kayern

kayern

Medical Surgical & Nursing Manaagement

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All Content by kayern

  1. I Cried At Work

    kayern replied to Guest 360983's topic in First Year After Licensure

    I agree with the previous poster, ERs are not for new grads fresh out of school! There is way too much to learn let alone navigating the ER nuances with residents, attending, etc. I tell my staff...

  2. Chlorhexidine Baths

    kayern replied to ckh23's topic in MICU, SICU

    "Same as LadyNurse, We use it for prevention of catheter associated infections. Anyone getting a central line gets two chlorhexidine baths, one the night before and one the morning of, their...

  3. Chlorhexidine Baths

    kayern replied to ckh23's topic in MICU, SICU

    We bathe everyone who has a central line with clorhexidine washcloths. Our institutions CLABS rate plummeted. We also use a clorhexidine product to "scrub the hub" on the ports. Clorhexidine baths...

  4. Question for the Nurse Managers out there.

    kayern replied to 240zRN's topic in Nurse Management

    I hire new graduates without any experience, so I would be will to interview someone with correctional experience. Our institution puts all newly hired nurses through the same orientation program...

  5. Would you even consider a candidate who was terminated?

    kayern replied to DeLana_RN's topic in Nurse Management

    Tell her to check with the state education department. See if the hospital posted something against her license. When completing applications she should be careful not to lie but I would advise not...

  6. Is it asking too much

    kayern replied to Flare's topic in Nurse Management

    I check my weekend scheduling on Friday PM.....last thing I do before leaving. When we are short on weekends it is because the staff calls in sick, etc. I schedule accordingly and they call

  7. Move up or down?

    kayern replied to edmanager's topic in Nurse Management

    Will you be happy in a smaller ED? Being micro-managed is torturous, but who really knows what the Administration in the new ED will be like. Let's talk money...............time is money. Is it worth...

  8. To take a new job or not??? Need advice!

    kayern replied to teeth22's topic in Medical-Surgical

    I agree with ColleenRN2B....take the phone interview and see what happens. Sometimes the grass isn't always greener on the other side and you come to find out that the bugs are eating the grass there...

  9. A week from Monday is my certification exam. I'm nervous!

    kayern replied to tokmom's topic in Medical-Surgical

    Chapters promote the speciality of Medical Surgical nursing. Go to the website and contact someone. We have monthly meetings with presentations done by members r/t M/S. We do fundraising, give...

  10. A week from Monday is my certification exam. I'm nervous!

    kayern replied to tokmom's topic in Medical-Surgical

    Go to the National AMSN website and look under chapters. Be innovative..........start

  11. A week from Monday is my certification exam. I'm nervous!

    kayern replied to tokmom's topic in Medical-Surgical

    I just renewed my Nurse Executive with ANCC and had way more CEs and options than I needed. I'm sure AMSN I'll be fine, I've presented at their National Conventions and serve as Secretary for my...

  12. A week from Monday is my certification exam. I'm nervous!

    kayern replied to tokmom's topic in Medical-Surgical

    Congratulations.............now you never have to take it again provided you keep up with your continuing education credits and options. Keep an eye on the renewal requirements, maintain a binder...

  13. MedSurg Certification

    kayern replied to luvbug080688's topic in Medical-Surgical

    If you plan to take the M/S certification, take it soon because there is a hour of practice requirement. I hold an ANCC certification as a Nurse Executive and AMSN as CMSRN. Certification is...

  14. Help with med/surg

    kayern replied to Tsatalstrana's topic in Medical-Surgical

    First, three different preceptors = unacceptable. In our program there is a three week classroom orientation then a four week clinical preceptorship (and additional shifts if needed). Our new grads...

  15. New Grad RN starting on Medical Intermediate Floor

    kayern replied to ~newRN's topic in Medical-Surgical

    IMC = medical surgical patients with art lines and require a higher level of care. Nurse:Patient ratio is less than on a typical M/S unit. With that being said.........be a sponge, look,listen and...

  16. Monitoring wirelessly in Med/Surg

    kayern replied to Aj2023's topic in Medical-Surgical

    We cardiac monitor remotely. All nurses, including charge nurse carry beepers. When something alarms, the nurses are trained to first look at the patient, then validate the

  17. Now MS Certified

    kayern replied to Palliative Care, DNP's topic in Medical-Surgical

    Congratulations! Remember to keep track of your professional activities for re-certification. It creeps up

  18. Sad. Not Doing Good on Orientation

    kayern replied to Caffeine_IV's topic in General Nursing

    Sorry you're not having a good experience. Please let me ask a few questions. First, how much experience do you have? Did you want ICU? How long are you there? With that being said, and I know this...

  19. Why does my nurse manager never email me back?

    kayern replied to beeble's topic in Nurse Management

    I return e-mails all the time, even if they are gripe type. Not responding, in my opinion is rude. The sender may not get the response they want, but they always get a response. With that being...

  20. Med error or not

    kayern replied to surgicalcap's topic in General Nursing

    Being fired for not giving a med, I agree is somewhat extreme but I do have some questions. What time was the ordered received, what time did the pharmacy get notification? Since the clerk entered...

  21. How to Address a Catholic Priest?

    kayern replied to westieluv's topic in Medical-Surgical

    I agree, Father Whatever +/or Sister Whatever, Rabbi Whatever. I've had some patients that are physicians and have apologized for calling them Mister and not Doctor, usually they just shrug it off...

  22. How strict are employers in screening people with "1 year RN experience?"

    kayern replied to WDM08002's topic in General Nursing

    Here is the first thing I would ask "Why are you looking to change positions after only 10 or 11 months?" The answer would then guide the following questions. One word of advice...............don't...

  23. How much experience makes a good instructor?

    kayern replied to KayRN910's topic in Nursing Educators, Faculty

    I agree with you. This sounds very much like new graduates (BSN) going directly into a Nurse Practitioner program with absolutely no experience! In my state many hospitals will not entertain hiring...

  24. Are Nursing Programs Adequately Training New Graduates?

    kayern replied to vbwise2's topic in Nurse Management

    Absolutely! They need to be able to manage minimally 5 patients. I know that is difficult when one clinical instructor has a class of 8-10. These novice nurses haven't a clue about time management...

  25. Haven't heard anything back from CNO (registration exam)??? sooo stressed out

    kayern replied to nurseypoo87's topic in International Nursing

    Don't know where you live, but in some states you can go on-line and check your results. Its worth a try. Your states