SilverBells BSN

Rehab/Nurse Manager

Nurse Manager for Rehab Facility. Graduate Student.

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All Content by SilverBells

  1. SilverBells

    When One Patient Affects the Care Other Patients Receive

    Short-term rehab for now. Hopefully she transitions from an assist of 2 to assist of 1/independent
  2. SilverBells

    When One Patient Affects the Care Other Patients Receive

    After reviewing my hours spent with tbis patient, I just realize I spent about 1/4 of my work week with her. At least 25% of my work hours was dedicated to a person who was otherwise medically
  3. SilverBells

    "Mess Up" stories for New Nurse

    Make sure that if a patient is requesting oxygen you hook up ALL of the oxygen tubing. For example, as a brand new nurse, I had a patient request oxygen because he was experiencing some shortness of...
  4. SilverBells

    When One Patient Affects the Care Other Patients Receive

    Thank you. Dealing with the one patient this past week was both very physically and mentally exhausting. While I'm not in a position to suggest to the one patient she may want to see if another...
  5. SilverBells

    When One Patient Affects the Care Other Patients Receive

    I agree that boundaries should be set, but they probably need to come from administration, who typically tends to side with the patients, no matter how ridiculous they are. With that said, after...
  6. SilverBells

    When One Patient Affects the Care Other Patients Receive

    This also reminds me of another patient who demanded that I listen to him vent for 45 minutes about the color of plastic spoons being provided by the facility. He stated that he had asked for black...
  7. This last week, I had a very rough shift in which basically anything that could go wrong, did go wrong. For instance, the following happened all in one day: -Patient had unwitnessed fall...
  8. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Thanks for the feedback. Realistically, I am curious as to how many of your managers actually complete what is expected of them in a timely manner? I am wondering since my colleague and co-manager...
  9. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Not to mention daily phone calls from family members who expect you to listen to them rant and rave for an unlimited amount of time. If you don't, they report you, and administration/social work...
  10. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Thanks. I'm a unit manager, not a DON, but feel stretched to my limit. Both the nurses I supervise and my superiors expect me to do everything for them. I'm expected to complete daily provider...
  11. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Update: I had another shift where I was more active on the floor, assisting with two emergencies and one semi-emergency, along with assisting another nurse with obtaining an I&O urine sample. I...
  12. SilverBells

    New ADON Job Concerns

    Without knowing all of the duties that a ADON, Infection Control Specialist, or a Compliance Officer are responsible for, I would say there are many red flags based on your posts. I personally would...
  13. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    As a side note, it was almost a relief to let someone else to do the admission for the change. It was nice to not have to work over 16 hours or stay until midnight or later. It's possible that all...
  14. SilverBells

    Admissions Coordinator Requirements

    Update: I've decided to back off with my obsession with admissions. Yes, it's great that I'm eager to assist with them, but when that interferes with my ability and willingness to complete other...
  15. SilverBells

    Nurses with Unusual Diets

    Update: I had only one Pepsi today, the rest of the day I consumed water only and ate a regular lunch of a sandwich, pickles, and grape tomatoes. I found myself to be less irritable and
  16. SilverBells

    I received a job offer for LTC. Should I take it?

    I would say consider it. The workload/type of work will be a little different, and the patients will be less acute. After a bit, you'll learn to understand each resident's preferences and what...
  17. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    As a side note, some of you may remember that I sometimes drink between 6-15 Diet Pepsi's a day. Today I only had 1 and found that I was less
  18. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Update: There was some improvement in my performance today. I was more involved with active nursing tasks, such as obtaining vitals, answering call lights and offering to help with transfers....
  19. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    LovingLife123: I would agree that your post was not an attack. It was very straightforward and to the point, but you didn't say anything that wasn't true. It was clear that you didn't care...
  20. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    And it probably stems from the fact that I was double checking an assessment/orders on an admission that someone else was taking care of. Realistically I didn’t need to be assisting with any part...
  21. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    That's
  22. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    A couple of other things: 1. I've had to go in and edit some of my posts due to spelling or grammar errors. Therefore, my writing skills might not be as strong as I make them out to be....
  23. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Thank you for this feedback. I feel as if there are certain aspects of my manager position that I do well at, and that's probably why I've been able to hold it for a year and a half. I do feel that...
  24. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    I'd be lying if I said I was thrilled by your reply, but you called me out on my 'crap' and it needed to be said. In regards to the enema situation, I think my explanation may have been more...
  25. SilverBells

    Managers, Nurses and Delegation: Who Has Authority?

    Nah, you're right. Hilarious analogy, unfortunately accurate at this point. Thanks for the laugh, though (although I'm sure you didn't mean to be