I have found, with the chains, that it is local management, (regional and/or FA's) that can push for the niceties. One thing, though, is that the unit has to be performing financially to afford them....
Tweety and the others that supported him: Kudos for advocating for your patient. While I do not condone cleaning up a patient in the treatment area of a chronic unit, I do believe that the patient...
We would never have one nurse w/two patients. 1940nurse mentioned that above. I assume it was acutes and not in a chronic unit. We are fortunate to have adequate staffing with a few bad days here...
Whoa! Against state regs? What about state regs regarding the respect and dignity of the patient? What about the other patients comfort if there is an odor? We not only keep depends but also cheap...
Hi & Welcome. I don't believe that you are overstaffed. If you can still maintain a 3:1 ratio even when the on-call nurse is out of the unit doing an acute, I think you are fine. I believe it...
What a horrible situation to be in!!!! First, I don't know the size of your facility, but here are a few suggestions: 1. Check your employee handbook and see what it says re: terminations. Is there...
Hmmm...my attempt at showing you the format kind of failed. The short lines (name of care person) is centered over the longer lines (for station, patient name) and there is a larger space in the...
Ok, This may sound confusing, but it's not......Let me try to explain our staff assignment sheet. Been using this for many, many years and it works. First we have a patient schedule (excel...
There are several different assignment sheets out there. Tell me some things about what you definitely require in an assignment sheet. For example, do you want flexibility? Do you frequently have...
My facility uses the same procedure as that of Hellllllo Nurse. The bucket is half filled with a bleach/water solution (I believe it is a 3% solution) each morning. It is also labeled with the...
Per diem rates are generally the same for all of the same "class" of employees. Ex., all per diem RN's within a certain specialty, per diem LPN's. The higher rate comes with pros and cons. No...
You are very welcome! A 3x3 assignment is: Dialysis patients are done in shifts. In your case, the maximum number of patients per shift would be 20. There are generally either 3 or 4 shifts of...
Congratulations and welcome to the world of dialysis!!! Dialysis can always use RN's especially those with a strong nursing background. Your orientation/training sounds like it is what it should be....
Chronic units are staffed with a compliment of RN's, LPN's and patient care techs. A patient care assigment (actually dialyze the patient) is ideally a 3:1 ratio, but many times goes to 4:1. These...
In the big city, dialysis RN's generally make about $30/hr. The duties vary depending upon the individual unit. In chronic units nurses often have a patient care assignment along with medication...