layna

Hello Everyone, We don't routinely give IV Fentanyl here for labor pain. A physician recently wanted one of our staff members to give this to her patient. The staff is not comfortable giving this to labor patients. Does your facility use Fentanyl ...

I have my BSN and would love to teach nursing someday. Can anyone recommend a good on line Masters program? Is there such thing as an on line PhD program?? Just curious, Layna

One more question: Do you do your own PKU's or does lab do it? If you do your own, is it a chargeable item? Thanks for your input- much appreciated! Layna

Wow, renerian! Would you please let me know which school you did this through? I already have my BSN...just need to get the MSN. Thank-you! Layna

Hi Everyone, I recently decided to leave my management position in OB to teach Allied Health in the local highschool. In the meantime, our hospital administration is looking to me for input on how the unit should be managed during these times of fin...

A supervisor may be the way to go for us. I am concerned that a charge nurse may not be enough for our unit (administrative duties would need to be loaded onto an already loaded director)...and then, what would happen on low census days when the cha...

A big part of the problem is that men and women solve problems differently. I have been involved in contract negotiations and am shocked at how little the nursing staff knows about their contracts...and when labor relations meetings are set up betwee...

I have learned a lot from the members on this board! People have been very helpful on here by sharing policies, opinions and by giving support. Thank-you!!!

Our Breast pump rep told me that our LPN can do the rentals. I checked with our risk manager who told me that our LPN can be trained to instruct a patient on how to use the pump (in a scripted fashion) but NO assessments should be done. If the pat...

Hi Everyone, I have some questions. Do you do eletric breast pump rentals? If yes, who gives them to the patients and instructs them on usage? Our breast pump rep tells me that in some hospitals, there are secretaries that do this. Our unit depar...

Choosing "Moonlight and Roses...or Daylight and Dishes"... chigap, I feel for you. Yes, you are right...it is the same everywhere. I have been reading these posts with much fascination, sadness and frustration. In previous posts on this board, I m...

LOL ainz :-) I have been in management for almost 2 years now and my post is based on my personal observation. Negativity is like a sickness that does not belong in a place where people need to heal. It is time for everyone to stop whining, to work...

Yes, we are worried about women suffering breast damage and then suing us by claiming that they were not properly instructed.

Lyn, How much is the program costing you and how long does it take to complete? Layna

Thanks to all of you for the input! I sure appreciate the help. I will check out your info on line.

Marks are great. I also believe that there should be extra credit avialable for the students that are motivated to go above and beyond their educational requirements- to serve as an example for the ones that aren't as motivated or that are too hesit...

How do we "bridge the gap" between administration and nursing staff? How do we teach nursing staff to become a group of people that analyse "process" versus just complaining about things that need to be changed? Both groups- administration and nurs...

ainz and SmilingBlueEyes have given beautiful advice. Self Motivation is what it takes to be a great nurse. No matter what sharks are swimming in the pool, it is ALWAYS about the patient. The PATIENT and her safety should always be your main focus...

The exception to my above statement is the person who is truly nocturnal. In my 14 year nursing career, I have only met two people like this. Good luck to you, inna! Layna

This is my experience as a nurse manager for the last 22 months: It is better for new people to start on dayshift where they can build on their OB knowledge and learn day to day operations while their are plenty of resources available such as physic...

I asked my senior RN's and they believed that a generous shift diff would be effective. I would like to get a hospital wide senior RN task force together to discuss this in order to know what would work best for all since we are unionized here.

Hello Everyone, I really need your input on an interesting approach to our night staffing. We are unionized and technically every RN with the exception of the highest senior RN is not entitled to a "patterned" schedule. Despite this fact, all hosp...

When and FIA caseworker requests a meconium collection on newborn of a mother with a drug history, do your docs order this? What do you tell the mother? Just curious. We are working on a protocol for this. I would appreciate any input. Thanks fo...

Wow, BBnurse...what a very tragic case. :-( I would really like to see your protocol. It sounds pretty comprehensive. We don't do the neonatal urine screens here. The MDS is ordered by the physician upon communication with CPS. The reason why...

Thanks so much for all of the input! RMH- I appreciate your asking lab about it. Our lab does the PKU and does not get reimbursed for buying the cards used. I was wondering how everyone else was managing this test to see what would work best. If yo...