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job change was a HUGE mistake... now what? Nurse Manager advice?
Well, Had you worked the entire notice, I think you would be able to get it back, but leaving a unit high and dry without the proper notice I think it will be pretty difficult. No offense to you but I would not hire anyone back that left me without a proper notice.
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Should spelling count?
I try to avoid spelling mistakes but we always get a chuckle at the non medical admissons folks when they put in a diagnosis on a patient. A few examples we got were: 1. Acistaly for Asystole 2. Sinkopee for Syncope 3. Unstable lady parts for unstable angina although thats technically not a mispelling. 4. And my favorite mursaw for MRSA And yes spelling should count as others have posted there are too many tests, drugs and other things that are very similar out there.
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hospitalists clashing and nurses stuck in the middle
You cannot force someone to stay on the unit, you cannot force someone to remove their pca, you cannot force someone to have their iv removed. The best thing in this case is to have a policy in place. You then instruct the patient on the policy with another nurse or manager present and document, document and document some more. If they choose not to comply that is their issue and they would not have a leg to stand on if it went to court.
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Certification - worth it?
My hospital reimburses for the class and the certification if you pass. They also give us a dollar an hour extra paid quarterly so its a nice little bonus check. So to me it was worth it.
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Yelled at yet again
Im a male nurse and I get yelled at once and only one by any physician. If I get yelled at I interrupt them and inform them that I am a professional adult and have a college degree just like they have a college degree and we are both in our jobs for the best interest of our patients and unless they choose to treat me with some respect then our conversation is over and my next conversation will be with administration and the chief of staff. While its wrong in the first place for them to yell, scream or hollar like a little 2 year old who didnt get their piece of candy, nurses need to step up and stand up for themselves.
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called me a maid
Hmm, Ive been called Doctor, bellhop, doorman and many of the colorful names. I will do whatever I can to help my patients except for cleaning up biological spills. Yes I will get a towel, washcloth etc to surface clean but Environmental service has to do the rest. A facility I worked at previously tried to write me up for it so i called OSHA and informed them that this facility was trying to mandate me use hazardous chemicals that I was not proplerly trained on nor would i use frequently enough to maintain an acceptable competancy of and low and behold the facility dropped the writeup. Needless to say I dont work there anymore by my choice. But back to the maid stuff, when I get called anything but a nurse I gently remind them that I am a nurse and would appreciate them either asking for me by name or my title for any of their needs.
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Are you working all the holidays because you're new?!?
A lot of our nurses split shifts for the holidays that way no one is left out. One nurse works the first half and another works the second half. Works out pretty good and everyone gets to spend time with their famalies.
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Kayexalate + Hyperkalemia
I hope now that the K is 3.5 you guys stopped it. Nothing like bottoming (pun intended) :wink2: out that level.
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WWYD RE: Issues with another nurse?
I would say the following. "Ive noticed that you do not appear interested or engaged in the information that I am trying to give you on Mr. Smith. Because of this, I feel that Mr. Smith's care and safety may not be provided at the level that you or I would want for ourselves or our families if we or they were in his position. What I need from you is your undivided attention so that I can relay this important information." And then after she cooled down a bit I would then ask "Is there something in the way I present my report that is not satisfactory to you? Please let me know as I am a newer nurse and would love to learn from your experience."
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PCCN Review Information Needed Please
I took it in oct of this month and passed. Was a very difficult test. We had an inhouse PCCN review in August and I studied David Woodruffs course as well.
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patient ratio
4 to 1 Rn to patient ratio Max 5-1 on days and 5-1 max 6-1 on nights. NO exceptions unless absolutely necessary, we will hold patients or close beds if necessary. We normally have 2-3 techs and 1-2 us on days and 2 techs, 1 us on nights with a dedicated 3 team cct team. I work in a 24 bed tele unit we take a little bit of everything except post surgical unless ther is absolutely no other room.
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Subservient charge nurse
No, No, No....If you want to get all even, especially on the night shift,what you do is offer to pour his nice little soda over a nice cup of ice and then squirt about 10mg of lasix in there. Watch him start squirming in a little bit. Also works for nasty charge nurses, managers or whomever else you feel needs a little kick.
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Mandatory Overtime
Do your units not have managers? If we are short we pull from another unit, close beds or the manager works. I do not ever believe in mandatory OT. The day my hospital tells me I have have to stay will be the last day I work for them.
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Dr mad at me/I am upset, dont know hat to think
Well my motto is and always will be. He/She will get over it or they will die mad at me. Chalk it up to a learning experience. As others have mentioned. Unless you feel someone is going to deteriorate to a condition that requires some serious drugs/treatments etc. to keep them alive, I would have checked with the charge nurse to see if anyone else needs to speak with the MD. If not it can wait, if so then you cover it all in one call. I like to thank my doctors for their thoughtful constructive criticism when they raise their voice to me. It either a.)makes them madder at me or b) realize they were an a** for raising their voice to me and apologize. Either way im ok with it. I have a job to do and so do they. When mutual respect is earned patient care and satisfaction rise tremendously.