ckalston

ckalston

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All Content by ckalston

  1. Hi, Couple of questions. First I am wanting to find out what a other facilities are doing in terms of nurse:patient ratios on their Acute Rehab units and their Med-Surg units. Second: What type of...
  2. Guys- what made you want to become a nurse?

    I had several reasons that made me chose nursing. First I wanted something that within 2 years I could make a difference in my salary, get into a field where there would always be work and to be able...
  3. Charge Nurse Role

    I recently became nurse manager of a med-surg unit that uses the primary nursing with a so called charge nurse. I say so-called because 21 patients will often have 3 nurses even with the charge taking...
  4. Male Nurses Gay!

    I have been in nursing for 11 years, married and have two grown kids. Never have been gay, don't need to be gay (not that I am against those who are). I have to say that I may be dense, but most of...
  5. What age were you when you went to nursing school?

    I was 28 when I got my ADN, 35 when I got my BSN and will be 43 when I complete my MSN/MBA
  6. just a question about Texas

    I live in the Hill Country (Kerrville). I use to live by Beaumont, then lived in West Texas (near Abilene) and I would have to say the Kerrville area is about the nicest area around. It does get hot,...
  7. Documenting post LMA removal

    We are having a discussion about how to properly document a patient who had their airway managed by the LMA vs. the ET tube. Half the group feels that regardless of the LMA or ET tube, the airway was...
  8. Documenting post LMA removal

    I am working on getting something like that in our computer. We are paperless in terms of charting and most of our charting is canned text (of course we can type patient notes). Right now our choices...
  9. We recently started labeling our IV pumps and other equipment used by the nursing units with large pieces of paper tied to a rubber band indicating that the equipment has been disinfected and ready to...
  10. Computer Charting in the OR, looking for users!

    Our hospital has been utilizing computer charting for the past 3 years in the OR, PACU, Nursing units and now in the ER. In the PACU and OR setting, we utilize MSM documentation while the remainder of...
  11. I am interested in knowing what different places do as far as having medications available for After Hours recovery. For example do you have Recovery Kits holding multiple medications or do you have...
  12. I have no problem when I see ICU nurse sitting outside patient's rooms doing whatever. My problem only occurs when I (as the house supervisor and on call recovery nurse) ask the 3 nurses sitting...
  13. Cancelle surgeries

    We had an incident where the patient was on the OR table and the MD happen to look at the CXR report which said patient had pneumonia. This was a patient that had been preoped as an outpatient,...
  14. Verbal Abuse from surgeons in the OR

    I had one instance when doing sedation for a patient that the MD asked me to help the tech with something. Ordinarily I don't mind doing things like that, but at that moment I was pushing drugs,...
  15. What part of the country uses RNFA's

    We have a RNFA in our facility with one more completing their education shortly. I think the problem they are having is with reimbursement. In other words who pays. The hospital feels that the nurse...
  16. I agree with you kyti. Very good
  17. I hear you Janet. It is hard to understand where one is coming from unless we walk in their shoes. We also cover all surgeons that are on call, so regardless of when your on call, someone will be...
  18. Thank you Dave, I was reading some of the criteria for admission to CRNA school and it reports that a minimum of one year acute care experience is require (it is up to the program what they call...
  19. Hi Janet, We are just now getting to par with enough staff to lighten the overall call. Prior to now, we had 3 nurses to take call for recovery room. That was over 10 days a month of call at time....
  20. Access to medications during Callbacks

    Thank you Janet. I had not really looked at this as a risk managment issue, but can see that your correct. I will look into things from this
  21. Hi, I would like to know the thoughts of the room on a RN with multiple years of PACU experience as opposed to ICU experience. Do you know if this experience is considered good enough to apply for...
  22. Access to medications during Callbacks

    During the day we have a Pyxis in the same area that we recover patients. We also have nurses working with us so if we can't leave the side of the patient, someone else will get us the medication....
  23. PACU- educational requirements

    I actually had limited experience in my first rotation through the PACU. I worked 2 years of Med-Surg, then 1 year of Special Procedures and then in PACU. I worked in PACU for about 2 years and then...
  24. Access to medications during Callbacks

    Thanks for the response. I totally agree with not being left alone with recovery patients, and the argument that has been given to us is the fact that the ICU nurses "are available" as needed. As you...