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Tait MSN, RN

Acute Care Cardiac, Education, Prof Practice

Content by Tait

  1. Good Morning, Georgia, about a year ago, I have now heard changed our salines from a medication to a device. TJC supports this as a device. Now comes the process of changing our salines from a scanned med, to a documented part of supplies. Looking for additional points of view on this to present to the task force. It is funny because last week when I Googled for this topic I found my own posts from 2011 where my previous hospital was loosing 1/2 a million a year in unscanned flushes. Some topics never die. Thank you for any input you can provide.
  2. Tait

    "Oh so you still have a job?"

    In a nutshell yes. But I also understand the level of stress our staff are under and my role only became official at the end of last year, though I had been doing it informally for nearly a year.
  3. Furloughs are rolling out, departments are being shut down, and the pressure is high. Having been an educator for over six years now I am used to being seen as "necessary but disposable". In my new role as a Manager of Professional Practice (nursing strategic planning/recognition/professional development planning) I was definitely feeling that vibe again yesterday as I walked amongst the units dropping off some self-care donations we had gotten. When COVID hit I was given the hospital educators to "direct", I am interim coordinator (which is looking like it will be more and more permanent every day) over the new grad nurses, I have organized and rolled out all education (with the educators) for cross-training, PPE changes, vetted innovations, helped modify policy after policy, reworked Code Blue, and sat on endless calls about everything under my umbrella and then some. I guess this is more of a vent than anything else. I am grateful my leadership team feels I add value to the team above the cost of my salary (I did discuss my willingness to furlough if it was felt to be the best choice, as well as recognized I may see a pay cut at some point) but I often don't know what to say to frustrated folks on the floor who just see their managers being furloughed and them being fed back to the hospital. Thanks for listening.
  4. Tait

    Orientation As A Semi-Experienced Nurse is Aggravating

    My first job was four years on a complex med/surg floor (non-titrated cardiac drips, insulin drips, whipples, pre-open heart, post cath etc). When I went to a new hospital after two years out with kiddos and school, and before I got my first education job, I was dropped onto day shift where I just followed the other nurse around, and then went into night shift. My first night my preceptor got pulled to charge on the cardiac PCU they planned to transfer me to later, and I got someone who did precept. She abandoned me until 6am when I was treating a hypoglycemic patient with juice and crackers and started railing on me for not using glucose gel. I was like "well I guess you should have been here to make sure I knew the appropriate protocols for this hospital." Take the time to make sure you vet out all the kinks in what works for this hospital, but I agree the swapping teams part way through the shift is not useful.
  5. Tait

    COVID Code Blue

    Forgive me if this has been discussed. I did a quick forum search and didn't see anything. I am curious how your facilities are handling COVID-19 codes. We are following the AHA guidelines from April ( https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047463 ) but we have had situations where a patient isn't COVID + , has coded, and then be found positive. This was all despite previous negative testing. Due to situations like this we have moved to managing ALL codes as COVID+ to prevent exposures. We are also draping our patients, which is causing the system to look at oxygen pooling fire hazard risk. I am curious to hear how other facilities are managing codes in general. Thank you
  6. Tait

    COVID Code Blue

    Today I was able to attend the code and it definitely was a cluster at the door, but honestly it looked better than our regular codes. We average 10-15 people in the room I swear. The last code put 13+ people at exposed. For this one I don't think we went over 8 in the room, which was 3 above our current protocol. Thankfully we don't have a lot of codes over all, but we are going to look at this one for learning. Ethics is also involved in how the system manages codes because truly we aren't doing everything as fast as we could with this process. As I told the nurse outside the door "Welcome to the spot between the rock and the hard place."
  7. Tait

    Saline Flushes - My Old As Dirt Question

    Thanks for this feedback. I will let you know how ours pans out. We meet in two weeks and I am trying to bring back persepctives from other facilities to help support our next steps. At this point it looks like we will be going to charging for flushes as part of "supply". So if you give an IV med you would charge for two flushes automatically (one for pre and post flush). We would have to look at other procedures however, like PICC line blood draws where you may need a lot more. I am pushing for them to stay in the Omnicell for safety and our accreditation folks have confirmed if deemed a medical device they can safely be in a nurses pocket or a locked WOW!, but we still need to keep them out of patients rooms so they can't use it access a line with something we didn't prescribe.
  8. Tait

    To All Nurse Preceptors:

    Well then I definitely sorry they weren't supporting you. We have to be on top of any new grad we think we are at risk of losing. New grads have the highest turnover and burnout of any group in that first year.
  9. Tait

    NURSING IS A TOXIC CAREER!

    That is why I have been working my way into administration and working with new grads for the past 10 years. Getting the chance to shape the future is my way of giving back and bolstering nursing as a career. Frustrating? Heck yes, but I feel good doing what I can.
  10. It's good to know that AllNurses hasn't changed much in the 10 years I have been wandering around.
  11. So I would have posted this in Allnurses Central, however my work computer blocks the site as "personal and networking" therefore I will just drop it off here. :) To those of you on wieght loss regiments, do you calculate (and if so how much) calories burned for a 12 hour shift? I have heard that you can't count calories burned at work because your body is used to it, therefore it has the calories figured in. However working nights and random days of the week I think my body is far from used to it. Also I am on a 1396 calories per day diet and have been dropping weight a little too rapidly, therefore my husband and I figured on work nights I should either up my calories to something like 1800 or try to calculate the amount of calories burned "roughly" (we are dieting for life style change and fertility, not short term). Tonight I calculated two hours of "slow walking" for about 240 calories which seems to have made me feel a little more full this evening. Any suggestions or ideas are appreciated. Tait
  12. Tait

