ladybartylla

I'm looking for nurses working for Sanford Health. The healthcare organization that I work for was bought by Sanford and I have some questions about how things may change for the employees. TIA.

I'm probably looking for a unicorn but are there any resume writing services anyone on here would recommend. It would be a double horned unicorn if they specialized in healthcare or nursing. I have one already but the format is so outdated, and it's been ++years since I did it. I'd rather pay someone else.

I'd like to move to a warmer climate and am looking for advice regarding good states for nursing and healthcare in general. For example, I have heard through professional colleagues that Georgia isn't great for nursing practice. I'm not saying that is true so nurses from Georgia, please don't yell at me. It seems like, from things I have read, the state of healthcare in general is poor in the south which could be an indicator of that regions dedication to improving the health of its population. Anyway, I'm looking at more than just pay. For me, pay does not make up for healthy and positive work environments. The northeast looks promising but again, I need a warm climate. I wouldn't miss winter. I have worked in Pediatric Intensive Care/Trauma at a staff nurse level and in leadership roles for the last 10 years, but am open to other practice areas as well. I have also been actively involved in professional nursing organizations (non-union; only mean I don't have experience with collective bargaining) and other healthcare related councils, so am looking to other states that are strong in these areas as well. I would appreciate any and all opinions. Thanks in advance.

Thanks for your feedback. Could you tell me what types of patients you work with (i.e. adult, peds, OB, Neonates, etc.)?

Looking for some feedback from nurses in all acute care fields but also curious about pediatrics. Our institution is going to start using a new computerized charting system and there are teamsworking on building how the system will be set up. We had a different brand of charting in the past and it was charting by exception. As the teams work though this process some members of the team feel that a charting response of "WNL for developmental age" or "WNL for patient" or "patient at baseline" is not appropriate. I'll refer to these people as the "againsts". They feel that the charting should be based on the normally healthy adult. For example, a patient who is in a persistent vegatative state is admitted to the hospital for persistent fever. The patient also has a g-tube which is obviously used for all of their feeds. The g-tube and that type of feeding is the patients baseline. Other members of the team feel that if you chart this as an exception it appears as if this is not normal, therefore something that needs to be addressed while the patient is hospitalized despite the fact that this is their normal, that this is not normal for a patient who otherwise does not have any problems, but it is normal for that patient. It is their reality and more than likely will not ever change and does not need to be changed because they are tolerating that type of diet and it is meeting their nutritional requirements. The againsts feel that every possible exception needs to be built into the computer program. Using diet as the example, this means that anyone who is on anything different that an regular adult diet, would have to have an exception charted. People for the "WNL for patient" or "Baseline" charting (i'll refer to them as the "fors"), argue that the situation listed above is that particular patient's normal and therefore should be charted as normal for patient or "patinet at their baseline". They also feel that this would add an astronomical amount of options to have to choose from and add more work to the aready over-burdened nurse. In cases in which ther is a specialized population such as Peds or NICU, or even Palliative care, almost every section of charting would end up being exceptions because normal charting is based soley on normal healthy adult. Looking for others who have computerized charting and what they do. I'd appreciate answers from all types of nurses but feedback from specialized patient populations would be great to hear from also. Thanks