kayern

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. If you can get the new units outcomes you can ad...

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. Remember......you are just as much part of their team as t...

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 to someone is an emergency. Patients can't be emp...

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 central lines and our patients with central lines receiv...

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 the educator or manager, now it will appear as if y...

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. Prioritize and take care of the patient first, then ad...

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 assaulted the patient. Not reporting it, makes you ...

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 we only hire BSNs and have a minimum GPA requiremen...

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 manager, my philosophy is when staff have a personal i...

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 facilitity EVERYONE is on some kind of anticoagulation. I...

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. For goodness sake don't be so sensitive.

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 grad, except maybe in time management and delegation s...

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 take report from them because I expect true SBAR HOC...

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 you.........as a manager of a medical surgical unit, I would ...

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 rest provided they treat my patients with respect, ...

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? Is there a peer review process in place? Is there...

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 low. When we interview we have a staff nurse parti...

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 this out. I've promoted nurses to assistant manager positi...

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 care for her patients and tried to do the right thin...

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 on

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, acknowledges for expertise and looks great on a resu...

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 gut..........its usually right. Isn't it better to err on the s...

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 using? Keep me posted….maybe I can send you someth...

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 :)

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 to teach and answer questions. I tell my new nurs...