Nurse Beth MSN

Tele, ICU, Staff Development

Hi! Nice to meet you! I especially love helping new nurses. I am currently a nurse writer with a background in Staff Development, Telemetry and ICU.

Career Columnist / Author

All Content by Nurse Beth

  1. Nurse Beth

    What's the Difference Between Right-To-Work and At-Will employment?

    Nurse Beth posted a topic in General Nursing

    What does At-Will mean to a working nurse? These are important labor terms to understand, and they vary state-to-state but still not sure what it all means to
  2. Nurse Beth

    Reported to the NPDB

    Nurse Beth posted a topic in Career Advice Column

    Dear Nurse Beth, I was reported to the NPDB. Any advice on what jobs to apply for. My license is with out stipulations. Dear Reported, The NPDB is the National Practitioner Data Bank. It's a federal...
  3. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    I was an LVN before becoming an RN and I've worked with many wonderful LVNs. In California, the scope of LVNs is limited. They work under the supervision of an RN when it comes to assessments and...
  4. Nurse Beth

    Terminated After 8 Weeks X 2

    Nurse Beth posted a topic in Career Advice Column

    Dear Nurse Beth, I'm a stale new grad. I have been very unsuccessful in my first year. I've had two new grad nurse positions in the hospital, both of which only lasted 8 weeks. In both positions, I...
  5. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    It's exactly how I felt talking to my colleague- a smart, incredibly good ED nurse- who voted against safe staffing. It's a David and Goliath fight, but once your eyes are opened, there's no going...
  6. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    Interesting! I talked to a colleague of mine who was working in MA at the time and voted against the safe staffing. I was aghast. But she was convinced hospitals and mental health services would...
  7. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    @klone Thanks for sharing. I still believe ratios is the best first step like @Daisy4RN said, but It is so nice to hear a positive experience. This is how it should be- working together with mutual...
  8. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    I know but I think it takes perseverance. Also, if i'm not mistaken, MA did not allow for much of an implementation
  9. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    That is great, I wonder what the difference is Illinois and other states that it doesn't work. It seems Oregon's law is very structured with reporting requirements if hospitals do not follow their...
  10. Nurse Beth

    CEO Says More Nurses Won't Improve Care

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    Correct, I will change the language to say "only CA has mandated nurse-patient ratios". Oregon has Staffing Committees which, when run as intended, allow nurses to have a say in staffing plans....
  11. Nurse Beth

    What's the Difference Between Right-To-Work and At-Will employment?

    Nurse Beth replied to Nurse Beth's topic in General Nursing

    Ashley moved to Texas from Illinois to take a job in a surgical ICU. It was a challenging transition from her previous job in a StepDown unit, but Ashley welcomed the change. Halfway into her...
  12. Nurse Beth

    When Nurses Make Fatal Mistakes

    Nurse Beth posted a topic in General Nursing

    Jessica's StoryJessica was a young, conscientious nurse in her first year of nursing. Jessica was having a typically busy day on Tele. One of her patients, a middle-aged male in Room 4152, was on a...
  13. Nurse Beth

    how often do you chart a note and PRIORITIZATION

    Nurse Beth replied to direw0lf's topic in General Nursing

    My hospital also discourages notes, as reports can't pull free text. Most likely it's not policy, it's fake news. Typically, during a survey or following an incident, someone in authority with poor...
  14. Nurse Beth

    PACU or Acute/Progressive Trauma Floor as a new grad?

    Nurse Beth replied to stephpdx's topic in Nursing Career

    You will gain more skills on the progressive unit than you will in PACU. Go broad to narrow- lay your foundation, then specialize after that. Best
  15. Nurse Beth

    Thinking of changing careers from business to medicine field. Need some advice please?

    Nurse Beth replied to Gail92's topic in Nursing Career

    Agree completely with @TriciaJ. At your late twenties, you age is a benefit. Best of luck
  16. Nurse Beth

    One step closer to retirement

    Nurse Beth replied to llg's topic in Nursing Career

    Congratulations! I'm also thinking 2021....when things get frustrating at work, it gives me perspective and a bit more
  17. Nurse Beth

    New Grad RN...Needing Job Advice!!!

    Nurse Beth replied to DH1234's topic in Nursing Career

    Send a brief thank you to the manager, thanking her for the opportunity to do clinical rotations on her unit. Name one thing you really appreciated about the unit, and if any one person has been...
  18. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    Acuity is high everywhere in acute care. I'm sorry for your experience. Nurses still need to be held accountable to best practice and standards. Ratios don't cure subpar performance or lack of...
  19. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    Staffing committees are like the fox guarding the hen
  20. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    Management is not accountable to Boards of Nursing or Medicine. The only way hospitals will be held accountable to ratios is when ratios are made law. So far this has only happened in
  21. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    Charge nurses do not take pt care assignments The lift team is on duty 24/7 and they are called to help with lifts and
  22. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    ED in CA is 1:4. I don't work ED, but on our 4e bed Tele, we have 2 secretaries on day shift, 2 dedicated monitor techs, 2 charge nurses, a lift team, a clinical pharmacist and 3-4
  23. Nurse Beth

    Another Tragedy at Vanderbilt

    Nurse Beth posted a topic in General Nursing

    Vanderbilt is having a rough patch. First the lethal Vecuronium error and now a "never event". A woman at Vanderbilt undergoing kidney surgery suffered a wrong-site surgery to her kidney- a "never...
  24. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    @traumaRUsWow, that is terrible care. You might as well have been home. I'm confused- because you don't have mandated ratios in
  25. Nurse Beth

    Safe Staffing Levels for In-hospital Nursing Units

    Nurse Beth replied to NURS5870's topic in Activism, Healthcare

    As a nurse in CA, with mandated nurse-patient ratios, I support safe staffing through ratios. I'm always surprised when nurses themselves do not support nurse-patient ratios. It seems as long as we...