SilverBells BSN

Rehab/Nurse Manager

Nurse Manager for Rehab Facility. Graduate Student.

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All Content by SilverBells

  1. SilverBells

    Nurses Deleting Orders to Reduce Charting

    Unfortunately I don't have the authority to do so. All I can do is report it to my supervisor. Yes, I'm considered the nurse manager but I'm a low-level manager and don't have much to do with...
  2. SilverBells

    Nurses Deleting Orders to Reduce Charting

    I've actually started adding to certain orders, "DO NOT DELETE WITHOUT CONSULTING SUPERVISOR AND
  3. SilverBells

    Nurses Deleting Orders to Reduce Charting

    Examples of orders being deleted: Daily wound note on wound/incision condition on a patient with a wound infection Measure abdominal girth daily on a patient with ascites Daily weights...
  4. Lately, at my workplace, I've noticed some passive hostility between different departments. Specifically, I feel as if it is especially prevalent amongst the nursing and therapy departments....
  5. SilverBells

    Nurses Deleting Orders to Reduce Charting

    In my opinion, someone deleting an order they don't like would be comparable to me canceling a care conference because I don't enjoy that type of meeting. In fact, I detest most Care Conferences and...
  6. SilverBells

    Nurses Deleting Orders to Reduce Charting

    Some nurses who don't enjoy charting will state that patient care is the most important thing. While no one can argue with that, patient care doesn't mean crap if you can't prove you actually did
  7. SilverBells

    Nurses Deleting Orders to Reduce Charting

    One example I can think of is a patient was admitted to us with an infected wound. I specifically put in orders for daily documentation and frequent vital signs for a reason. One nurse got rid of...
  8. SilverBells

    Nurses Deleting Orders to Reduce Charting

    I've also posted a memo requesting staff not remove any orders without consulting me
  9. SilverBells

    Nurses Deleting Orders to Reduce Charting

    I've made some progress, I think. I haven't completed any disciplinary action, yet but I have done the following: 1. I've re-entered orders that absolutely needed to be there. I've then followed...
  10. SilverBells

    Passive Hostility Between Workplace Departments

    The therapist in question is barely around long enough to really be bothered by any conversation the nursing staff may be having. She just happens to be walking in the hallway from time to time, and...
  11. SilverBells

    Passive Hostility Between Workplace Departments

    Basically, upper management came and spoke with me about what I knew about certain incidents. The only feedback my supervisor really had was to continue providing direction to nurses and CNAs...
  12. SilverBells

    Passive Hostility Between Workplace Departments

    She came and talked to me just to see what I knew about certain situations. I explained that I did follow up on concerns that I was aware of, but some of the issues weren't brought to my attention....
  13. SilverBells

    Is it wrong to ask for a raise?

    Today, I found out that when my co-manager steps down in December, his replacement will only be working Monday through Thursdays. This means that every single Friday, I will have up to 56 patients....
  14. As nurses, we always appreciate being recognized when we've done a good job. However, what is the best way, really, for employers to show their appreciation? At my workplace, we are starting an...
  15. SilverBells

    Holiday Sick Calls From Self-Centered Staff

    We have this at my facility, and it's actually been pretty effective in reducing the number of call-offs during the holiday shifts. We also have a policy regarding the weekends in which if you call...
  16. SilverBells

    I’m Disgusted and Disturbed

    I'm glad to hear that you're reporting this--what a terrible incident! You mentioned that people are burnt out, but to me, this goes beyond burn out. I've also had times where I haven't wanted to...
  17. House ended up not being a match. I'm not overly disappointed, but a little frustrated. It would be nice if something would work out. Things seem to work out for others; looking forward to the day...
  18. SilverBells

    Does your employer give you hell for calling in sick?

    Sorry, but anxiety that something may happen or may go wrong doesn't seem like the best reason to call in sick. My apologies if I'm wrong, but other than the sore arm, it doesn't appear there were...
  19. SilverBells

    Is it wrong to ask for a raise?

    I also don't necessarily know how much I will necessarily fight for the raise either. Any type of employment is better than being jobless, I suppose. In addition to simply wanting to be better...
  20. SilverBells

    Is it wrong to ask for a raise?

    I actually have been putting in applications for other jobs, but nothing has really turned up. Surprisingly, I've had random agencies reach out to me regarding DON positions, but I haven't bothered...
  21. SilverBells

    Is it wrong to ask for a raise?

    At this point, it doesn't really have much to do with lack of trust of staff members and everything to do with my supervisors' expectations to basically be at 875 different places all at the same
  22. SilverBells

    Is it wrong to ask for a raise?

    No. There will licensed nurses for medications and treatments. However, I will be responsible for all emergencies, all provider visits, all Care Conferences, all discharges, assisting in all...
  23. SilverBells

    Is it wrong to ask for a raise?

    1. Changes are real. My new colleague will only be there Monday through Thursdays. They'll still need a manager on Fridays, so obviously if she is gone, I can't be. Therefore, I can't have any...
  24. Thanks! I was informed by the realtor that there are between 7-10 others also interested in the house (probably because of the price), so there's obviously the chance that my offer won't actually be...
  25. I decided to put in an offer. It actually seems stupid to not pursue a house that might be a good fit for me just because someone else might have one that is "better" or