SamJS

Poor word choice on my part - I wasn’t really sure how to word that. Definitely didn’t mean to insinuate that we have to obey the MD, sorry!!

Just looking for some opinions on this.. The facility I work at just hired one of our LPNs as shift supervisor. But, what I can’t understand, is how they can have an LPN supervising RNs? Legally, the RN has a higher license and the LPN would therefore practice under the RN’s supervision. Multiple of us are RN, BSN nurses and it’s odd to us that this LPN will now be “in charge”. Has as anyone else experienced this? This LPN has 1.5 years experience as a nurse, so it’s not like that’s the big difference here. And before people thing I’m being jealous, I didn’t go for nor do I want the position, just curious on the legality/sense of it all.

Hi all! I have a question / wanting opinions on this... At the facility I work at, nurses often hold medications for what they consider “nursing judgment”. I do understand nursing judgment, but sometimes am unclear where that line crosses over into disobeying the orders? A few examples: Metoprolol with usual parameters (SBP<100, HR<60) - nurses holding for SBP anything 110 or under, or HR <70 because of “nursing judgment” Standing insulin order (I.e 5 units with meals in addition to sliding scale) - nurses holding if not giving sliding scale (aka <200). I do understand their point that it’s “close to the parameter” and they don’t want to bottom someone out. But to what extent is that covered under our judgment? Shouldn’t they communicate with the MD first? Or communicate with the MD that they bottom out at that point (if that’s the case) and push for the parameters to be increased?

Hi all, Just made my first post a few minutes ago, and couldn’t refrain from my second already ? Right now, I work for a skilled nursing facility on their short term rehab unit. Obviously the acuity is not the same as with a hospital, but for a rehab we are pretty acute on my unit. I have learned A LOT and am grateful for the certifications they have provided me (ACLS, IV cert, etc). Staffing and administration are huge issues here. I know this is the case a lot of places, but my facility mgmt has no regard for accountability and correct almost nothing when it comes to staff behavior/errors/etc. On top of it, I work 11-7 and have a patient load of 14 short term rehab pts + 26 long term from the unit next to mine. It is hard and busy, but manageable. However, I am now looking to transition into a hospital to work toward my end goal of the ER. I got my experience, and now I need to get out. I’m looking for any advice on moving into the hospital setting - how to land the job, any big “culture shocks” you experienced moving from STR/Skilled nursing to hospital, tips for getting in the swing of things, important things to review before starting... really anything you think might be helpful. Thank you for any advice or input you have!! Sam

Hi everyone, This is my first post, and I apologize if this isn’t the correct topic area for it or if it has been asked before - I searched and had poor luck finding responses. I am currently working on my Master’s thesis on the importance of cultural competence as an RN and how it impacts health outcomes/recognizing disparities. Without getting too much into the actual topic, I am looking for advice on how to obtain data from hospitals in the US. I will need race/ethnicity data on the hospitals’ RNs as well as their patients over the same time period (i.e. 35% of RNs were African American vs 60% of the pts in 2018). HIPAA shouldn’t be a barrier, as there’s no identifiable information being shared. Still, though, I am not sure how to best obtain this. I can obtain data on the hospitals I work at, and have connections in the area that I will reach out to for other facilities. But, I figured I would see if anyone here has insight into who to contact and/or tips on how to successfully do this? Thank you in advance!! Sam