Riseupandnurse

Riseupandnurse

Medical Surgical

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All Content by Riseupandnurse

  1. Staffing based on # of pts, not amount of care!

    We don't actually have charge nurses. It's an RN who is supposed to do all the LPN's pushes, admission assessments, blood transfusions, take the admits + start with as many patients as everyone else....
  2. Implementing a new computerized charting system

    We have used computerized charting by exception for many years. Anything that is not "normal" for an average healthy person of that age group is charted as an exception. I think of it as the...
  3. No, I won't call the doctor to find out what your lab tests are, to get your home dose of vitamin D ordered tonight, or to tell him that hey, guess what, you are waiting to see if you will be...
  4. why are nurses stations so chaotic?

    Well, yes, it's chaotic because of the nature of nursing, but we don't help with our work habits at times. I was on a floor tonight (not my own) where there was some sort of party on days in the...
  5. Most outrageous thing your hospital has expected you to do.

    A patient reported me when I was a new nurse for not acceding to her demand to grind up a steak and put it in her husband's IV. She even ran out on the parking lot (right outside the room) and...
  6. My family can't believe nurses don't get breaks

    I think almost all of us who don't take lunches or breaks realize they are important but are trying to avoid an even greater pain, which is just adding to the time you have to stay overshift. No...
  7. Need Advice- non supportive SO

    My husband didn't support me in any way except with general household finances and I made it through nursing school just fine. If you want to do it, don't worry about it. With me, it was just kind...
  8. "I need you to pack my butt"

    Ummm, no, I wouldn't pack it. What if something goes wrong, and there you were performing care without a legitimate relationship with the patient, orders to follow, etc. This is asking for a...
  9. old lady feel like I am starving her

    You need to speak with your head nurse tomorrow and if things don't straighten out right away go to your ethics commitee. Dietary can help, but this woman can't
  10. I feel so guilty about Graduating!

    My advice would be to go to the instructor and tell her that you don't want anything from her, just to reassure her that you have indeed learned a lesson. Tell her exactly how this has affected you...
  11. pt rights & staffing

    Very interesting. So why is staffing posted for nursing homes but not for acute care, where surely it matters more, at least in the short
  12. pt rights & staffing

    Hmmm...I think they have the right to know, BUT I would not want to be the staff member who they ask. We need legislation to mandate that the ratios are posted daily,
  13. What does your head nurse need to know?

    If you could tell your head nurse one true thing, with the guarantee that you would be believed, and no reprisals, what would it
  14. Student self eval misrepresentation

    When self-evaluations are inflated, I discuss with the student that they are in fact not fulfilling the objective of self-critique. We all have areas we are deficient in, including me. The purpose...
  15. Tough it out? Need advice

    Leave!! This floor ain't gonna change. Been there, done
  16. For Those of You Who Have Press-Ganey At Your Hospital

    I would like to know where the reliability and validity figures on Press-Ganey surveys are located.* One would think there must be some, especially if some ratings are based on "random samplings."*...
  17. press gainey

    Press-Ganey is the bane of my existence, that and JCAHO. Press-Ganey is another Emperor with no clothes. WHY WHY WHY would a hospital rather spend tons of money on this nonsense rather than actually...
  18. Entire ER crew will go to mandatory retreat

    We had a retreat for the floor (mandatory) about 15 years ago. It was fun but management was there so no-one went near the real issues. We found out more about exactly why we didn't like the people...
  19. Should Nursing Schools Change What They Teach?

    FYI: Some of the nursing schools are teaching customer service in leadership courses, and that it is nursing. I beg to differ. Customer service is whatever the customer wants, however they want it....
  20. weekend time off / routine "overtime" questions

    Absolutely everyone has to stay an hour or two over every time they work. Since they added counting the Pxyises (2 of them on the floor!) bid this is even worse. Can't remember the last time I got...
  21. What's YOUR nursing obsession?

    When I was an NA, it was making sure pts. got their teeth brushed. Often the baths got done but never the teeth. As an RN, HAVE THEY VOIDED? Drives me crazy when no-one charts this. And pts....
  22. When I was a new nurse, I had an older woman come back from surgery to her semi-private room. Her room-mate had been discharged, and that bed was stripped but not cleaned and the siderails were all...
  23. Most "Clueless" Thing YOUR Manager has Done

    This is not something my manager did, it was human resources but very clueless. The hospital had a social function held about two blocks away. They hired buses for the nurses who were working, and...
  24. X-Ray Tech..know anyone?

    I don't think you would have any trouble with having a B in chemistry. My experience with x-ray school and the national boards was that x-ray is mostly about anatomy and physics, not chemistry. But...
  25. X-Ray Tech..know anyone?

    I was an x-ray tech before I was a nurse, and I keep my registration in both current. I enjoyed being an x-ray tech HOWEVER it seems in many places the market is flooded. My advice is to go into...