kayern

kayern

Medical Surgical & Nursing Manaagement

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All Content by kayern

  1. Interview Question

    kayern replied to special1rn's topic in Nurse Management

    Trend lightly especially if a staff member sits in on the interview. I suggest you use words I.e., my observation is but qualify it by saying something to the effect I haven't worked on that unit....

  2. "Do Nots" New to Administrative Role

    kayern replied to RNator's topic in Nurse Management

    As a nurse manager for 15 years one thing I won't do.......ask my staff to do something I would not do. I make sure I stay current with clinical practice so if necessary I can lend a hand....

  3. One Liner to Diffuse Escalating Situation With Patient

    kayern replied to Lev's topic in Patient, Colleague Relations

    First of all..........I've had multiple kidney stones........and three natural childbirths and I would take childbirth over the pain of a kidney stone. That being said, as another poster posted, pain...

  4. CVC dressing change

    kayern replied to drdonna's topic in General Nursing

    I manage a M/S Tele & Step-down unit, neither unit has had a CLABs in over 18 months. Gloves to remove the dressing, sterile gloves and mask to change dressing. We have biotin patches for...

  5. My preceptor is everything they taught us NOT to be...

    kayern replied to Live..&..Learn's topic in Patient, Colleague Relations

    Consider this.........a hospital that has such a sloppy nurse precepting maybe isn't the right hospital for you. I would have advised you from the onset to report some of the practices directly to...

  6. Per Magnet Directives, Nursing first Cleans Bodily Fluids, then Housekeeping

    kayern replied to taraytara's topic in Patient, Colleague Relations

    This has nothing to do with Magnet status! For goodness sake....get over yourself. Its everyone job to care for the patient and if that means keeping the environment clean and safe, so be it....

  7. I saw another nurse assault a patient

    kayern replied to morman's topic in Patient, Colleague Relations

    You have an ethical obligation to report it and do not do it anonymously, as some posters suggest. Institutions do not take anonymous tips/complaints as serious. That nurse went over the line and...

  8. New Grad Interviews - What should I take?

    kayern replied to Nurse Beth's topic in Career Advice Column

    And PLEASE research the institution that is interviewing you! Do your research........are they Magnet? Do they have awards? etc. I believe you should bring your transcript, we ask for it because...

  9. Will be finishing orientation and getting married - Can I request time off for honeymoon?

    kayern replied to Nurse Beth's topic in Career Advice Column

    I ask these types of question on interview.......Do you have any plans that may interfere with classroom orientation/clinical orientation? Write the response right on the interview papers. As a...

  10. Anticoagulant Preventing CVC Insert?

    kayern replied to betterinthesun's topic in MICU, SICU

    I think consideration needs to be given to the risks v. benefits. Wait because of the SQ for DVT prop v pressers to sustain life.........in my opinion = no brainer! I work in a cardiac care...

  11. Is it just me, or is this rude, sexist, and condescending?

    kayern replied to RNdynamic's topic in Patient, Colleague Relations

    Common courtesy....if you picked it up, you should put it down! Think of it this way....if you open a drawer, do you not close it? Perhaps your co-workers view it as being inconsiderate to them....

  12. Hiring experienced nurses vs hiring new graduates

    kayern replied to edogs334's topic in Nurse Management

    Can we agree to disagree? As a Manager who does a lot of hiring and interviewing, I would not expect an experienced nurse, say in L&D applying for M/S, to progress any differently than a new...

  13. Time to vent - my apologies in advance.

    kayern replied to Levitas's topic in Medical-Surgical

    The scenario you describe is not new! Unfortunately, M/S nurses spend a lot of time completing tasks, infusions, admissions, etc from the ED. I know in my institution, the ED nurses cringe when I...

  14. Hiring experienced nurses vs hiring new graduates

    kayern replied to edogs334's topic in Nurse Management

    What the rush? If your institution wants 2 years experience, then wait the full two years. Nurses are still acclimating to their units during the first 12 months. I will be honest with...

  15. Nurse Management

    kayern replied to madwife2002's topic in Nurse Management

    I agree with MrChicagoRN........the patient ALWAYS comes first. I expect my new grads to follow policies/procedures, know when to ask for help and be truthful/honest. I can and will teach them the...

  16. Charge nurse is a low performer!

    kayern replied to mfarmer88's topic in Nurse Management

    A few points to discuss..... What do the nurses say about her when she is in charge? Is she facilitating the flow of the unit? Does she make patient care rounds? What do the patients say about her?...

  17. Hiring experienced nurses vs hiring new graduates

    kayern replied to edogs334's topic in Nurse Management

    I actually prefer hiring new graduate! They are smart, enthusiastic and willing to learn. I work at an institution that only hires BSN with a GPA of >3.2. Our vacancy and turnover rate is very...

  18. From floor RN to Nurse Manager .. help.

    kayern replied to Cougar1113's topic in Nurse Management

    I've learned the hard way………….DO NOT PROMOTE FROM WITHIN THE UNIT!!!! Its almost impossible to separate the personal from the manager role. It took me three assistant nurse managers to find...

  19. What should be done?

    kayern replied to Emergent's topic in Nurse Management

    First....your friend is a nurse and she should know that when caring for patients she needs to be physically and mentally able to meet her patients needs. Obviously in this case she wasn't able to...

  20. Shift report sheet

    kayern replied to Keri Camp's topic in Medical-Surgical

    We use EPIC too. The SBAR tab, provided it is used appropriately is very good. Are you looking for something for you to take your own notes

  21. Next steps in my career? Cert's, suggestions, courses?? (burns/cardiac/CNS)

    kayern replied to Rn112389's topic in Medical-Surgical

    Medical Surgical is a SPECIALITY so get your certification in Med/Surg. ANCC and AMSN both offer a Med/Surg Certification. Certification validates the knowledge you've worked very hard to obtain,...

  22. rapid response team

    kayern replied to murse1015's topic in Medical-Surgical

    Too bad they were angry. You were advocating for your patient. I've been in many RRTs where a member of the RRT team questions the M/S nurse calling the RRT. Continue to go with your...

  23. Shift report sheet

    kayern replied to Keri Camp's topic in Medical-Surgical

    Is the institution on an electronic medical record? If so there should be an SBAR area. Your institution must have a report sheet that is universal throughout the hospital. What is your preceptor...

  24. Admitting you are wrong

    kayern replied to madwife2002's topic in General Nursing

    Here's a quote from a very wise man............my Dad I may not always be right......but.....I'm never wrong! Love & Miss you Dad

  25. Questions from a New Nurse

    kayern replied to Soliloquy's topic in Medical-Surgical

    First of all, that nurse should not be a preceptor if she indeed is impatient. My goodness, new nurses need nurturing not belittling. Yeah she may know all the answers but her job as a preceptor is...