    Off Cycle Hires

    I was just curious as to how many people out there work at facilities that have off-cycle hires. This means you come in as a new employee during an off week, meaning it isn't the regular hospital orientation. If so, do you bring in people every week, every other week? If you do have off cycle hires what is the process for them? Do they start on the floor and then come back for hospital orientation during the normal time? What about contract employees? Any details are helpful as I navigate this with my new job. Tait
  13. Tait

    taking the nclex as a community college student

    Maybe the OP meant TEAS?
  14. Tait

    Desperate for a PBDS guidance

    I had to look up what PBDS stood for and found this: http://www.medicalsolutions.com/wp-content/uploads/2013/12/PBDS-Testing-Guide.pdf Perhaps that helps?
  15. Tait

    Off Cycle Hires

    Thanks for the responses. The issue we are having, I work in education, is we do a one week (+ more if you count the endless CBL assignments people need to do) orientation each month. In addition to that we were doing a scheduled "off cycle" orientation plus then having the new hire come back for the next monthly orientation. Now it seems we get new hires every single week along with contract employees. This means we are basically orienting every week a group of 1-12 new employees, plus regular orientation, which lately has been 40-70 people, then on top of that doing all the tracking for mandatory CBLs plus education checklists, plus orientation checklists for the floors. So in the end we feel more like an Orientation Department than an Education Department.
  16. Tait

    Weird Slim Jim/Murse Commercial

    However it is propagating a lot of male stereotypes. That somehow those men aren't being men correctly.
  17. Tait

    Weird Slim Jim/Murse Commercial

    I guess I thought it was kinda funny. The "murse" thing was unnecessary in my opinion. They could have left that out and not sacrificed anything in the way of humor.
  18. Tait

    Night shift dinner time

    I always had cheese, those goofy applesauce packets kids eat (easy to eat and chart!), Special K protein drink in the morning keep me out of McDonald's, a Lean Cuisine for dinner, sometimes salad, and a Starbucks bottled Frappucino for my caffeine pick me up! I usually ate a snack around 11, dinner at 1:30ish, snack around 4/5, then the shake during report.
  19. [h=1]Robert Wood Johnson Foundation Announces $20 Million Grant to Support Nurse PhD Scientists [/h] [h=2]Future of Nursing Scholars program will help prepare nurses to get PhDs and become scientists, leaders, and faculty. [/h] http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2013/06/developing-a-new-generation-of-nurse-scientists--educators--and-.html
  20. Tait

    Dropping Magnet

    I worked beside, I advocate for the nursing population, and I got my MSN so I could advocate MORE for nurses. I think the issue most RNs have with MSN/NP etc etc is that they don't have much, if any bedside experience. Why? Because they are scared to do bedside, or they hate it so much they can't stay there. I think the bigger picture in all of this is that each nurse needs to do what they can to improve the state of their own existence which maybe, just maybe, will improve the environment for those so desperate to leave. Gypsy I think you are spot on in your endeavors, and I wish more seasoned nurses would get on track with this, especially with scholarships and reimbursement programs out there. For instance, the Robert Wood Johnson Foundation is looking to support 100 PhD nurses in 2014. Full tuition. Robert Wood Johnson Foundation Announces $20 Million Grant to Support Nurse PhD Scientists - Robert Wood Johnson Foundation Not trying to derail this thread into another battle of degree vs. degree, but I have already voiced my concerns over the original topic. Tait
  21. Tait

    Would you take the higher or lower stress job?

    The laser clinic sounds mind-numbingly boring to me. However, I just think about my practicum rotation in a neuro clinic where I sat and read magazines more than I had patient contact.
  22. Tait

    Dropping Magnet

    I worked in a wonderful Magnet hospital. While there were problems, as with all systems, I don't believe anyone considered Magnet to be something worth "dropping". Moving into 5th designation this year I fear mergers and changes may make this path difficult for them. In regards to someone who mentioned that their facility wasn't any different with or without Magnet, that there is the exact issue and most likely the reason the designation was lost. Magnet is a recognition for a culture of EBP, teamwork, and nursing led leadership. If it isn't there, then slapping Magnet on the door isn't going to bring it in. Tait PS. I was an ADN when I worked for this Magnet facility. It isn't all BSN, it is a goal of 80% BSN by 2020.
  23. Tait

    What Should We Call Nursing?

    This has probably been posted somewhere, but it's the first time I have seen it! Hilarious and reminds us we all deal with similar issues :) http://whatshouldwecallnursing.tumblr.com
  24. Tait

    When family refuses IV pain meds for cancer pt...?

    The palliative care consult order is not foreign, but I do believe that has changed in a lot of places recently. Two years ago when I was still bedside you didn't need an order. Recently during my practicum I learned that has changed.
  25. Tait

    When family refuses IV pain meds for cancer pt...?

    Check your policies but there should be no need for a doctors order to talk to the ethics committee. That would negate the purpose if the doc had control over it. Ethics committees are like any other admin in the hospital. Just as you don't need an order to talk to a manager, you should not need one for ethics. They are there to help you in JUST these kinds of situations. If an order is needed then there needs to be a policy rewrite! I would definitely fight for that palliative care consult as well.
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