SilverBells BSN

Rehab/Nurse Manager

Nurse Manager for Rehab Facility. Graduate Student.

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All Content by SilverBells

  1. SilverBells

    New Nurse - unhappy with first job

    SilverBells replied to Flashsomefang's topic in General Nursing

    It seems odd that you would be getting fewer hours since these types of facilities are almost always in demand for more staff. I would ask you if there are extra shifts you could pick up, but I...
  2. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    All good resources, thank
  3. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Also, if she is on hospice, she may prefer to rest rather than have frequent interaction. Sometimes hospice patients would rather be left alone than be constantly checked on, at least from my...
  4. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    At this point, my thought is that if I can pull myself away from this resident on my own, it may not require a conversation with my superior as these excessive visits really were only the last couple...
  5. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Another thought is possibly that these frequent visits could be construed as harassment. Not sure, since the patient hasn't made any complaints about me seeing her. But if her call light isn't on,...
  6. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Because of COVID restrictions, the other manager has taken over for three long term patients I've worked with for a long time. Finding it hard to let them go. Somehow, you don't develop the same...
  7. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Unfortunately, I'm wondering if based on some responses, it might be best for zero visits a day, maybe once or twice a week at the most. If I'm having to compete with other staff members (at least,...
  8. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    I also will say that I am not ignoring other patient's needs, but I will admit to going out of my way more for this person. I have a fierce dedication to her care. I will admit that choosing to...
  9. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Yeah, I had a feeling it would probably seem excessive to others. I visited her five times today, and it seemed as if staff members on the other unit were wondering what I was up to. Also, half of...
  10. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    It does sound ridiculous, but I felt bad that other nurses weren't willing to give her foot soaks. I also made sure other residents had their medications, etc before going into her room. Other...
  11. SilverBells

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    SilverBells replied to SilverBells's topic in General Nursing

    Also what are your thoughts on trading this patient for another? I could offer to take over this resident’s care for the other manager in exchange for her taking one of my others? There are a few I...
  12. SilverBells

    New RN, how to pick a specialty?

    SilverBells replied to nikki1018's topic in General Nursing

    In my opinion, this questions doesn't have an easy answer since it is based very much on the individual as well as the departments. How was your performance in clinicals? Were you shining in lower...
  13. SilverBells

    New Grad RN on L&D unit. Discouraged and questioning my nursing career.

    SilverBells replied to RNeileen's topic in General Nursing

    I agree with some of the other posters that you may want to consider postpartum, especially while it is still an option. It seems to me that there are multiple concerns with your performance that...
  14. SilverBells

    What are your views on switching days with people?

    SilverBells replied to DesiDani's topic in General Nursing

    For me, it always depended on the situation. I was never somebody that always switched with someone, nor did I never make any changes to my schedule. Like others have mentioned, the impact on my own...
  15. SilverBells

    How do I succeed as a new nurse?

    SilverBells replied to NursePumpkin's topic in General Nursing

    It sounds as if you are on the right track to success by reviewing nursing skills and knowledge ahead of time! As others have said, nursing school clinicals greatly limit what students can actually...
  16. SilverBells

    Which job should I choose while in nursing school? CNA in hospital vs. nursing home?

    SilverBells replied to vanessa123yaa's topic in General Nursing

    TMA = Trained Medication Aide. I am not sure what or if the equivalent in Canada would be Also, I can relate to barely having time for breaks as well as my own job. I'm a nurse manager in a SNF,...
  17. SilverBells

    Which job should I choose while in nursing school? CNA in hospital vs. nursing home?

    SilverBells replied to vanessa123yaa's topic in General Nursing

    In some ways, I agree that you probably would see/do a little more in the hospital setting. With that said, is it possible that opportunities are presenting themselves in the long term care setting...
  18. SilverBells

    Ethical Issues

    SilverBells replied to RN2020scm's topic in General Nursing

    Since most employers can fire any employee for almost any reason, it's always possible she could lose her job based on outside-of-work activities. Seems more likely, though, that they would probably...
  19. SilverBells

    How does a new grad nurse get started in a specialty?

    SilverBells replied to medapop's topic in General Nursing

    Have you worked with children in other capacities? PCA for children, day cares, babysitting, etc? Not quite the same but would help with experience with the population. It's very understandable to...
  20. SilverBells

    Really Nervous about Everything. Should I reconsider nursing?

    SilverBells replied to Kiroppi's topic in General Students

    One incident of messing up isn’t an indicator that you shouldn’t be a nurse. It’s good to be conscious of your practice, but important to learn what is and is not significant. As long as a new...
  21. SilverBells

    Putting in orders without an order.

    SilverBells replied to Kastiara's topic in General Nursing

    As a manager, I've put in "orders" that aren't technically doctors orders but are still tasks that need to be done and nurses won't always remember to do them unless they show up on the patients'...
  22. SilverBells

    Has anyone ever stepped down from a role?

    SilverBells posted a topic in General Nursing

    As I’ve mentioned previously, I was recently promoted to a Nurse Manager role at my facility. After a text message tonight, I’m now questioning my ability to perform my new role. I was just...
  23. SilverBells

    Has anyone ever stepped down from a role?

    SilverBells replied to SilverBells's topic in General Nursing

    Tomorrow I’ll return back to work after a few days off. My mindset going forward will try to be that my job isn’t about me being perfect, it’s about ensuring residents are getting their needs
  24. SilverBells

    Has anyone ever stepped down from a role?

    SilverBells replied to SilverBells's topic in General Nursing

    Impaction was diagnosed, but patient only required an enema. I am not entirely familiar with the specifics of reporting (the DON handles any incidences requiring state reports), however, it sounded...
  25. SilverBells

    Has anyone ever stepped down from a role?

    SilverBells replied to SilverBells's topic in General Nursing

    Not really. There would be no managers left since it is not uncommon for a resident to require transportation to the hospital. My concern stemmed from the DON stating that bowel impactions are...