Luv Nursing

I'm a nurse in the state of Maryland. There's been an on-ging debate - situation regarding utilizing a pharmacy tech in the hospital. The pharmacy tech, who was grandfathered in by the pharmacist, has a key to the pharmacy, is physicially in the ph...

I know this sounds silly, but I need to find out if RN's with demonstrated comepetencies, can set up BIPAP, or do they need a special cert? Having a dispute with RT and can't find specific info in Maryland Nurse Practice Act or in COMAR to support o...

Thank you so much for your insight. I felt like it was a "silly" question because to me, it's a no brainer for the reasons you pointed out in your post. There are Respiratory Nurses, you have home health nurses taking care of BIPAP, nurses manage ve...

I understand completely what you are saying. Document, document, document and do everything you can to protect yourself. Is it not crazy we have a mojor nursing shortage and yet EVERYWHERE, there is a hiring freeze going on. There have to be polic...

Thank you so much guys for your responses so far. In answer to your questions, the Pharmacist "doesn't have to work" meaning he is doing us a favor because he doesn't need the $...and Risk Management is a totally different issue. Our Risk manager i...

I'm dying to know how things turned out. As a Nurse Manager, my first thing would be to remind everyone "involved" that incident reports are not punitive, but a way to evaluate for possibly a system proccess flaw. (Of course, if you have one person...

My God! You can't possibly stay there, forget your license, your physical being is obviously at risk! I cannot fathom any agency allowing their staff to be subjected to this. I would start looking at regulatory agencies for support, quick! Good l...

I'm requesting info from any nurse/nurse manager regarding the Nurse/patient ratio for your unit on days/nights for nurses and CNA's. I'm especially interested in Medical Surgical Units, step down units, ICU's. And if anyone has a unit that is termed...

Hey ya'll, I'm actually an acute unit manager but I'm having difficulty with a physician that involves LTC. This physcian refuses to write medication orders on the In-patient hospital physician discharge orders form. He writes next to the medicatio...

I've posted before regarding needing something concrete, so I can see we are all in the same boat. I've develped some spreadsheets I use for personal uses, that all me to show a more clear picture as to what the staffing vs. census/acuity is. Of cour...

Dear Beachlover, You're not rambling, you're venting to keep your sanity so you can go face another day.....somehthing nurses everywhere understand. Here's another thought for you and for Melinurse, Come October...CMS guidelines will go into effect...

Quick thought- I totally understand where you are coming from, and trust me, your department manager doesn't like nor much less agree with staffing from a budget perspective, but budgets do have to be taken into consideration. For instance, is there...

Dear Talino, Outstanding and THANK YOU!!

I manage a Med Surg unit in name, but we are in reality a PCU as we keep cardiac drips and insulin infusions. Since taking over as the manager, I've instituted a 1 nurse to 6 patient ratio for both days and nights. I've done both shifts, as a floo...

Pyxis are great! The pyxis is a large unit that houses anything you want it to- medications, narcotics, supplies, etc. The purpose of the pyxis is to provide a point of service billing for whatever is pulled out. When you pull an item out, it is d...

Thank you to everyone who's given me some great suggestions. Please keep them coming. I had already spoke to the Medical Director, the Medical Director had spoke to the Physician, and unfortunately, our Physicians are rarely (if ever) "forced" to d...

Looking for some help... As I've noted before, we are a Med surg unit, one floor hospital so we operate really as a PCU. Due to reconstruction of our nursing home, we've also got a few skilled patients, and of course admin ( and by that, I mean HR s...

I'm reaching out to RN's who are currently praticing in rural areas of Texas, community hospitals and such. I'm looking to relocate to my grandomother's house/property, but need to know how the cost of living and general pay for an RN of my experie...

Question for the Case Managers praticing in the state of Maryland. At our hospital, our Social Worker (official title is Patient Care Coordinator) has just been informed by the new HIM director, that she has been doing her job wrong. In addition to d...