maxthecat

maxthecat

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All Content by maxthecat

  1. Am I the Charge Nurse?

    I would not consider you a charge nurse, more like a resource nurse for the agency nurse. But you should check with your management for a definitive answer. I do think you should consider how you...
  2. When I was checking over a visit note from one of the doctors I came across the following: "Pt's mother states nurse never told her about pt's new medication." No other comment on this. Now if...
  3. I understand what you're saying, but sometimes families DO know better than the nurse. As a nurse, I have learned a lot from a few families over the years, especially when dealing with someone who...
  4. Patient Surveys..vent.

    I agree, these things are awful. But...as I understand it, our reimbursements are going to be tied to patient satisfaction scores, at least for Medicare. (And you know that the insurance companies...
  5. Am I cut out for the ED?

    I'm probably showing my age, and perhaps my prejudices, but I do not think new grads belong in either ICU or ER. Both areas require EXCELLENT assessment skills and the ability to act fast and...
  6. As others have said, there is real bullying that needs to be stamped out. But more and more I see people calling "bully" when all they're really dealing with is someone who is preoccupied or in a...
  7. The happy policy

    Maybe having a policy about this is something new, but I've been a nurse for 20 something years now and from the very beginning of my career I have had drilled into me by instructors and managers that...
  8. I am contemplating pursuing a masters in nursing education. I understand about probable pay cut, but I have always loved to teach and have been told I am good at it. However, I am an older nurse,...
  9. Sleeping on lunch break

    Since you are new, and since policies do vary, I would have thought they might have cut you some slack. On the other hand, since you are new and since policies do vary, you might have confirmed that...
  10. To highjack just slightly--Esme, are you saying that a nurse is also not able to file charges against a patient who physically assaults him or her because it would be a confidentiality violation?...
  11. Why would I expect thanks for doing my job? That's what I get paid to do. I've never "expected" thanks from patients, families, physicians, co-workers, or managers. It's not the job of my manager to...
  12. If I were you, I'd ask a few nurses who have worked there a while how they think your request would be received. Hospital cultures vary. At some facilities this kind of request from newbies is...
  13. Any happy psych nurses?

    I think six months is adequate time to decide if you should stay in psych. I think night shift offers fewer of what are considered rewarding parts of the job, such as leading groups, frequent one...
  14. Infant CPR while holding the baby on your arm...What?

    I was taught that you support the infant on your arm, head down, when there is a suspected foreign object you are trying to dislodge with back blows and chest thrusts. The sandwich position allows...
  15. Bipolar-Should I ask for ADA accomodations?

    If this is one of the lowest stress jobs in the hospital but you are still having problems keeping yourself stable, I would think it might be time to think about looking for a job that is 8-5 M-F,...
  16. very little patient interaction

    My hospital seems to value perfect paperwork over real interaction with patients and they keep adding a new form almost monthly, so it gets harder and harder to break away and be with patients....
  17. I don't think it has anything to do with whether the OP is a newish nurse or easily intimidated. I think it has everything to do with where she practices. I hope those of you who work where patient...
  18. Bipolar and going into nursing

    The advice to check with your state board of nursing is good. There is still a perception in some states that a nurse who has certain mental illnesses is an increased risk to patient safety and the...
  19. New grad-still wondering when to hold certain meds!

    All of us nurses on the unit I work on are currently on a "plan of correction." This is because a state surveyor found that nurses were holding meds with no written parameters based on the nurses...
  20. Consents for psychotropics

    Thanks, Davey Do. I appreciate your examples and explanations. Your process makes a lot more sense to me than ours
  21. Consents for psychotropics

    In my state staff is required to obtain consent before administering any psychotropic medication. For everyday practice, this works fine. The patient is given information about the medication,...
  22. WHY??

    You may not be doing hands-on patient care, but planning and preparing is considered work and legally you must be paid for that work. You as an individual may say, "but I won't make you pay me for...
  23. New grad starting out in the OR

    My impression is that most of the RN's in the OR started as Surgical Techs and then went back to school for their nursing degree. So they have a great advantage when they train for the nurse role,...
  24. Age of a Nurse

    I will need to work until I'm 70. But one thought haunts me. Twenty years ago, when I was starting my first nursing job, one of the nurses took me aside and said, "Look around. You will not see any...
  25. Showing empathy?

    Maybe something like, "That sounds scary (or whatever emotion) to me. How are you handling it? Is there anything I can do to help?" You mainly want to encourage them to do more talking than you,...