SilverBells BSN

Rehab/Nurse Manager

Nurse Manager for Rehab Facility. Graduate Student.

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All Content by SilverBells

  1. All the time, and I'm not a new nurse anymore. I've even blamed myself for patients getting sick and requiring hospitalizations, even when we've done everything possible within my work setting to...
  2. I agree. While I acknowledge that part of being a manager sometimes involves difficult conversations, I'm uncertain that this individual would be receptive or willing to listen to any feedback....
  3. Yes, I've been doing this a bit more. Occasionally, this has actually worked. However, sometimes I'll hear that my colleague is in a bad mood, so they haven't reached out to her. In those cases,...
  4. Wow! Thanks for the comprehensive list of resources. Unfortunately, my education actually didn't do a very good job of preparing me for a leadership role and I didn't have any experience as a...
  5. It has come to my attention that an RN colleague of mine at work is purposely claiming to be an LPN so they can avoid certain tasks and having people ask them for help. As a manager, I completely...
  6. Today I received a phone call from our clinic regarding a patient of mine. They were wondering why we had failed to send in a COVID swab prior to a patient’s upcoming procedure. I had no good...
  7. Short-staffing at my facility is nothing new, and I know other nurses can relate to the dilemma. However, recently, we've had multiple staff members either become injured or quit, so many that we are...
  8. SilverBells

    RN Claims to Be An LPN To Avoid Certain Tasks

    Unfortunately, it just says "Nurse." Our facility doesn't do a very good job differentiating the LPNs and
  9. SilverBells

    RN Claims to Be An LPN To Avoid Certain Tasks

    She's always been an RN and was hired as
  10. At my facility, we have two areas of charting--the MAR and the TAR. The MAR is obviously for medications. The TAR is for treatments and other orders such as vital signs and when to notify the...
  11. SilverBells

    RN Claims to Be An LPN To Avoid Certain Tasks

    Hey, there you
  12. SilverBells

    RN Claims to Be An LPN To Avoid Certain Tasks

    LOL. I'm also a "unique" poster, so that's not too surprising
  13. SilverBells

    "Any Nurse Is Allowed to Step Up"

    However, in the meantime, I still need to figure out how to be fair to my colleagues while I figure out what to do next. It isn't their fault that I'm likely in the wrong position, or even...
  14. SilverBells

    "Any Nurse Is Allowed to Step Up"

    I've thought about it. I'd love a job that focuses more on writing or teaching, whether it be in a college or research setting. I like the idea of being a nurse author. I enjoyed completing my...
  15. SilverBells

    "Any Nurse Is Allowed to Step Up"

    Thank you for the thoughtful, well-written response. I've started to think about how I can readjust the way I do things at work so I am able to help out if needed. For example, it seems like most of...
  16. SilverBells

    "Any Nurse Is Allowed to Step Up"

    I must also add that none of these extra hours or additional responsibilities would result in any additional pay. Essentially, I'd be working for
  17. For most nurses, call-ins are undesirable because they lead to shorter staffing, longer shifts and more difficult workloads. I would agree with all of this. However, I've noticed that I become...
  18. At my workplace, I have a coworker whom I have great respect for and work well with. Unfortunately, there are some other coworkers who don't think as highly of her. I get the impression some aren't...
  19. SilverBells

    Nurses Deleting Orders to Reduce Charting

    It's come to the point where I have had no choice but to start writing up nurses for deleting and/or not following orders. One particular individual failed to follow up on an antibiotic order after...
  20. SilverBells

    What's the most consecutive hours and days you have ever worked?

    Longest shift: 21.5 hours long Longest work period without a day off: 38
  21. SilverBells

    Writing “poop” is unprofessional?

    LOL. I wonder what your DON would think about some of the bowel movement charting at my facility, then: Example: "Resident succeeded in the production of a large, powerfully explosive bowel...
  22. Lately, there's been a particular nurse who has been entering orders for every 3 hour vitals and lung sounds, including at night when the patients are sleeping. She states the orders are...
  23. SilverBells

    Do you ever feel the need to defend other coworkers?

    One instance has come up in which therapy has reported concerns about this nurse's bedside manner; per therapy, a patient has reported her as being rude and difficult to work with. I know this nurse...
  24. At our facility, we've had a few bowel obstructions. As such, we've all become hyper aware of bowel movements. One thing I've noted is that some will chart "Resident had a powerful bowel movement"...
  25. SilverBells

    Coworkers Reporting Powerful Bowel Movements

    New one: "Resident had mutiple 'big blasts of powerful explosions' during