classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. Wound Care

    there are other certifications besides WOCN, although that is the gold standard. You need to google for them, then find out what are the qualifications. I feel sure you need to be a nurse in all...
  2. Process Recording...

    OP, did you ever ask the patient why she is in the facility? Why does she think she was admitted and what does she know about her therapy? Does she have any goals related to being discharged? Sounds...
  3. Delegation

    the answers to these questions may depend on where you live and where you work. States have different rules and some rules are for nursing homes while others are only for
  4. Nurses need vacation too ya know!

    I don't work in that situation, but have a question. Just because you have "always done it that way" does not mean the method cannot be changed. Can you recommend to your supervisor a better way of...
  5. If you love where you work . . . why?

    my boss listens. She may not always agree with me (she cannot be right all the time!!) but she respects my opinion and of my
  6. Understaffed hospitals and unemployed nurses

    I would LOVE to have more help. However, we earn approximately 25 cents on the dollar. We do not have the money to pay for more nurses. Unless nurses want to earn less, of course. Any
  7. Involuntary Psych Ward Commitment

    Texas BON does ask YOU about psych care/treatment. They are trying to prevent patients from being harmed. This does not mean your license is automatically denied, but they may require notes from MD...
  8. Things I noticed as a patient...

    Glad too that you noticed. I recommend you send a note to the CNO. If you noticed, then surveyors will too!! Also glad your visit was a short
  9. Heart sounds with large breasts

    the heart is between the breasts and you can move tissue around, just like you would move an arm to get BP. Also, you can hear the heart from the back to some degree. Practice will improve your...
  10. Where to precept?!

    if you do not have any idea where you want to work after graduation, then just preceptin any position. I precepted in dialysis. Never worked it afterwards, but the experience I gained there was...
  11. Texting while doing patient care?

    it is against policy in our hospital to be seen USING your cell unless you are in a break area. As for taking pics, that could be a HIPAA violation and is not worth the risk to me. People need to...
  12. Care plan shame

    how do they breathe? How do they eat? How do they eliminate waste? Is there any touching going on (massage)? How do they communicate pain? If they are not vegetative, how do they communicate period?...
  13. our facility does not pay a differential (hospital) for degrees, but does for
  14. what states NEED nurses ?

    agree with SuesquatchRN. If you are willing to go rural you will find a job. Maybe in you own
  15. Tracking errors related to fatigue?

    we tracked OT hours with staff and agency and tried to find a correlation with med errors and incident reports in general. Result: More errors occured with our own staff on OT. Lesson
  16. List of Meds that MUST be given through a central line

    Vesicants like: Potassium, calcium, Dextrose 10% or greater, Sod bicarb, radiocontrast, ampicillin, vanc, amphotericin B, Nafcillin, dopamine, dobutermine, epi I believe the Infusion Nurses Society...
  17. I graduated todayyyyyy!!!!!

    Be proud. You are now part of a fabulous team.
  18. Tips and tricks?

    We tried a very simple game once, using the glow powder. Use a black light to show the "germs" on hands. You can use a small toy shaped like a "bug" for visual effect, or stethoscope as a fomite....
  19. staff teaching

    Try the CDC website. I ALWAYS include references, even on posters, so that staff knows the information is reliable. The CDC website (and maybe your state health dept) have educational resources that...
  20. diabetes management

    Sounds like the meds need to be reviewed by the MD or a CDE. Being on insulin does not mean the patient is on the right insulin. Also, if the patient is eating very little, getting hypo at times,...
  21. State Surveys And Wound Care

    if you know and are following hospital policy you should not have to worry. Amazingly enough, the most frequent mistakes are the "simple" ones, like not washing hands before/after entering a room,...
  22. I hate night shift

    I worked nights for several years and adjusted by trying to maintain the "night" schedule during the rest of the week. But I did not have kids at home. My method of getting on days was to return to...
  23. License Renewal

    you can probably get a toll free number for the BON or go online to get your
  24. Swift Scrubbers Gas 'n
  25. personally I would seek the advice of an attorney as this is preventing you from earning a living. If it were that bad why did the BON let you keep your