SarahK73

Latest Activity

1. Heparin

   SarahK73 replied to YoungRN06's topic in Medical-Surgical

   Our policy is that anyone on a heparin or insulin drip need to have a dedicated line and a second line for

2. Medication Reconcilliation- An ER responsibility?

   SarahK73 replied to DJ-Adia's topic in Medical-Surgical

   JACHO standards for med-rec apply for ER patients as well. They have a obligation to ensure they have a complete list of medications, to the best of their ability (just like us on the floor). Our ER...

3. Difficult Employee...What do I do?

   SarahK73 replied to michael79's topic in Nurse Management

   UGGH!! I hate workers comp situations, there is nothing stickier. You should absolutely get your HR involved, she should have a work comp caseworker that you can be in contact with. I would set up a...

4. Questions for management

   SarahK73 replied to JoshuaAdamsRN's topic in Nurse Management

   i am a clinical manager for a 30 bed medical-surgical unit in a 140 bed hospital. i am responsible for 75 employees. the questions... 1) how are you accountable for the clinical practice of nursing...

5. Med Surg Staffing Standards - Are there any?

   SarahK73 replied to Ginger35's topic in Nurse Management

   I manage what used to be a 20 bed that is now a 30 bed med-surg unit. Our staffing matrix is 1:5 but we have been short staff so my night shift has been taking 1:6 occassionally with nurses aides to...

6. Rapid Response Team

   SarahK73 replied to pk1's topic in Nurse Management

   The purpose for the RRT team is to get your experience at the bedside and I know on my night shift it is VERY green! We are in a 130 bed hospital with ave census of 90-95 and have resp therapist and...

7. Taking Lunches, Not Clocking Out

   SarahK73 replied to kelbel's topic in Nurse Management

   I have worked in one facility that used the automatic deductions but the problem then became that there were several people who were abusing the "No Lunch" button when they clocked out. I have to...

8. Bad Rep for Med Surg

   SarahK73 replied to kellyskitties's topic in Medical-Surgical

   As a nurse manager in a med-surg unit I am saying AMEN to all of the above. I find it hard to entice new nurses who are seeking the glory and thrill of ICU and the warm fuzzies of Maternal-child. We...

9. The Uncertainty of it all

   SarahK73 replied to garciadiego's topic in Medical-Surgical

   I like you made the big jump from a long term care facility to a busy Med-surg unit in the hospital. I thought I was a great nurse and was confident in my 13 years of experience. Nothing really...

10. voice care reporting

    SarahK73 replied to pk1's topic in Nurse Management

    Call me old fashioned but I still like verbal report. The idea of getting report on a telephone sounds like a problem with meeting national safety goals related to hand-offs. We enourage and use SBAR...

11. New Managers - unit split to two

    SarahK73 replied to DEB52's topic in Nurse Management

    When I was hired we had 2 units that were both med-surg but one was ortho and the other oncology/dialysis. One clinical manager was covering both units. We split them, each of us taking one. It was...

12. new ADON help

    SarahK73 replied to Zar's topic in Nurse Management

    When I was DON I always kept my "Survey Ready Binder" with all the info that I would need when Surveyors walked in. I tried to update it every week atleast. You should be able to go to your states...

13. Question for Nurse Managers

    SarahK73 replied to glamgalRN's topic in Nurse Management

    When I am going through the hiring process I always ask if there are any scheduling concerns coming up. If I know about prearranged plans upfront it is not a problem with me. In fact I am probably...

14. Mothering?

    SarahK73 replied to DEB52's topic in Nurse Management

    I have done the method of throwing something away if it is out, it only took one maybe two times before they got the picture. I have even had a couple of people leave keys on the counter and I...

15. Going back to the bedside?

    SarahK73 replied to twarlik's topic in Nurse Management

    I had a mentor tell me when I first started in management to give it 2 years before would feel like I knew what I was doing. She ended up being right. 6 months is a little soon but life is to short...