NurseExec

NurseExec

Geriatrics, ICU, OR, PACU

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All Content by NurseExec

  1. parasupranuclear palsy (PSP)

    NurseExec replied to ss112329's topic in Hospice, Palliative

    I have taken care of a couple of patient's with end-stage PSP. I think the most difficult symptoms for families and patients to deal with are the loss of vision and the inability to handle swallowing...

  2. What was your 1st job as a new grad? And where are you now?

    NurseExec replied to Mo_RN's topic in General Nursing

    I started out in a 30 bed SICU in Denver. I spent the next 8 years working in open-heart and trauma ICUs all over the West. I also worked as a circulator in the OR for about 3 years. Currently, I am...

  3. Pre-pouring meds ... am I wrong?

    NurseExec replied to aznqtpie's topic in General Nursing

    As a DON, I am sitting here wondering why the DON didn't have spare keys to the cart?! You did absolutely the right thing--when I was a charge nurse on the floor passing meds to 30 patients, I would...

  4. Greatest Nursing Item You Ever Bought

    NurseExec replied to Sponkie's topic in First Year After Licensure

    This was back in the days before "smart" IV pumps (I can't believe I'm saying "back in the days", LOL!). My two most important purchases were a small 5$ calculator, and a 3 x 5 card "flip book"....

  5. Do your LNAs/CNAs do walking rounds?

    NurseExec replied to DorothyAnn0403's topic in General Nursing

    My CNAs also do walking rounds, for the same reasons. They have the opportunity to correct any issues with each other rather than doing the whole complaining thing. Works pretty well

  6. And yes...it is all legal.

    NurseExec replied to CoffeeRTC's topic in Geriatric, LTC

    Yes, that is day shift only. However, my desk nurse does a split shift, 11a-730p, as most of our admissions come after 3. I have activities CNAs till 7p, transportation CNA based on appt times, and...

  7. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    i don't know if that's an answer, but it's a few of my humble :) opinions. i really appreciate, btw, your thoughtful questions and

  8. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    I think the whole acceptance thing is mostly just the standard poor acceptance of mental health issues in general by the public. Depression excepted. People seem to understand THAT one, but if you...

  9. what is the nurse/patient ratio where you work?

    NurseExec replied to Hubby's girl's topic in General Nursing

    Test

  10. what is the nurse/patient ratio where you work?

    NurseExec replied to Hubby's girl's topic in General Nursing

    In our SNF, the nurse/patient ratio is 1:20 on short-term rehab and 1:30 on

  11. how do you divide the load?

    NurseExec replied to amglpn's topic in MDS Coordinator Information

    I am a DON in a 120 bed, with an avg medicare census of 50. I have three MDSCs, one RN, and two LPNs. The RN is the team leader, and is my designee for sigs. I have two MDSCs doing strictly...

  12. Who do I turn to?

    NurseExec replied to Chloe'sinNYNow's topic in Geriatric, LTC

    Why didn't you go to the DON? The administrator? The medical director? The management company (if your facility has one)? I'm a chain of command kinda gal, myself. It's really sad when an RN has...

  13. Associates or Bachelors?

    NurseExec replied to mickjordmoll's topic in Diploma, ADN, BSN

    Good Lord, I hope not, LOL!! I am the director of nursing for a 120 bed SNF in Florida, and I'm a proud ADN. 'Nuff

  14. Do you/ did you have a Nurses Cap? Pin?

    NurseExec replied to P_RN's topic in General Nursing

    We were required to wear a cap at our pinning ceremony, and that was the one and only time I wore won. A group of us "rebelled" and wore them so far down on the back of our heads they couldn't be...

  15. And yes...it is all legal.

    NurseExec replied to CoffeeRTC's topic in Geriatric, LTC

    I really hate this sort of bashing, or better yet, painting with a broad brush. Not all SNFs are like the ones described. I am blessed, I guess, with being in FL, and working for a great building....

  16. How many of you were older when you went into nursing?

    NurseExec replied to ohcomeon's topic in General Nursing

    I graduated at 30, and also had a prior career. I was a technical writer in the nuclear power industry, if you can believe that, LOL! Amazingly, those writing skills came in very handy once I...

  17. Daily assignments

    NurseExec replied to berni222's topic in Nurse Management

    We do a written assignment sheet, and keep them one year past the expiration of the statute of limitations for litigation (4 years in FL). I find them to be a big help when investigating any issues...

  18. I need help...holes in MAR

    NurseExec replied to jeanne1657's topic in Geriatric, LTC

    As I posted on another thread, I have my nurses swap MARs/TARs with their wing partner before they leave for the day. I've found it to be more effective than having the oncoming nurse check it with...

  19. Filling in MAR holes

    NurseExec replied to Laurab14's topic in Geriatric, LTC

    In my facility, we do a MAR swap at the end of each shift--the nurses are responsible for checking their wing partners. Since we have three carts on sub-acute, the unit manager checks the third MAR....

  20. Shout out to Missoula Montana!

    NurseExec replied to babybluefeather's topic in General Nursing

    Missoula is a GREAT town! I lived there for 4 years in the 90s and worked at St. Pats. I had my daughter at community. You are going at a great time--fall is absolutely GORGEOUS in Missoula....

  21. Help! I need career (change) advice

    NurseExec replied to uscstu4lfe's topic in General Nursing

    I disagree with "sticking it out". Why burn yourself out right out of the gate? I've found that "a year in med/surg" is really not the requirement any more--some of the specialties are so desperate...

  22. Japan dealing with nursing shortage

    NurseExec replied to Brian's topic in General World

    I wonder if we'll be seeing traveling nurses going to Japan--sign me

  23. Renting vs Buying a home while in a BSN program.

    NurseExec replied to Nursing Gyrl's topic in General Nursing

    I rented during nursing school, because I had no intention of staying in the state after nursing school. We went on a month by month basis after our first two years in the home, and were able to bug...

  24. QIS survey

    NurseExec replied to noc4senuf's topic in LTC: Directors, Assistant

    I've been through two of them, as we were one of the first states to implement. I find them more objective, and a little less based on observation, however, we have PLENTY of observation. I was...

  25. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    I am a nursing executive with bipolar disorder, in recovery (8 years sober from alcohol), and I consider myself a "success" story. The management team with whom I work are all aware of my diagnosis...