nursemaa

nursemaa

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All Content by nursemaa

  1. Threats from Management

    I don't make staff meetings mandatory, but I do post minutes and everyone is responsible and accountable for the content. Staff who come in on their time off for staff meetings or any mandatory...
  2. Calling Docs, Who's Responsible?

    I've been a nurse for 25 years, and no one I know calls lab results to the doc unless they're abnormal. We let them know on rounds that the labs are back and on the chart, but only call if there's a...
  3. Behavioral interviewing is a great way to evaluate prospective employees. Ask them to to tell you about a time: 1. They disagreed with a coworker 2. They disagreed with a decision their boss made 3....
  4. NG/OG tube placement

    At my facility, our practice council did a lit search about this and the recommendation was to always use xray to confirm placement- air bolus is not a reliable method. So we changed our policy to...
  5. Getting staff to "own" the unit

    I don't think that's always true. At the places I've worked, staff have been able to be very involved in writing policies and procedures, dividing up work on the unit, etc. Not all management is as...
  6. disturbing article in Wall Street Journal

    I would have to ask how soon after implementation was the study done, and also look at other factors at the time the study was done. Statistics are often used to "prove" things, yet you can...
  7. Is OXYGENATION an INDEPENDENT Nursing function?

    Perhaps oxygenation falls under the category of "interdependent" functions- you need a physician order to initiate your facility's established protocols, but after that you can use the protocol to...
  8. What Is The Difference Between MSN And NP.

    Usually there are core courses that all MSN students take, then additional courses in the selected track- NP, CNS, CRNA, administration, education etc. All receive the Master's degree at the end,...
  9. Most of the time when they say "nursing leaders", they're not necessarily referring to management- you can be a leader without being in management. Unfortunately, there are also managers who are not...
  10. I agree, and quite frankly I'm sick of it!! It's easy to sit back and blame management for all of the problems, but until we start to respect each other, teach and forgive instead of blaming and...
  11. I think nursing leaders are those individuals (could be nurses at the bedside or nurses in teaching or management roles) that demonstrate commitment to the profession. Meaning they mentor novice...
  12. Charge Nurse responsibilities?

    I think that ideally, whoever is "charge" for the shift should have a decreased patient load so he/she can be available to place and assign new admits, problem-solve with other departments, ensure...
  13. I agree with you that nurses need to stick together. We should all remember what it's like to be a new grad, and support and coach them as they develop their practice. I haven't seen cannibalizing...
  14. Please tell me how this is right?!?!

    It is so hard to balance the care aspect and the service aspect, particularly when you're dealing with a demanding patient. I think we (and the Studer group) have to accept that there will be times...
  15. Please tell me how this is right?!?!

    Well, you are abosolutely right! Studer also states that the customer service attitude must begin with managment, and training starts there. Management is taught how to round on patients and staff,...
  16. Please tell me how this is right?!?!

    Hospitals have to compete with each other nowdays to because often people can choose where to go. And the fact is that people will choose a hospital that gives a caring, calm, and healing impression....
  17. DON's going back to floor nursing

    Sometimes people are reluctant to hire those who have worked in management as staff nurses because they worry that the person will be very critical of how the unit/department is run, or that the...
  18. DON's going back to floor nursing

    All I can say is...wow! That place obviously wasn't meant for you. Dust yourself off, be proud of your accomplishments and move on. Were you only away from the bedside for the 5 months or was it...
  19. Nurse Recruiter??

    Many organizations hire a recruiter for a couple of reasons: The recruiter can pre-screen applicants and set up interviews with the most desireable candidates for the job, and can be a contact person...
  20. Team Nursing...yay or nay

    See, that's just it...those who say they are doing primary nursing really aren't unless it's an all-RN staff. Because the RN is responsible for overseeing the LPN's patients whether you call it team...
  21. Define Nursing

    My definition: Nursing is the art and science of assisting patients to cope and adapt to the changes brought about by illness, and teaching them to maintain their highest level of wellness. This is...
  22. Rapid Response Team

    This is also a wonderful way to teach and mentor novice nurses- by being able to call you when they are uncertain about what to do, perhaps the next time a similar situation pops up they'll remember...
  23. :rotfl: :rotfl: :rotfl:
  24. Too busy for break?

    Thank you !! If your supervisor has been away from the bedside for a number of years(10 for me), he/she may not be able to completely do your job, just as you probably couldn't do theirs. That...
  25. Too busy for break?

    I think breaks are a necessity, and that you should make every attempt to take some kind of a break every day. If you're too overwhelmed to get one, get ahold of your manager and see if he/she can...