nursemaa

nursemaa

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All Content by nursemaa

  1. Telemetry Techs vs. Nurses

    The person who is better at reading rhythms is probably the one who has received training, and looks at and analyzes them most often, regardless of job title. Could be a nurse, a tech, or a
  2. Anyway....I'm not sure about ER, but in my case (orthopedics), we would basically consider a patient ready to discharge if they were ambulatory with minimal assistance, vital signs stable, bloodwork...
  3. degrees

    When you graduate from a 4-year nursing program, you receive a BSN. Then after you pass your NCLEX (state board exam) you receive your RN license. If you graduate from a 2-year nursing program, you...
  4. How can a Director cut back on incidental overtime?

    #2 reason: offgoing nurse is afraid if she leaves anything unfinished, ongoing nurse will be angry with her. (e.g. patient arrives 20 min before end of shift, offgoing RN feels she has to stay to...
  5. Geez...sorry. :imbar I just wanted to point out that our role is to encourage physicians to discharge patients when we think they're ready rather to just decide to discharge....guess I...
  6. Actually you would need a physician's order to discharge or transfer a patient, so it's not really a nursing decision. What you can do if you need to clear a bed is to contact physicians if you think...
  7. How much does a LNC make?

    Thanks Siri. LNC is a specialty I've always had some interest in, just wondered if it was lucrative enough to pursue it.
  8. How much does a LNC make?

    What is the job market like? Are the jobs few and far between or fairly
  9. Solution to ADN vs BSN--Revamp Nursing Education?

    Now I like the sound of that! The externeships that many schools of nursing require are an excellent experience for students- they work with a preceptor (for pay) to learn how to "put it all...
  10. Maybe what you were really looking for isn't a list of "duties", but rather an idea of what the "typical" shift is like. When I precepted, I gave the new nurse a schedule of sorts- 7am take report,...
  11. What are the pros of getting your BSN?

    ...and anyway, things like IV starts and catheter insertions are psychomotor skills that can and will be learned and refined as you begin your practice. I'd rather see students come out knowing how...
  12. Non-tele Surgical unit, 33 patients. Staffing is 4 RN's, 2 LPN's and a NA on nights. Assignment: each LPN has 6 patients, each RN has 4 primary patients (one will have 5), and be resource to 3 of...
  13. Opinions about staffing please....

    Yikes!! Sounds like trouble to me! At least in my situation, the LPN's patients are assigned to a specific resource RN so everyone is clear on who's responsible for what. Usually for the 30-33...
  14. What are the pros of getting your BSN?

    Getting a BSN (and/or MSN) may or may not have economic advantages, depending on what you do with it. But as someone once said to me "it buys you a ticket to the dance, if you want to dance". It's a...
  15. Opinions about staffing please....

    So are you saying that an all-RN staff with 8 RN's would be more appropriate for this situation? When you say 4 patients per nurse, are you considering LPN's to be nurses? Just wondering.....because...
  16. Wow...I think part of the problem with admits having to be housed in the ED is that patients are in beds who could be managed as outpatients, and because often there's not enough staff to have...
  17. Timeframe in being sued?

    It depends, as someone said, on the limitations set by your state. But good for you for talking about this- good charting is essential when lawsuits happen years later- I know it helped me when I...
  18. The aide is also the unit secretary! How???

    We have some individuals who are cross-trained to do both. That way they can work in whichever capacity is needed for the shift. Or, if it's not too busy, they can tend to secretarial duties for the...
  19. Unfair promotion?

    Just so you don't think I'm being too harsh, I firmly believe in rehab and then allowing the nurse to come back. We do that here too for nurses who use drugs. But theft from your employer is grounds...
  20. Unfair promotion?

    Usually, diverting meds is considered theft and the employee gets fired....a police report may also be filed. It's amazing that this nurse was promoted to VP, whether male or female! That's probably...
  21. admissions nurse

    Our admission nurses are based in the ED to expedite the paperwork, get IV's and labword etc started when there aren't beds available on the units and the stay in the ED is going to be long. If the...
  22. Well there you go...guess you learn something new every day. I didn't know such programs existed. The PhD programs I've seen build on alot of what the Master's programs have that the BSN's don't-...
  23. How is it that you are applying for a PhD program when you just finished your BSN? I've never heard of a university that will allow you to teach or to pursue a PhD unless you have a Master's...
  24. Positive Pressure Valve on Peripheral IVs

    The valves are designed to eliminate the use of Heparin for flushing, which in turn decreases the incidence of heparin-induced thrombocytopenia. Since most facilities have eliminated the use of...