Golden_RN MSN

Golden_RN's Latest Activity

1. 

   CNA Skills fair

   Golden_RN replied to Lisa Helling's topic in Geriatric

   When I was a DSD I decided to do annual CNA skills check offs with actual residents instead of a skills fair. I did rounds with the CNAs, including showers, catheter care, repositioning, dining, etc. It was more fun for me because it allowed me to spend time at the bedside. One skill that was fun to practice, though, was code blue. I set up a dummy in an empty room and I gave each participant a card that indicated their role in the code I.e. 1st responder, 2nd responder, crash cart, etc. They had to take turns doing each role. It got very lively!
2. 

   How far can hospital go?

   Golden_RN replied to RNTX31's topic in General Nursing

   This happened to me years ago. Admin combined a telemetry and ortho floor. I don't think most ortho nurses wanted to be tele nurses and vice versa. It ended up being a failure. The MDs were not happy with the arrangement and many nurses left (including me). Within a couple of years the 2 units were separated again.
3. 

   Admissions in Rehab/LTC

   Golden_RN replied to RNjuice's topic in General Nursing

   There is so. much. paperwork. in LTC admissions that there really has to be a culture of teamwork and realizing that it is a 24 hour business. If a new resident is admitted during the last 30 minutes of your shift, you will not be able to get it all done. One idea is a "cheat sheet" check list for new admissions - was just a worksheet where you could indicate which tasks you completed for the new admission (fall risk, braden, admission assessment, care plans, confirm orders etc.), then pass it along to the next shift for completion. At least the first shift can show that what they started and the next shift knows exactly what still needs to be done.
4. 

   Mama RN Needs Advice on Childcare Options

   Golden_RN replied to MamaRN1719's topic in General Nursing

   Home day cares or day care facilities during the day while you sleep.
5. 

   Covid-19: The Guilt of the Work From Home Nurse

   Golden_RN replied to maybug's topic in Disasters

   Also, I think about for those of us that have retired/been away from the bedside for awhile, how much support we'd need to get even partially up to speed?
6. 

   Nursing for Intimate care for men

   Golden_RN replied to RNMikeMiller's topic in General Nursing

   "Dignified care"? There are multiple cases of women being assaulted by their male physicians. Here are 2 recent cases: https://www.nbcnews.com/news/us-news/ohio-plastic-surgeon-accused-drugging-raping-filming-women-years-n1154151 https://www.washingtonpost.com/nation/2020/01/17/yang-sexual-assault/ And no, women are never guaranteed to have same gender physicians/nurses/technicians for pelvic exams, breast exams, childbirth, surgery etc etc etc. Even if a woman chooses a female ob/gyn for childbirth, that does not mean that a male physician won't be rounding on that same patient later on. Not to mention anesthesia, or any other staff involved.
7. 

   Did I break Confidentiality

   Golden_RN replied to OneRN50's topic in General Nursing

   Another point is we should never text about patients on our personal cell phones. Even if you didn't mention the pt's name, it is way too easy to give identifying information in this unsecured environment.
8. 

   Trying to Get along

   Golden_RN replied to Chando's topic in General Nursing

   I have found nursing to be extremely diverse, with people of different age, ethnicity, gender, background, etc. (I'm sure this varies in different regions). You will fit in for sure. Most of your nursing professors and mentors will probably be women, and this might humble you. Some of your skills as a veteran will be an asset. Have you considered counseling to help you adjust from military life to civilian life?
9. 

   Career advice for aspiring nurse educator

   Golden_RN replied to Christina.f0602's topic in General Career

   You can (1) talk to the management and nsg education dept at your employer and volunteer to teach an inservice or other class, (2) look for part time clinical instructor positions at a college in addition to your primary job. Does your MSN program require clinical hours in an educational setting? If so, that's a great way to network.
10. 

    DON with no authority

    Golden_RN replied to stella789's topic in LTC Directors

    Agree with Hoosier above. Very strange. I find that non-clinical people "don't know what they don't know." Non-clinical staff shouldn't be supervising the unit managers in regards to clinical issues. That seems inappropriate. Are you supposed to work with unit managers on a Plan of Correction after the state visits? Or is that "too involved"? The lack of communication to you makes me uncomfortable. I'm not a DON but I've worked in a variety of RN positions in LTC. In all of my jobs, the unit managers reported to the DON.
11. 

    Having trouble finding a preceptor with my new M-F 8a-4:30p job. Any ideas who I can reach out to?

    Golden_RN replied to babyluvy's topic in Educators

    The only thing I can think of is a clinical instructor that is teaching clinicals on the PM shift. You'd miss the first few hours of their shift - I'm not sure if that would work but it's worth a try. I'd try LVN schools, RN schools, private and public. Good luck. I know how hard it can be to find your own preceptor.
12. 

    Disrespect & Profanity

    Golden_RN replied to Davey Do's topic in General Nursing

    Years ago my coworkers were scolded by a pt's family member for calling their loved one Papa, and the nurse explained that it's a cultural thing & they mean it in a loving way. The pt's family member replied, "but it's not our culture". They were very offended by it.
13. 

    Why did you choose Nursing?

    Golden_RN replied to Bones17's topic in Specialties

    Exactly! Because nursing is a 24hours/day business with lots of different avenues, I've worked around what my family needs or what I prefer at different times of my life: AMs, PMs, nocs, weekends, 9-5 M-F, on the floor, in an office, in a classroom, at a school, 8 hours, 12 hours, different specialties, at the bedside, far away from the bedside. Most other careers would not offer this flexibility and ability to change up our environment. At times I have disliked nursing but the flexibility has made it all worth it.
14. 

    What to do after school nursing?

    Golden_RN replied to Nurse Beth's topic in Nurse Beth

    Have you looked into public health (state or county)? Also, your State Dept of Education may have opportunities for a consultant or something similar.
15. 

    Feeling defeated as a bedside nurse

    Golden_RN replied to wsunurse14's topic in General Nursing

    This sounds like my experience as a new grad many years ago - nurses 6 months after graduation were charge. There were a lot of new grads on our shift, and our unit had a mass exodus of RNs because we felt like the blind leading the blind. Your experience, unfortunately, is not unique but I really feel for you. I agree with others' advice to start looking for something new.
16. 

    Where do I go from here?

    Golden_RN replied to Curious1alwys's topic in General Nursing

    I work in informatics and have nothing to do with bills. The OP literally said she was open to things "outside of nursing" and I think that informatics is a great place to use nursing skills & experience away from patient care. She states she doesn't "want to take care of people anymore". Don't understand why you're "ranty".