perkines

perkines

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About perkines

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  1. No charge nurse

    When I started there was a clinical manager for each unit. Then we had one for both but also had two adm/charge for surg and three for med. They are eliminating the adm/charge in the hopes of staff filling up open positions in other places in the h...
  2. How do you deal with rude patients?

    What I find that is amazing are the people who, you know are SICK, SICK,SICK, yet know matter what you do or how many times a night you wake them up--they smile and say thank you. I am personally not a happy or nice sick person lucky for the guy ta...
  3. No charge nurse

    We are still throwing ideas back and forth. Watching tele is a for sure for unit clerk unless the hospital can't get staff for the position. They are running with thoughts of having a charge with a small (light) team. I see a future of lots of bi...
  4. No charge nurse

    Our house supervisor will now have to go to each nurse to get a report also instead of one charge which will also waste more time. We only have two lpns on staff for days, but there are quite a few on nights as of now our charges take care of the wo...
  5. No charge nurse

    Our hospital is going to eliminate charge nurses from the med/surg floors. On the med floor staffing calls for 5 license for 24 pts with the change it will call for 4 for 24. Staffing for pct on nights is 1 for 18 pts 2 pcts once we hit 19. Our uni...
  6. How do you deal with rude patients?

    I work every fri. sat, sun 7p-7a Around 8 I start vs and I tell each pt the plan for the night and morning. If I will be waking them up every four hrs or when I will be in to draw blod. That way when I come in at 4 in the morning I can remind them...
  7. Visitors putting your patient at risk?

    Had a pt come with severe pain, ascites. She is admitted to med floor and given iv meds every 2hrs for pain. Dr orders drug screen on her. It is positive for alcohol, marijauna, and benzo's. She totally denies using any of this. Dr decides to do ...
  8. Visitors with no common sense!!

    My favorite visitor was the granddaughter of one of our mrsa pts. She would come up to visit with her two y/o. One morning she asks if I will go and get some diapers for her son. I tell that we do not have them available for him. She says yes you...
  9. While doing post-mortum care on a pt who had a bowel obst. This pt was being treated without use of ng, was npo. When I turned him over a low umpff and large gush of gastric fluid goes spilling out all over bed, floor and co-worker. Fluid was yell...