klone MSN, RN

Nurse Leader specializing in Labor & Delivery

Member

  • Content

    14,857

  • Visitors

    131,132

  • Followers

    9

  • Likes

    8,026

All Content by klone

  1. klone

    Fentanyl only epidural

    klone replied to LPertgenRN's topic in Ob/Gyn

    When it's first placed, it's usually bolused with lidocaine or ropivicaine. The Fentanyl is typically the PCA med. And it's different than IV fentanyl in that less of it is in general circulation,...
  2. klone

    BSN's only can get a PHN in CA

    klone replied to geocachingRN's topic in General Nursing

    Zombie
  3. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    Come again? Not sure what you're trying to say
  4. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    I find those studies correlating higher patient satisfaction with poorer outcomes to be VERY
  5. klone

    Random Question

    klone replied to NurseEnvision's topic in General Nursing

    At the hospitals I've worked at, L&D has been on the 2nd floor, 5th floor, and 6th floor. Always adjacent to OR unless the unit has a dedicated
  6. klone

    CNM vs WHNP vs Having Both

    klone replied to JennaSnow's topic in Certified Nurse-Midwives, CNM

    The CNM has a broader scope of practice than the WHNP. They can do everything the WHNP can, plus do deliveries. If you're wanting to do deliveries, then IMO, getting a WHNP also is
  7. klone

    Drawing blood

    klone replied to MF123's topic in General Nursing

    Some of them have leur
  8. klone

    Can you cross train between L&D and the NICU?

    klone replied to JennaSnow's topic in General Nursing

    Yes, conceivably one could. Our facility is an LDRP with a Level II NICU in the nursery, so there is a small group of nurses who are trained in both L&D and NICU. In reality, I think it's likely...
  9. klone

    Joint Commission is like critical in laws

    klone replied to Emergent's topic in General Nursing

    The requirement is actually no UNCOVERED drinks at the nurses' station. Or, what Double Helix said above, sorry! What I've found is that every JC person has their own little things they nitpick at,...
  10. klone

    Drawing blood

    klone replied to MF123's topic in General Nursing

    Why on earth would you use a 60cc
  11. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    This is why we do a 10-minute group report first. All the really important stuff, and stuff that can't be shared at
  12. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    You think it's stupid to wake them, if waking them is the only way to accurately assess
  13. klone

    Watches

    klone replied to alwaysdreaming's topic in Scrubs, Uniforms, Gear

    Disregard the "sweeping" second hand requirement. They won't care. If they do, they can spend the $5,000 to buy you a Rolex if they
  14. klone

    C Section Post-Op Rx

    klone replied to Kooky Korky's topic in General Nursing

    Agree with Quazar. That was just ****** care. I'm sorry that happened to
  15. klone

    Makng the switch from inpatient ob to ob/gyn clinic

    klone replied to macalania54's topic in Ob/Gyn

    I don't remember that the learning curve was HUGE, but I did have to relearn certain lab values, immunization schedules, the pap algorithm. I learned a lot about the different classifications of...
  16. klone

    Does your postpartum unit assign acuity scores?

    klone posted a topic in Ob/Gyn

    If so, could you give me examples? We are in the process of revamping how we score our moms/babies, and I want to see how others do it.
  17. klone

    Makng the switch from inpatient ob to ob/gyn clinic

    klone replied to macalania54's topic in Ob/Gyn

    Four years ago I went from inpatient OB to an OB/Gyn clinic. I LOVED my time in outpatient care. I learned SO much! Not only being able to see the entire spectrum of pregnancy and what all happens,...
  18. klone

    Does your postpartum unit assign acuity scores?

    klone replied to klone's topic in Ob/Gyn

    Nobody here is suggesting that. Why wasn't the patient on mag protocol with hourly assessments? They can easily be on a PP floor as long as the nurse caring for the patient realizes they're not a...
  19. klone

    Can Nurse Assistant Managers and Nurse Managers work 3 days?

    klone replied to PrincessAlexis's topic in General Nursing

    Unlikely, unless they are job sharing, and they work separate days from each other. Managers have lots of meetings, and are typically expected to be there when administration is there (which is M-F...
  20. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    Then you're doing it wrong. You're not supposed to be talking about the patient like they're not there. You AND THE PATIENT are updating the oncoming nurse about the patient's status, goals for the...
  21. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    So is your nurse just not supposed to talk to you while providing you care, taking your vitals, etc? Whether or not you agree, bedside report does fall under incidental disclosure, and the law is...
  22. klone

    Pay for mandatory training

    klone replied to HeathChris's topic in Nurse Management

    My understanding of the law (which is quite possibly different in each state) is anything that is REQUIRED by the hospital must be paid by the hospital, including the hours to take the
  23. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    Bedside report falls under "incidental disclosure" with regards to HIPAA, and as long as reasonable precautions are taken (asking beforehand if patient wants family in room; or in the case of...
  24. klone

    Is this reasonable or just over the top?

    klone replied to Lakeshore18's topic in General Nursing

    I'm a fan of bedside report, but only when it's done right. First, the whole point of bedside report is to engage the patient in their care and their discharge planning. Thus, an effective bedside...
  25. klone

    NET

    klone replied to K9lover's topic in Patient, Colleague Relations

    Feel better