nursemaa

nursemaa

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All Content by nursemaa

  1. I want to know how R U working?

    I manage a 30-bed unit. I conduct performance reviews for all staff (nurses, aides, and secretaries). While we don't do peer reviews, I do consider the feedback I get from coworkers when evaluating...
  2. nursing diagnosis

    I'm not sure what you're getting at with this. Examples of medical diagnosis would be: cancer, COPD, pneumonia, CHF, etc. Nursing diagnosis describes whatever associated problems the patient has...
  3. nursing diagnosis

    I'm not sure what you're getting at with this. Examples of medical diagnosis would be: cancer, COPD, pneumonia, CHF, etc. Nursing diagnosis describes whatever associated problems the patient has...
  4. nursing diagnosis

    A nursing diagnosis is basically the problems identified during assessment that the nurse will help the patient to deal with. They may be physical, such as alteration in skin integrity, or psych,...
  5. Don't you hate......

    Oooh, I hate that. One time, I got home at 1am after working 3-11, kicked off my shoes, got in the lazy boy with the feet up, turned on the TV, reached in my pocket and there they were!! Had to get...
  6. Need info from Magnet Hospital nurses

    Good point! It's human nature to resist change. I tell my staff that as long as they look clean, neat, and professional, I won't fuss at them about what color/print they wear- there are bigger issues...
  7. Need info from Magnet Hospital nurses

    I don't think the kind of autonomy that Magnet status requires has anything to do with wardrobe. They're looking for evidence that nurses are involved in making decisions that affect their practice,...
  8. Antiseptics & Wound Care

    Peroxide, betadine, etc have been shown to be effective on intact skin, which is why betadine is often used to prep surgical areas prior to incision. However, broken skin can be damaged (with the...
  9. Dress Code for Nurse Managers

    Our Managers (myself included) wear dress slacks and a top, with a lab coat over it. I wear cross-trainers, not dress shoes because my feet, hips, and back are getting old- got black ones and they...
  10. I never want overtime period

    I posted a list in my staff's lounge of "holes" that existed in the next schedule (when I put the schedule out) and asked the nurses to sign up for time if they could pick up. Seems to be working...
  11. Have anyone else heard of "basic care NURSES"?

    I will also be writing to the Georgia Board of Nursing. We cannot allow schools like this to proliferate. We must not allow nursing to lose its scientific, theoretical, and critical-thinking...
  12. Recent JCAHO survey? How'd it go?

    We haven't been surveyed yet, but a consultant came in and did a mock survey using the new "tracer methodology". She followed a patient around the hospital, asked staff how they knew or could find...
  13. Does this seem right????? (Vent)

    Yup, that seems to be the expectation for nurse managers everywhere. I have spent hours calling for staff from home on my day off or during the evening. I've been expected to fill in as staff,...
  14. Rethinking my nursing motivation

    I think you've hit the nail on the head....what you've said is what many nurses are frustrated about. It seems people in general are getting more demanding, less appreciative....harder and harder to...
  15. new stepdown unit

    The definition of a stepdown unit varies from one organization to another. Ours is more of a medical tele. 30 beds, RN to patient ratio is 1:4 or 5 on days, 1:5 on afternoons, 1:6 on nights. No...
  16. Thank you!! I'm a nurse manager, too- 50 hrs/week, paid for 40, plus all the phone calls from the off shift supervisor when they are having problems. I take work home, have come in (in addition to...
  17. Mandatory meetings and night shift

    1-3 times a week?? That's a bit much...as a manager, I make sure to come in daily before nights goes home, to be available to talk with them. I generally stay over into afternoon shift so I can be...
  18. Job won't quit calling on my days off!!!!!

    Hi Jenny, If your agency is chronically understaffed, that's their problem and they need to do some serious recruiting and hiring. However... Speaking as a manager, when I have fewer nurses or aides...
  19. RN to BSN orientation

    Did it ever occur to you that some people get the additional education for reasons other than job opportunities? Maybe it's about accomplishment, personal growth, and personal goals. Education is...
  20. Is this legal?

    According to our HR: An employer is only required to provide "light duty" for worker's comp cases, not for other types of medical
  21. Professional in scrubs?

    To all who said that what you wear doesn't improve the care, the patient outcomes, or guarantee professionalism: you're right, but.... whether we like it our not, appearance does matter and does...
  22. Cell phones

    Our nurses carry wireless phones... t's convenient to be able to page a doc directly to you instead of either waiting around for him/her to call back or running to the station when they call. For the...
  23. Hospitals discourage use of abbreviation "Q"

    I've seen nurses waste incredible amounts of time trying to decipher doc's handwriting! They run from one to another asking "what do you think this says?". I've told my staff not to waste their...