kayern

kayern

Medical Surgical & Nursing Manaagement

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All Content by kayern

  1. Taking med/surg certification exam

    kayern replied to 2bTraumaRN2008's topic in Medical-Surgical

    I took the exam after 13 years of experience and studied as if I was taking the NCLEX again. A word of advice.......they are certification exams....no one is giving certification away. The exams are...

  2. difference

    kayern replied to cincin1222's topic in Medical-Surgical

    Depends where you practice. I work in an institution where every M/S bed is telemetry capable. Most surgical patients are cardiac monitored post-operatively then maybe transferred to a...

  3. CMSRN or RN-BC

    kayern replied to Surg-OncRN's topic in Medical-Surgical

    I have two certifications, one CMSRN and BC-NE. Both organizations have membership plans that offer free CEUs and I do belong to both and to support my CMSRN the AMSN organization offers many more...

  4. Advice needed - MS job

    kayern replied to NewRN089's topic in Medical-Surgical

    Six week orientation.....does it include a classroom experience or is it a six week orientation on the unit itself? Is it a tele unit or straight M/S? Nursing school can not prepare new graduates to...

  5. A word to the wise about CEU's

    kayern replied to Isabelle49's topic in Home Health

    Before I complete any CEUs, I check who is sponsoring the credits. As previous stated Medscape is a good source. Their CEUS are offered through ANCC the MAGNET certifying agency so I know their...

  6. Kudos to floor nurses

    kayern replied to hodgieRN's topic in Medical-Surgical

    I challenge ANY ICU/CCU RN to walk one shift in the shoes of a M/S Nurse. The M/S Nurse depends on their assessment skill, knowledge base and gut whereas the ICU/CCU Nurse has all the modern...

  7. Bedside Reporting

    kayern replied to trottytotty90's topic in Medical-Surgical

    The idea of bedside report is three fold.........One to get patient participation in their plan of care, secondly for the nurses to validate the report they are getting/giving and finally for the...

  8. ANCC Nurse Executive Exam

    kayern replied to ChristopherMSN's topic in Nurse Management

    Look on the ANCC website under certifications, review

  9. Salary for assistant nurse manager/clinical supervisor

    kayern replied to misswoosie's topic in Nurse Management

    Most floor or staff nurses make more than Assistant Nurse Managers and even Nurse Managers. Consider they get OT, certification money, BSN/MSN differential, etc. it is not hard to get that hourly...

  10. ANCC Nurse Executive Exam

    kayern replied to ChristopherMSN's topic in Nurse Management

    I just renewed that certification. I took the exam after taking one of the two day courses offered by ANCC. I studied the materials they gave me and did some reading on my own. This was my first...

  11. OR techs being used as OB techs. How can I stop this?

    kayern replied to spanishfly110's topic in Nurse Management

    I have a questions.......Does the OR need the tech or is the tech just waiting for a case. If the later is the case, then I see no problem with OB using the OR tech. Do the techs work for the...

  12. Rash of A-line dislodgements

    kayern posted a topic in MICU, SICU

    We've had three, yes three, dislodged A-lines in the past week. Two of the patients were intubated the other not. No restlessness noted. Dressing charted as clean dry intact with arm board in...

  13. Rash of A-line dislodgements

    kayern replied to kayern's topic in MICU, SICU

    You hit the nail on the head......anesthesia does NOT suture. I thought about stat locking but if its done in the OR, will anesthesia use the device?

  14. Tattle Tales

    kayern replied to cota2k's topic in Nurse Management

    I don't view it as tattling, I view it as Patient Safety. We empower our staff to professionally correct identified deficits at the time of occurrence. We have a PI program to monitor...

  15. Budget Cuts

    kayern replied to EMR0710's topic in Nurse Management

    I too manage an ICU & M/S Telemetry unit. I can't imagine managing two units 24 hours/week and being clinical 16 hours. Managers are not included in our HPPD and we are not considered clinical....

  16. Day shift vs Night shift

    kayern replied to juleslevesQ86's topic in General Nursing

    Both shifts have their pros and cons. Days you contend with visitors, physician rounding, three meals, most of the testing and procedures and the inability to chart because someone always has the...

  17. I love you boss ... BUT!!...

    kayern replied to mindlor's topic in General Nursing

    I have to qualify that my comments are r/t putting out a schedule that meetings not only the budgeted staffing plan but also the acuity. Managers can't pull staff out of the woodwork in order to...

  18. Can you hear me now...listening to your staff

    kayern replied to NformU's topic in Nurse Management

    What staff members sometimes fail to realize that we have a job to do. We are managers not miracle workers. For instance....staff complain they are short staffed........I spend hours trying to staff...

  19. Has any facility or manager held an interview this way?

    kayern replied to wish_me_luck's topic in Nurse Management

    I interview many new graduates and I believe the majority of nursing schools prepare them for the interview process. At my institution, we ALWAYS have an experienced nurse participate in the...

  20. Conflict resolution

    kayern replied to kcmylorn's topic in Nurse Management

    Conflict resolution is tricky. No one ever seems to be happy. There are a few things missing from the other postings: First......violations of HIPPA are a federal offense and need to be taken...

  21. Manager With No Prior Experience? What?

    kayern replied to All4NursingRN's topic in Nurse Management

    I'm confused. At my institution, Nurse Managers are just that Nurse Managers. We ARE NOT clinical (anymore). We don't get included in HPPD data. However, Nurse Managers should be able to handle...

  22. Is blocking an employee's transfer common practice or just a paranoid myth?

    kayern replied to PennyWise's topic in Nurse Management

    If that's the case (playing political games), your manager is NOT a good manager. In m opinion, she has an obligation to the institution to promote the best person for the job as well as facilitating...

  23. CABG teaching

    kayern replied to atomic_pedal's topic in Cardiac

    Great idea. Please emphasize that everyone has their own tolerance for pain, heals at their own rate, the importance of deep breathing and coughing, ambulation but frequent short walks in lieu of one...

  24. How to deal with overbearing doctors?

    kayern replied to whichone'spink's topic in MICU, SICU

    I agree with the previous poster. SBAR is a wonderful communication tool. One other piece of advice.........do not get defensive. Give the facts, don't defend your reason for calling or the care...

  25. Should I Apply for Management??

    kayern replied to NurseAnnie123's topic in Nurse Management

    Do not apply for the position without telling your current manager and if your current manager is a good manager, she should be encouraging you. Managers, in my opinion, have an obligation to the...