NurseExec

NurseExec

Geriatrics, ICU, OR, PACU

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All Content by NurseExec

  1. I had weight loss surgery (laparscopic Roux-N-Y) last year and have lost 117 pounds. I am interested in what the stats are among the nursing community. Feel free to comment on how your surgery has...
  2. what does a nurse manager/administrator do?

    Good lord. This answer could be miles long, but I'll try to make it short. It won't include ALL the things I do, but it will hit some of the high points! As the Director of Nursing Services I.......
  3. Got my First Nursing Job LTC

    I *love* your enthusiasm. Hang on to that throughout your career and you'll be a GREAT nurse
  4. Overwhelmed on a Rehab Unit--Mgmt No Help

    You talk about the administrator in your post but you don't mention if you've had a conversation with your DON about this. If not, you
  5. Medicine Crusher's

    We also use these--I remember when we switched from the old "bangers" to these--the resident's were THRILLED! They should be mandatory,
  6. Writing times on bubble packed med cards?

    Nice idea, but 30 people with at least 5 meds given at least 3 times a day--dear lord, you wouldn't be able to fit all the cards in the cart,
  7. Is Nursing your Passion

    I've loved it ever since that first day in the ER as a unit secretary. I saw the nurses in action, and realized that's what I wanted to do with the rest of my life. Corny, I know, but I've loved...
  8. Writing times on bubble packed med cards?

    We don't write on the cards--what if you have to change times? The card ends us getting completely trashed, and the incidence for errors goes up. We mark the times on the MARs/TARs with...
  9. DONS working the floor in LTC?

    I'm with CapeCodMermaid. If you haven't been a DON, it's highly doubtful you have ANY idea what we do in a day. I know that when I was a charge nurse, pushing a cart (in the same building I am now...
  10. What is a Bailer shift?

    In my facility, we allow both CNAs and nurses to work in our Baylor program. The program is two 12s (sat/sun) with a 30% Baylor differential. Staff working Baylor may choose to pick up an additional...
  11. nurses as patients

    When I went in for my gastric bypass last year, the surgeon had already made the staff aware that I was not only a nurse, but a DON. Thanks, Doc. I have to say, though, that they gave me a private...
  12. New LPN job--right move?

    You're being very smart by researching the survey history of the building. I would have done the same thing. If a building has that many citations, then it has serious system issues. Serious system...
  13. Anyone from Daytona Beach Community College

    Just wanted to say hi to everyone currently in the DBCC (it will always be that to me) program. I graduated in 1992, and got a great education. Good luck to you
  14. Chain of Command

    This happens to me occasionally, and fortunately, I have an administrator who just looks at them and says "and you're bringing this to me why?", then tells them to go see their unit manager. I think...
  15. Thinking of taking a DON offer

    Acute care straight to DON of a SNF? I'm sorry but I'll have to agree with CapeCodMermaid--and say that I think you're setting yourself up for failure. I came from acute care, spent a year as a...
  16. Interviewing with IPN restrictions

    Are you sure that you don't have to share your IPN status with any new employer. Back in the day, when I was in IPN, it was part of my contract that I had to divulge that I was part of IPN. Just a...
  17. leaving bedside nursing

    I was a little weirded out when I finally left the bedside (something I swore I'd never do) to take a risk management position. Turns out, I loved it, and still do, as a DON. I like seeing the big...
  18. Nurses and Weight Loss Surgery

    My whole process took almost 9 months to the day from when I began. I had to do a six month documented by my physician diet, a psych eval, tons of labwork, a sleep study, EKG, PFTs, and a stress...
  19. BSN vs. ADN

    I spent a boatload of money on attempting to get my BSN (had a grand plan back then about being an ARNP), but my path went in a different direction. So, now I owe 20K in student loans, am a Director...
  20. How do you address your patients?

    I grew up in Mississippi, and live in Florida. Miss and Mr., used with first name, is pretty standard here, and as respectful as using the last name. I also use Ma'am and Sir, if asked a question....
  21. You've received a lot of great advice. My take on it, from a DON perspective is this: I don't generally hire new grads. Why? I believe that our nurse:patient ratios are overwhelming and...
  22. Microphones and Web Cams

    Do you have an in-house risk manager? Do they have any experience with this? If it were me, I'd probably give the corporate risk management guru a call to see how they want to handle it....
  23. end of month changeover-

    We do our MARS/TARS and POSs in house using American Healthtech's LTC program. It works well, but sometimes changeover can still be a cluster. I'm working on using some suggestions I got here to...
  24. Hi, I'm a director of nursing in a 120 bed SNF. 1.) What kinds of writing did you have to do to get the job you have? Policies and procedures, business letters and memos, incident reports,...
  25. Hurricane coming: evacuate or stay and work?

    We are, once again, in hurricane mode--with Hanna definitely coming our way, Ike and Josephine possibly. We have activated our plan, and all department heads will be moving into the facility on...