's topic in Nurse Management

    Does anyone have their HPPD for L&D? Also, what formula do you use to calculate a patient day in L&D? At our facility, HPPD is hours "worked" only (productive hours). This means if staff is...

  25. RNFAs in C-Sections - Pro/Con

    BELCJ replied to BELCJ's topic in Ob/Gyn

    Our staff are trained RNFAs. Currently I believe only 1 is actually certified. Reimbursement is a whole other issue that we haven't even started tackling yet. My biggest concern was whether this...