klone MSN, RN

Nurse Leader specializing in Labor & Delivery

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All Content by klone

  1. klone

    Labor as a spring board to acute care?

    Yes, you mean critical care, not acute care. I would say that if your heart is not in L&D, you would be doing you, your unit, and your patients a disservice by taking a position that you're...
  2. klone

    School Shootings

    There is a HUGE range between "five years" and
  3. klone

    Labor as a spring board to acute care?

    Define what you mean by "acute care" because I sense your definition is different from mine, or perhaps the rest of the
  4. Both of those locations, as well as many others, have a large number of American expats, and are much cheaper cost of living, so retirement dollars go a much longer
  5. klone

    Labor and Delivery Staffing Question

    I will tell you that absolutely, decreasing staffing levels is the top priority of the bean counters. Labor is the 1st, 2nd, and 3rd biggest expense to any facility. By a mile. They have blinders, and...
  6. klone

    Labor and Delivery Staffing Question

    Thank you. I try, and I think most of my staff respect me. I'm lucky that I have a very good boss (the CNO) who is able to see the big picture. Yes, our productivity index may not be as good as some...
  7. To me, being "comfortable" means no debt (including mortgage) and enough money to take a couple nice trips each year. We fantasize about retiring abroad, and moving to Porto, Portugal, or San Juan Del...
  8. klone

    Labor and Delivery Staffing Question

    I am the manager of an LDRPN and yes we absolutely do follow AWHONN's staffing guidelines. The only time a labor nurse has more than one patient is for cervical ripening. As soon as she's ROM'ed, or...
  9. klone

    Student loans killing me!! stressed!

    I'm sure he has a website, but I would recommend his book Total Money Nakeover. My husband and I read it together about 10 years ago. We changed our lifestyle and with the help of the book, we paid...
  10. klone

    Student loans killing me!! stressed!

    "Rice and beans" is a Dave Ramseyism that just means to eat frugally and simply, don't eat out, etc. He doesn't literally mean eat nothing but rice and beans (or ramen) and I'm guessing most people...
  11. klone

    School Shootings

    Freudian slip there,
  12. We are not talking about holding a medication. We are talking about changing the medication dosage. You can't just choose to do that without an order. See what I copied above directly from TJC. I'm...
  13. klone

    School Shootings

    You're drawing a direct correlation between removing religion from schools and the onset of moral decay. The point seemed pretty obvious to
  14. Officially, yes. Unless the order has the applicable wording from the post
  15. klone

    School Shootings

    Oh puleeze. A belief in a fictional deity is not needed for someone to be a good person, to have morals and values. What a disgustingly narrow-minded
  16. Yep. Hundreds of hospitals all over the country are non-compliant on this medication management topic. Our facility is tightening up our order sets right now in order to get into
  17. The same argument could be made for nurse wages in Alabama vs. San
  18. klone

    Student loans killing me!! stressed!

    Are we reading two different posts? Where on earth did you get "hate" from what he wrote? "Shame on you"
  19. klone

    Help! BON investigation

    The OP has not posted in a year. I doubt they will see
  20. klone

    new grad OB interview

    Absolutely second everything Ruby Vee said. As a new grad, they're not going to expect you to have any technical knowledge. But they will want to suss out your personality, reliability, ability to...
  21. klone

    Student loans killing me!! stressed!

    His "Total Money Makeover" is the secular version of his religious-based finance program (Financial Peace, I think it's called). TMM not religious. My atheist husband and I got a LOT of benefit from...
  22. klone

    School Shootings

    The problem with this story is it doesn't really have a basis in fact. James Holmes (Aurora theater shooting) - intact home Eric Harris (Columbine) - intact home Dylan Klebold (Columbine) - intact...
  23. klone

    PVT trick?

  24. TJC kind of touches on the topic
  25. You're wrong. They most certainly do get involved with "scope of practice" issues as they pertain to orders, how they're written, and how they're carried out. I'm not saying that they would get...