classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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  1. Still on my soapbox

    I am not even sure MA's are allowed in acute care in Texas. Will have to look that up. I see many potential
  2. ER or OR that's the question...

    if you are looking for less patient interaction, but still want to care for them, then I suggest OR nursing. You will always be in demand, as are ER nurses. Your post sounds like you are not afraid of...
  3. In my area EVERYTHING regarding patient care is the responsiblity of the primary nurse, at least in getting it done. In an acute care setting each discipline will chart their intent or orders and when...
  4. go back and look at your OP. You are on the right track. What can a nurse do to assess, plan, intervene when a patient is depressed, anxious, threatening to harm self or others, under the influence of...
  5. declining vaccines

    Texas has adopted the CDC recommendations for vaccinations, which include the flu vaccine and TDaP. If a hospital is accredited by JCthe expectation is that students, contract, agencies, per...
  6. Med Aides and First RN Position

    Refer to your nurse practice act regarding delegation and supervision. I believe in most instances the MA is responsible for their own actions, but the RN should know how to delegate and supervise....
  7. What constitutes "comfort care" at your hospital?

    ChristineN: So if you do not have standing orders or protocol where is your documentation that you made the best decision for your patient? I would ask the Risk Manager or someone in Admin about this,...
  8. LPN with lapsed license

    You were wrong to "assume" that the BON would reinstate you. You always get proof, like a posting from their website. That said, you need to contact the BON and make arrangements to get this settled....
  9. What constitutes "comfort care" at your hospital?

    please be sure you have orders specifying what is to be done or not done, unless your facility has a policy. You bring up a good point - that people may consider different things as comfort measures....
  10. Constant worries about getting reported to BON one day

    the time between event and formal charges can be due to so many things. That is really not the issue. The issue is focusing on doing the best, and safest, thing you can do for your patient and...
  11. Marijuana and nursing

    I have never thought of random testing as an example of distrust. I still think it is better than expecting drunks and druggies to be professional enough to stay home when impaired. As long as...
  12. Certifications

    I wrote this on another post, but will do so again for emphasis. We do not look at advanced certs for new grads when we hire. We know they do not really have the background to do the codes...
  13. Marketing Yourself

    THis probably varies from place to place, but our facility does not even look at advanced certifications like ACLS for new grads. We know they do not have the background to really understand it. We...
  14. Microbiology online?

    please define what your school labels as "hybrid". Some online, some lab, some
  15. Can nurses have artifical nails?

    My Infection Control nurse tells me that JC does not favor any nails that are longer than 1/4 inch from tip of finger and no polish that cannot be removed with acetone. No artificial nails in our...
  16. The 12 mcg Fentanyl patch(vent)

    I agree with iluvgusgus. No reason it needs to be clear. If I need fentanyl I do not care if the patch is NEON
  17. Marijuana and nursing

    I do not know why random tests are "crazy". It is not like someone is going to confess to being impaired. The risk for public safety outweighs personal rights in this situation - and, believe me, I am...
  18. Burnt Out RN

    I agree with GrnTea and HouTx both. There are a lot of variables and managers will be able to give you insight to specific problems and how they are best
  19. Burnt Out RN

    Consider this quote: " I am slowly becoming a convert to the principle that you can't motivate people to do things, you can only de-motivate them. The primary job of the manager is not to empower, but...
  20. Priority is what is going on NOW that needs to be fixed. Delegation is whos is LEGALLY capable of doing this task. Assignment is who is LEGALLY allowed by scope of practice to do this
  21. Nursing School changing criteria to pass classes

    This might be a state requirement or it might be the school is trying to ascertain that more students pass NCLEX after graduation. Does not matter - you are aiming for the highest grade possible...
  22. night shift supervisor to staff development/QA

    I think you might have a good goal. My graduate program taught me how to write curricula and do the other adult teaching things you need. In the meanwhile, you can become an instructor for various...
  23. Feeling sick over this

    Agree with above posts. A study partner might help, but only if that person agrees to STUDY, not chit
  24. how many feel like me

    Hang in there. One day it will be worth it. Quote from Abraham Lincoln (which I found refreshingly contemporary) " Things may come to those who wait, but only the things left by those who
  25. Oh oh! Not again...

    Yep. And I spiked it in the medication room so it had to be closed and re-stocked after cleaning. Not the way to make