RockyCreek

RockyCreek

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  1. staffing stradegies

    RockyCreek replied to RockyCreek's topic in Nurse Management

    Can I bring up another issue? In order to keep administration happy about budget compliance, we have had to do 4 hour staffing. This is NOT popular. Of course, we have to ask people to 'pick up' the...

  2. Patient Satisfaction scores

    RockyCreek replied to OCRN's topic in Nurse Management

    We use Press Ganey and, in addition to their standard questions, we added some of our own. Plus we look at every narrative written so we can see if there is anything that effects patient satisfaction...

  3. Patient Satisfaction scores

    RockyCreek replied to OCRN's topic in Nurse Management

    Hourly rounding -- I agree that this really works! We had to force people at first but now aides do the odd hours, nurses do the even hours and, if we don't want to wake someone, we leave notes on the...

  4. Surgical Nurses- Please help

    RockyCreek replied to Carla25's topic in Medical-Surgical

    I like the advice you have gotten so far -- I would just add a few extras: 1. Watch BP for the 'secret signs' of bleeding or pain. Not everyone will tell you how they feel so you have to be a...

  5. Reported to Manager; What do I do

    RockyCreek replied to nelcoy4's topic in General Nursing

    The age comment kinda funny to me. I am 54 years old [yikes!] and have been an RN for 22 years [OMG!] and I have yet to figure out how to be one of the nurses that gets to sit at the nurses station...

  6. 1st on scene of accident yesterday...what would you do?

    RockyCreek replied to 3sodapop's topic in General Nursing

    Sounds to me that you did all that anyone COULD do -- you sat them down, did an assessment and stayed on the scene. IMHO, the best thing anyone can do at a time like this is to be the voice of calm...

  7. paranoid schizophrenic w/auditory hallucinations

    RockyCreek posted a topic in Psychiatric

    Every week or so I have to admit a frequent flyer that comes in by ambulance hearing the voices that warn her that someone is going to kick het butt. Of course, she also has some vague medical...

  8. paranoid schizophrenic w/auditory hallucinations

    RockyCreek replied to RockyCreek's topic in Psychiatric

    Thanks for the info - you are absolutely right about our concerns about dealing with this lady. I am more afraid that I will do something wrong psychologically than medically. We do the million dollar...

  9. Do you get paid more being med-surg certified?

    RockyCreek replied to neatnurse30's topic in Medical-Surgical

    The only CMSRN at our hospital is the Nurse Educator but they are bringing a review course to our hospital for all the interested RNs. I don't know how many of us will be there but I signed

  10. nursing schools in Missouri

    RockyCreek replied to teague20's topic in General Nursing

    Some of the CNA's at my hospital are in a community college program in St. Louis [i think it is Jefferson County CC -- but I am not 100% sure] where you earn enough credits to sit for your LPN exam at...

  11. Is it normal to feel this way? ;)

    RockyCreek replied to ERNurse752's topic in Nurse Practitioners, NP

    I have had some time to think about things and I am thinking that I may have a better handle on the situation. I am a strong advocate for my patients but I have always been a 'team' player as an...

  12. Online CNS school

    RockyCreek replied to akanini's topic in Clinical Nurse Specialists, CNS

    I don't pretend to know everything about all the schools but, as far as I know, you WILL need to be an RN before becoming a CNS - that should apply whether it is an online or brick-and-mortar

  13. Is it normal to feel this way? ;)

    RockyCreek replied to ERNurse752's topic in Nurse Practitioners, NP

    No Orlando Bloom, no Johnny Depp ... heck, I can't even see a boat! Like you, I thought about this decision long and hard. I sat down and scribbled on pieces of paper for hours trying to figure out...

  14. Is ER For Me??

    RockyCreek replied to Katy-NursingStudent's topic in Emergency

    Back in the old 'black and white' admnistration [Catholic nuns as nurses], the Sisters would tell you were they saw you making the best fit -- and that is where you did 75% of your clinicals. I was...

  15. What exactly is a pyxis?

    RockyCreek replied to TraumaGirl1018's topic in Medical-Surgical

    In most cases, you will find the patient's profile medications listed under their name and room number. The override medications are variable to the flloor/unit where it is located and a list of those...

  16. What exactly is a pyxis?

    RockyCreek replied to TraumaGirl1018's topic in Medical-Surgical

    In an urgent/emergent situation, you can 'override' the patient profile and get a dose of medication not on the MAR -- for example, your MD may say to give Lasix 20mg IVP now and you can get it...

  17. i hate med-surg

    RockyCreek replied to uscstu4lfe's topic in General Nursing

    I went in the other direction: After 20+ years in CVICU, I decided to follow my dream of being a Nurse Educator. I went to a Med-Surg floor to see if I could still care for all those other types of...

  18. CMSRN - any effect?

    RockyCreek posted a topic in Medical-Surgical

    Our hospital is offering classes for the CMSRN exam but I have heard that everyone that takes the exam passes, it is not a value tool for improving or evaluating Med-Surg knowledge and it has not...

  19. Having major concerns going the FNP route....

    RockyCreek replied to jlcole45's topic in Nurse Practitioners, NP

    > OUCH! I just applied to one of those online NP programs! I certainly hope that I am well qualified and I know I will apply myself to the best of my ability but, if I feel that I am not cut out...

  20. wonder what the opinion is on the "new" ACLS guidelines

    RockyCreek replied to MassED's topic in Emergency

    Since the purchase of the new AED's, ACLS on the floor is not even mentioned. It seems that the machines are considered infallable but the nurses are! I asked to have the moniters back on the crash...

  21. FNP @ St. Louis University

    RockyCreek posted a topic in Nurse Practitioners, NP

    Graduates, students or staff -- I would like to hear real-life experiences from someone that is personally familiar this program. The SLU brochure is pretty and the website is slick but I wonder if it...

  22. Anyone pay cash for NP school?

    RockyCreek replied to Jo Dirt's topic in Nurse Practitioners, NP

    OMG! I wish my hospital was that generous! I am lucky to get $5K per year with a 6-months per check obligation. You are a very lucky

  23. chamberlin college

    RockyCreek replied to ohmeowzer RN's topic in General Nursing

    I am presently in the online program and I take two classes per session. There are two sessions per semester. This qualifies me to be called a full time student. The work load is challenging; good...

  24. Chamberlain On Line Bsn

    RockyCreek replied to maddienurse's topic in Online Distance Learning

    I am presently a student RN-BSN @ Chamberlain. It is expensive and I had to get student loans -- but the advisors helped with that part. You will only get as much out of the courses as you are willing...

  25. have you used chemical restraint?

    RockyCreek replied to diamondmeadows's topic in General Nursing

    Years ago, I had a gigantic, athletic man admitted to the ICU intubated and paralysed (Pavulon). He presented to the ER with a grossly broken nose and raging ETOH intoxication. The resident on duty,...