pattchez

pattchez

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All Content by pattchez

  1. Time of Day for Routine Vital Signs

    pattchez posted a topic in Medical-Surgical

    I am looking for your advise and learn what time of the day and how often do your medical-surgical unit take vital signs when it is "routine?" We have 3 Med-Surg units and routine vitals are done at...

  2. s-q insulin question - please help

    pattchez posted a topic in Medical-Surgical

    At my hospital, we are considering dropping the second nurse to check a sub-q insulin administration. If you work at a hospital that does not require you to have a second nurse check the sub-q insulin...

  3. Banner health weekend differential

    pattchez replied to Atlas09's topic in Arizona Nursing

    Chandler Regional Hosptial and Mercy Gilbert Medical Center pay 20% diff. for nights and 10% for

  4. Banner health weekend differential

    pattchez replied to Atlas09's topic in Arizona Nursing

    I do not work for the Banner System but at my hospital there is a 20% night shift differential plus a 10% differential for weekend -- which applies to either day or nights. We do 12-hour shifts for...

  5. Hello North Dakota!!!!!

    pattchez replied to Little Panda RN's topic in General Nursing

    Hello! I am a nurse who woked lived and worked in ND from 1971 to 1989 and then moved south to Colorado and ended up in Arizona working full-time as an Adult Health Clinical Nurse Specialist in...

  6. s-q insulin "doube check" question

    pattchez posted a topic in Diabetes, Endocrine Nursing

    At my hospital nurses are expected to "double check" their sub-q insulin with another nurse before giving it to the patient. I am wanting to find out if anyone does not have to the "double check" at...

  7. Computerized Documentation

    pattchez replied to Flutemom's topic in Nursing Educators, Faculty

    we went live with computerized documentation and e-MAR/BMV last year. Currently students cannot use the e-MAR/BMV as we do not have access for them. Our computerized documentation system will permit...

  8. Starting a CNS Program this summer!

    pattchez replied to KK7724's topic in Clinical Nurse Specialists, CNS

    I am from AZ. The SBON recently changed the regulations for CNS including the required 500 hours, national certification as CNS which effected several CNSs in the state who do have the CNS tract in...

  9. Starting a CNS Program this summer!

    pattchez replied to KK7724's topic in Clinical Nurse Specialists, CNS

    It is great you have made the decision to return to school for a CNS degree. I agree with the previous posts about making sure you understand what kind of degree you seeking and does it match your...

  10. Just moved here, where is the great RN pay at?

    pattchez replied to mytoon38's topic in Arizona Nursing

    I work for at Chandler Regional Hospital and not a registry. For example at my hospital, a RN working in the flex. pool can make $35/hr, without benefits -- including med-surg. They just started a...

  11. Just moved here, where is the great RN pay at?

    pattchez replied to mytoon38's topic in Arizona Nursing

    I know that hospital regularily check the salary market in the phoenix area and adjust salaries if needed -- I suspect the hospital salaries are not greatly different. If you are not interested in...

  12. Where are the Maternal-Child CNS schools?

    pattchez replied to armyOBnurse's topic in Clinical Nurse Specialists, CNS

    In my state, I have found that nurses interested in the MCH CNS tract are going into the Adult Health CNS tract because the schools of nursing do not offer a MCH tract. What the student does is focus...

  13. Critical Thinking For Med-surg nursing

    pattchez replied to mojofla's topic in Medical-Surgical

    As a staff nurse I have taken PBDS at two different hospitals in two different states. Now as an educator, our hospital stopped using the PBDS, last year, because it was not measuring "competency" but...

  14. Nurse Rounding

    pattchez replied to Margeincharge's topic in Medical-Surgical

    At the hospital where I work we do hourly rounding. It is shared with the nurse and CNA from 6am to 10pm ...and then from 10pm to 6am it is Q2H rounds, again shared between the nurse & CNA. We...

  15. s-q insulin question - please help

    pattchez replied to pattchez's topic in Medical-Surgical

    Thanks for your advice and suggestions. Nurses at my hospital don't always do the "double check" the right way too. I keep thing if we did the "5 medication rights" with all our meds, including...

  16. Phoenix Newbie

    pattchez replied to GrnHonu99's topic in Arizona Nursing

    If you want to go out to eat there are several great places around the Chandler Mall...the Elephant Bar is great. Also the Keg is great place to eat at the Mall. Chandler...has a winery in the...

  17. ? about getting LPN and externing.

    pattchez replied to Calzonan RN's topic in Arizona Nursing

    It is great this is topic creating a lot of discussion about externs. I encourage students or LPNs to examine the SBON advisory opinion about RN supervising externs ...as it does speak to students --...

  18. ? about getting LPN and externing.

    pattchez replied to Calzonan RN's topic in Arizona Nursing

    I think there is some confusion about the extern role. The Arizona State Board of Nursing describes the role of the extern in their advisory opinion titled "Supervision of Unlicensed Nurse Externs by...

  19. Time of Day for Routine Vital Signs

    pattchez replied to pattchez's topic in Medical-Surgical

    Thanks to everyone who answered. I will share this information with my manager to standarize routine times on the 3 M/S

  20. Banner Good Sam

    pattchez replied to Silverdaisyd's topic in Arizona Nursing

    I agree with the previous comments about Good Sam & Banner Desert -- as I have worked at both hosptials. I work at Chandler Regional Hosptial and really like it there plus they have great...

  21. chemistry

    pattchez replied to scw's topic in Clinical Nurse Specialists, CNS

    These type of courses are needed to understand the chemical changes that occur when a patient is ill. For example, if a patient has kidney failure, it is important to understand the lab values of the...

  22. Does anyone know a Nephrology CNS?

    pattchez replied to thomstew's topic in Dialysis, Renal, Urology

    Yes, I am a Nephrology CNS....I have worked both as a Renal CNS and Nephrology/Transplant CNS. My educational background is Adult Health CNS but my work experience has been nephrology in recent years....

  23. Seeking new grad job in Arizona

    pattchez replied to jayrelic's topic in Arizona Nursing

    Hi!. Jobs are great in AZ. Yes, I do understand your looking forward to the sunshine as I grew up in ND and remember the -98 below with the wind chill factor. If you would like a smaller hosptial...

  24. NP vs. CNS ??

    pattchez replied to CapeCoralNurse2be's topic in Nurse Practitioners, NP

    There is a difference between NP and CNS careers. NP is focused on individual patient issues via thorough assessment and diagnostic skills. The CNS looks at patient populations -- groups of patients...

  25. Anyone come back to Med Surg?

    pattchez replied to johnson0424's topic in Medical-Surgical

    Yes, I did. I worked in acute hemodialysis and the call-back was terrible -- working 24 hours non-stop. Not all M/S units have nurse to patient ratios of 1 to 12. Where I work the nurse to patient...