babsRN

babsRN

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About babsRN

RN(AD) x30yrs, BA(Biology), MPA

Latest Activity

  1. I'm interested in hearing what the various consequences are out there for medication errors. From ya'lls perspective....how do we hold professionals accountable without creating situations where...
  2. tips on being an effective charge nurse?

    Great words of wisdom by all who have come before me...my addition would be to remember that it is the charge nurse who sets the culture for the unit for that shift. Much of what is accomplished or...
  3. Photocopy of incident report

    Thanks for the responses to my post about keeping a journal. I hope everyone knows not to mention an occurance report in your documentation...then the report could be discoverable by supoena. Be...
  4. Photocopy of incident report

    I have always understood that occurance reports should never be copied. But also I need to mention what our risk manager advises about journal keeping or copying other items related to caring for...
  5. You've gotten some great advice already. I can't really top Hoolahan's pointers. Don't be afraid to ask questions. People love to teach, and it is flattering to them that you ask. All of my...
  6. Floating nurses

    I meant demoralizing in this context as having a negative impact on the morale of the employee...basically feeling less than valued and/or worthless as an
  7. Floating nurses

    I have an issue I really need to get input on. I manage several large telemetry and PCU type areas. Staffing is usually tight...however, once in a while the clouds part and the census in the ICU...
  8. Patient Falls in Acute Care Setting

    All kidding about staffing aside...we've had a pretty successful "watchful eye" program, where the room door, chart, patient armband is all color coded to identify the patient as a high risk for fall....
  9. Night Shift Differential

    At my facility, the nurse get 2.50/hr for 3-11, 3./hr for 11-7, and and an additional 3.50 for weekend diff, regardless of shift. This rate is pretty standard for this part of Texas. Our PRNs go for...
  10. Bullied in Report

    Kudos to LadyNASDAQ. Our work lives are difficult enough without having to put up with our elders eating our young. My advice to you is to document your experiences in an objective way...using...
  11. sitter usage

    To confirm...side rails are indeed a type of restraint in JCAHO's eyes...hard to swallow when you're an old fart who even two years ago used to shout from roof tops..."Get those side rails up, d***...
  12. sitter usage

    Thanks all for your replies to my dilemma. At my facility we are supposed to tell the families that they will be charged for the sitter time, however, I've not known the hospital to actually bill for...
  13. sitter usage

    I am in need of ya'lls experience with sitter usage on med-surg areas and telemetry areas. I am manager of about 70-ish total telemetry beds. Half of these are informally considered as step-down ICU...
  14. Nurse to patient ratios

    I work in a similar setting but with some differences. We have an 10-ish bed area strictly for the recovery of interventional cath pts. The nurse pt. ratio in this area is 2-3 pts per nurse. These...