kayern

kayern

Medical Surgical & Nursing Manaagement

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All Content by kayern

  1. Something not right

    I hear you but don't take it personally, perhaps the posters are only trying to get the point across like the previous poster.......jobs are scarce for LPNs. Actually, in the area where I practice...
  2. Advice needed: handling employee complaints

    I just viewed a webinar about changing the culture on a unit. The one point that made an impression was not holding staff 100% accountable, but holding them 200% accountable..........100% for...
  3. First of all, understand what incident reports are: They are intended for tracking and trending. Secondly, whatever the med error, and you state, this is not the first one, you are not tattling but...
  4. Salary request

    Do your homework. Research the institution.......are they Magnet, if so KNOW what Magnet means! Statistics, specalities, etc. Be able to speak to patient satisfaction, strategies to decrease LOS....
  5. As the other posters stated, you probably won't hear from them. The lesson to be learned is two fold........repeat to the scheduler the date and time and IMMEDIATELY put it in your...
  6. Dating former patient

    Not the best idea for several reasons. One he was a patient and you know about his hospitalization, two you state he went through a break-up and ended up being treated for depression about a year...
  7. New RN how to 'manage' CNAs

    First and foremost, everyone needs to be polite and leave their attitudes at the double doors. We are all at work for one purpose....the patients. With that being said I tell my new nurses as well...
  8. Undermined by administration

    Learn from the experience. Go out and look for another Management job. Good
  9. Appropriate Notice for Resignation

    Rule of thumb...........provide as much notice as you have vacation time. If you have two weeks vacation, give two weeks, three weeks vacation time, give three weeks and so on and so on. But...
  10. Undermined by administration

    I can only comment on the ADON comment since I am not familiar with LPN licensure. In order to have a cohesive workplace, Management MUST portray a united front. What she did absolutely undermined...
  11. Most institutions here in the metropolitan NY area will just verify your employment and how long you worked there. Some institutions will answer a question, i.e., eligible for rehire. I'm not sure...
  12. Fired during probation... what now-- more than 1 yr RN

    Ok, this maybe hard to hear but you are so much better off out of that place. First of all preceptors should not have power! How was she trained and who selected her????? Where in the world was...
  13. Good day today :)

    I'm happy you got good feedback and helped you through a difficult day. One thing to keep in mind is that if your ancillary can see you're having a tuff day so can your patients and that can lead to...
  14. Call Ins. Again

    Here's what we do: RN weekend call-ins = the following schedule and extra weekend day is schedule = payback Ancillary do not have to make up weekends All call ins need to be received by the...
  15. How do they rationalize staffing??...

    First.......are your ICU patients truly ICU patients?????I would have to guess no! Are they intubated? On multiple pressers? I truly believe that if a M/S unit was down to one patient, it would not...
  16. Foley Catheter Lubrication

    the instructor isn't exactly 100% correct. I'm hoping the instructor was professional enough to "get in their face" away from the patient care area! You don't say if the patient was a male or female....
  17. Study Guide book for ANCC Med Surg Exam

    I used that and the AMSN review questions (I know your taking the ANCC exam). The review questions were good because of the rationales which was another way to review. I studied and took the exam...
  18. Which Job to take?

    Both will probably prepare you and assist in achieving your goal as CNO. You say nothing about the ANM hospital other than an ideal location. Is that hospital a Magnet institution, is there room for...
  19. Staff meet and greet

    Ask them about the unit, how long they've been there, etc. I would also ask where they would like to the see unit going in the next 1-3
  20. Managers? How many hats do you wear?

    I have 24/7 responsibility for my unit. Daily activities, budget, personnel management, hiring, administrative, supervisory,you name it I do it! I feel as if I have 100 kids, patients + staff = 100...
  21. If you are working in an institution that has that type of philosophy....hand in your notice and run away fast. Everyone needs to be validated, praised and supported. When I make an error, I admit...
  22. patient care, administration & marketing Oh My!

    One your your best marketing strategies is Patient Satisfaction! Make sure your patients are well cared for and happy and they will spread the
  23. Question for Nurse Managers/Hiring Managers

    A BSN = a BSN. I've done many courses online and let me tell you, I think the online courses are much more difficult. We only hire BSNs with a GPA of >3.4. If online works for you, go for it....
  24. Seeing the big picture

    Keeping your patients safe and completing tasks is about the best you can do right off orientation. You will start putting the bigger picture together as you gain experience and confidence in your...
  25. Is this uniform appropriate?

    I always thought in a psych enviornment street clothes are the "uniform". My feeling is as long as your clothing is neat, clean, pressed and fits appropriately and does not violate your institution's...