nursemaa

nursemaa

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All Content by nursemaa

  1. I guess I'm a florist now too....

    I would have gotten the vase and put the flowers in it, not because I think it's my job or part of nursing, but because I like doing things for others. I would, however have given her "the look" that...
  2. backstabbing co workers

    Sometimes the NM has troubling addressing it because the bully is very covert- always polite when the NM is around, less so when he/she is gone. If the person being bullied isn't willing to give...
  3. A patient complained about me...

    I agree! Sometimes no matter what you do or how attentive you are, they still find something to complain about. I've also noticed that often it's not the patient who is complaining, it's the family...
  4. A patient complained about me...

    As a manager, I always appreciate getting a "heads up" about situations like this. Makes it easier to deal with the person who is complaining. I also agree with KatieBell about making sure you...
  5. I wonder the same thing. We've even simplified the documentation- most of it involves just checking a box and initialing, but it doesn't get done for some reason. I think many times nurses actually...
  6. Moody nurse manager....

    Sometimes nurse managers get moody because they feel that the whole world is resting on their shoulders. The job is huge...trying to please patients, staff and administration at the same time,...
  7. making assignments

    Agreed. It's hard to appropriately monitor your patients if they're too spread
  8. making assignments

    There's no perfect way to make out assignments- if you group assignments geographically, someone may end up with more high-acuity patients than someone else. If you go by acuity, someone may end up...
  9. Med Discharge Orders

    According to JCAHO and our hospital policy, "resume home meds" is not acceptable. We have a form that we list the patients' home meds on when they are admitted- the physician is supposed to mark on...
  10. Prioritization Question

    I would definitely go with patient C, then patient D. Of course, patients A & B would then complain to the nurse manager that their call lights weren't answered in a timely manner, and the...
  11. I would go with orientee because that's the most commonly used term. I've always stayed away from using "trainee" (that's my personal bias- I hate anything to do with the word "training" because it...
  12. Halloween, costumes or not???

    We don't usually dress up, except for a few people on nights. I like the idea of holidya print scrubs though. One year someone dressed up as a patient and had an open-backed gown with a rubber...
  13. I am absolutely a professional, and because of that I tend to use the types of phrases that are given in scripting classes. I always want to sound professional with my patients and their families....
  14. True. I remember way back in the stone age when I first went to nursing school, we had extensive education about communication techniques, body language, therapeutic communication, etc. Is that...
  15. Scripting can actually be useful in some cases. For instance, using the phrase "how may I help you" instead of "what do you need" sounds a little more caring. Reminding the patient that you care...
  16. Actually, my facility doesn't have a problem with infections. I was referring to the situation in general, and have seen caregivers in multiple facilities care for patients without washing their...
  17. I have to agree that requiring all staff to wear them is better than requiring only nursing staff to wear them, but I am not crazy about the button idea at all. Makes me think of WalMart.... There...
  18. CoWorker Problem

  19. The problem is, so many "professionals" don't wash their hands. And there's nothing wrong with educating patients about how to protect themselves- they have every right to question their caregivers...
  20. Nurse-pt ratios

    When you talk about nurse-patient ratios, do you mean RN's and LPN's? The reason I ask is that I have heard RN's say "I have 8 or 9 patients" when in reality they have 5 primary patients and are a...
  21. How can a Director cut back on incidental overtime?

    I wonder if it would also be helpful to observe/talk with the nurses who DO manage to get out on time...what do they do differently? I'm sure she wants to focus on chronic OT, not the occasional "bad...
  22. What can an RN do than an LPN can't?

    It probably depends on where you work, in my location the RN has ultimate responsibility and delegates to the LPN and the NA. That's not to say that the LPN isn't also responsible or liable for what...
  23. What can an RN do than an LPN can't?

    I'm not sure if someone already mentioned this or not, but another thing to consider is that the RN is responsible for the LPN's and NA's who work with him/her, which I would think would justify the...
  24. OMG !!!!!!!!!!! :rotfl: :rotfl: I wonder what schmuck they talked into dressing up like a big hand??? They probably thought it was cute.....You all should have got out a bunch of hand sanitizer and...
  25. Although I certainly wouldn't want to wear a big old button that tells patients to ask me, it has been demonstrated by observing healthcare workers that many do NOT wash their hands before and after...