debthern

We have to have an anesthesia note signed before our patients can be discharged but it has nothing to do with our practice it is because if it is not signed medicare will not pay

We have an interesting call situation during the week in that we are on call Mon-Fri for the full week, we get paid for 40 hours and work in the unit 2 6 hour shifts during the day and then are on call at night, we also have a night shift Mon-Thurs so in less one of the them calls off your chances of working are pretty slim. Weekends we do night shift call and get $3 an hour for being on call and our call time starts the minute we are called, we have one hour to arrive at work and get paid at least 2 hours pay no longer how long we are there:nurse:

we recently went to computer and while I have gotten used to it I still feel that patient care is suffering

:chuckle omg this is exactly what I say a dozen times a day and then they fall back to sleep and wake up and say when am I going to have my operation

guess I am a little confused about the no verbal/telephone orders...is the doctor supposed to get up in the middle of the night and drive to the hospital to write an order? You would have alot of people needed meds cause I can tell you the docs I work with would say see you in the morning.

All of our drugs are ordered based on patient weight not age but if you are taking a phone order you should know what the safe dose is...We don't take verbal orders but we do take phone orders but need another nurse to verify what the doctor said if it's a narc.

we are assigned 2 nurses for each 3 slots we alternate who gets a pt and example is nurse a and b are in slot 1,2,3 nurse a gets slot 1 and nurse b slot 3 nurse a gets a pt and they both get the patient settled, then nurse b will get one which they both settle then we use slot 2 for the overflow and the nurse that is able to take that patient does. We also have PICU patients which are 1/1. We also do phase1 and phase2 in the same slot so you might have an ICU patient and your partner a MRI so they of course take the 2nd pt. Remember that standards say Phase 1 pts are 1/2 ratio

Our pediatric PACU was informed that we would begin pulling sheaths at the bedside and no longer in the Cath lab is this appropriate? Is it done in other hospitals? Are the patients still sedated as ours will not be? HELP!!!

our hospital has all the manuals on the intranet it's under Policy and Procedures. Good luck

We use lmx4 in our preop dept and also use lidocaine depends on how old the patient is

Sorry to vent but we started computer charting today and it was horrible we were totally unprepared and had to put the OR on hold more then once...

we have clinical ladder at our work we get 10% for each of the two steps...it was some extra work but not that bad and definitely worth the extra pay

We have a care team here that the families can call...it isn't our Code team but a team that comes and evaluates

we have cna's who transport all patients if they are not on a monitor, do not have an epidural or a chest tube...of course the nurse transport the icu patients

something we do is we assign 2 nurses to 3 bays which allows you to put a more experienced nurse with a less experienced one...

I am actually home today because I got called off. They post all these extra shifts and then cancel people so go figure...they do try to let people work their alloted numbers of hours so I think they try to be fair but they will not let us sign up that we would like to have a day off which makes no sense to me...I mean let someone who wants to be off be off and someone who wants to work work

one night i was on call and feeling grumpy for getting called in to recover a patient Turns out she was a 90 year old woman who had fallen and broken her hip....she put her hand on my cheek and said thank you honey, you have a kind face..

you would think but we don't even though we take down the curtains we leave the stuff:banghead:

we have gone so far that now we are taking the curtain in the room down after a contact isolation has been in there...do you keep or discard the supplies in the room?

we allow our parents to climb in bed with their kids and even transport them from the pacu to their rooms with both in the bed I walked in a room once of an infant and the unmarried teenage parents were going at it in the pull out chair...sent dad home:bugeyes:

Don't feel bad I went in to talk to my boss about moving up the clinical ladder and she used it as an opportunity to tell me that others were complaining to her about my negative attitude...nothing she had seen mind you just that I was negative and the department has too much negativity...I am one of the main precepters in our department as well as the head team leader so I asked around and no one would admit to it but I do have my suspicions as to who it was if it really happened...this is a new manager and she definitely plays favorites with the people she has hired but that's life and I wear my big girl panties most days...this has nothing to do with my evaluation and she said it was counseling she just wanted me to know cause she doesn't want other people to say look she's got a bad attitude and she's an RNII...this from the same manager who found one of her buddies asleep and did nothing

I quit wearing mine when my foot stuck to the floor and I nearly fell to the ground...have noticed several other people with the same problem...

what about sheepskin for her to lie or sit on? There are those cushions that take the pressure off the coccyx that leave it open and are covered with sheepskin.

I was gonna recommend rosetta too...I have been using it but it is on my public libraries website

we get 75 for an inhouse transfer and 150 for a new hire and that's for 8 weeks of orientation