Ruffles 1

Ruffles 1

Med/surg, pediatrics, gi, gu,stepdown un

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All Content by Ruffles 1

  1. Shared Goverance

    What do you think about Shared Goverance in hospital settings? Has anyone attempted to try Shared Goverance at their hosptial? Does it work or is it just a way to keep nurses from forming unions?
  2. Shared Goverance

    I appreciate the comments concerning Shared Goverance. I feel the same as you do, we do not get to address the real problems like staffing, patient safety, wages etc. I think management is going to do what they want to do. I still am waiting for th...
  3. Shared Goverance

    We have just started Shared Goverance. I have not seen much change. The management has asked for our opinons on how to change some things that are a concern to accreditation. Scores on surveys etc. We are trying to follow best practices for our p...
  4. Wound care puzzle

    I wonder if you could try normal saline wet to dry dressings for this wound. You could pack it with the wet saline gauze and cover with a dry dressing. This also would help with debridement and be cost effective. It would help the wound heal from th...
  5. Telephone Triage Stories

    Triage is a different world for nursing. You have to know what questions to ask to get the information you need to help the patient . We have 3 great triage protocol books we use. Adult , Pediactric and Women's Health. I work in a rural clinic in...
  6. MAs call themselves Nurses at my office..opinions please?

    In my office where I work the MA's wear totally different colored scrubs from the LPN or RN's and our badges are clearly marked if we are MA's or RN's. Thanks
  7. Nursing, the field of medicine or customer service?

    I am sorry to hear about your illness too, Lamazeteacher. I hope you feel better and they figure out what is wrong. I am also sorry to hear ,you as a nurse, had such a bad experience. I feel people do understand their bodies better than we do, sinc...
  8. I wish we had charge nurses that would actually help with tasks. On my floor they also take patients so that they do not have to help other nurses with tasks. They apparently get paid more also. It is a shame that this happens more frequently than no...
  9. Concerned Dad !!!!

    I hope it works out for you chascal. I think your daughter should not have to change her major if she had already been accepted into the Nursing program. Go talk to the Dean of Nursing and have her push the issue.
  10. I agree that the CNA's do not realize how many times we do tech stuff that they are not aware of. I also get tired of the CNA's coming up to me and telling me the patient needs pain meds, when it is to early and I have already talked to the patient. ...
  11. I agree with you there is so much for a nurse to do that is why we have CNA's to help us. I always try to stay and help clean patients if I can. It is usually easier with 2 people than 1. Usually after you change the bed and turn them the CNA's can t...
  12. stressed..other nursing options??

    I think that every nurse who has worked the floors, has had these same issues. I feel that it is because most nurses are required to work 12 hour shifts, I feel this is unnecessary. I feel this leads to more burn-out, no time with your family, more a...
  13. I wish that both techs and nurses would get report on all the patients on the floor. I think than everyone would be aware who needs help and why. We have to get to a point of team work and help everyone.
  14. Concerned Dad !!!!

    I would think your daughter would not have any problem getting into a 2 year ADN program or LPN program at this point. She has not wasted 2 years. Maybe your daughter is also grandfathered into the program since she started before they decided to rai...
  15. Nurses, Clients and Power

    I agree with MoopleRN, the patient is the boss of their own care. I try not to make someone do something they don't want, but I do explain the conseuqences of refusing and we have sometimes made them sign a form for refusal of certain care.
  16. On the verge of quitting...

    I think the ADON needs to be "Fired". If she has time to harrass you while you are working she can come in and help you. It sounds like this may be some of her responsibility if she is giving you and the evening nurse such a hard time. I would confro...
  17. Technology in Nursing Staff Development

    I think powerpoints are great. More concise and not too much information. I think you still need to have some "hands on training". Everyone has different learning styles. Some people do not understand the computer or not enough computers are accessib...
  18. Nursing, the field of medicine or customer service?

    I am being to feel I should have gone into the business field, instead of nursing. The administrators are always telling us " the customer is always right" Stop calling our patients "customers" It really gives the wrong impression of what a hospital ...
  19. Charge nurse with less than a year RN experience???!!

    I feel that all the administrators, nurse managers and director of nursing only care about patient satisfaction. I had to sit for four hours and listen to how are patients have become "customers" We have to give them whatever they want. It is becomi...
  20. Pain is NOT subjective

    I agree that the drug seekers are ruining it for all of us. It is a shame that people abuse the system. I agree that some people really do have pain and suffer needlessly but others abuse the system. How can we help these drug seekers?
  21. performance based competency

    We have something we call skills day. We are requried to attend and go through several stations such as safety in x-ray, how to use O2 tanks, lifting patients, blood bank, how to report equipment failures. We also do the articles with questions. We g...
  22. I've made the decision to leave med-surg

    I am sorry to hear that MS was not your calling and you know that is okay. Good Luck in whatever you do next in nursing.
  23. Patient appointments, call them back to exam room

    I try to call them back as close to there appointment time as possible. The Doctors sometimes make them wait in the room for a long time. I feel this is bad public relations but what are you going to do. I do sometimes tell the patients that we had a...
  24. Medical Uniforms

    Our hospital is suggesting that we all wear Royal blue pants with white top or Royal blue scrubs. We have to purchase them ourselves. Cost can range from 30.00 to 60.00. Not including the Jackets which can range from 20.00 to 40.00. I think it depend...
  25. IV Lopressor...who can administer it?

    In our state of Missouri, LPN's are not allowed to give any IVP meds. I would also think that the patient would need to be on telemetry to monitor HR and BP, Ox Sat. etc.