nursemaa

nursemaa

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All Content by nursemaa

  1. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    nursemaa replied to FireStarterRN's topic in General Nursing

    gotcha. i do understand that scripting is difficult for most of us to accept. i always ask "is there anything else i can do for you", but the "i have the time" part does sound a little weird. i do...

  2. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    nursemaa replied to FireStarterRN's topic in General Nursing

    Hourly rounding is not really a new concept- it was considered standard practice when I entered nursing in the late 70's. If a patient is sick enough to be in the hospital, someone should be checking...

  3. Mothering?

    nursemaa replied to DEB52's topic in Nurse Management

    The problem with discipline is, the person standing by the cup, or angio, or whatever else may not be the one who left it there. It's hard for me to tell exactly who is responsible for the mess. I...

  4. How Would You Handle Pt Anger r/t Wait?

    nursemaa replied to UM Review RN's topic in General Nursing

    Proactively notifying manager of busy shift/multiple codes, any attempts to diffuse angry patients or just heads up in case problems later reported very helpful for Mgr to have facts at hand in...

  5. Empathic part of nursing

    nursemaa replied to Antikigirl's topic in General Nursing

    American Heritage New Dictionary of Cultural Literacy, Third Edition empathy [(em-puh-thee)] Identifying oneself completely with an object or person, sometimes even to the point of responding...

  6. Write-Ups & Disciplinary Action

    nursemaa replied to TheCommuter's topic in General Nursing

    Most places have this policy- if it isn't workers comp or FMLA, it counts. They usually have a limit on how many times you can call off before disciplinary action is taken. If you have a chronic...

  7. The MATRIX

    nursemaa replied to RN130's topic in Washington Nursing

    Probably referring to a matrix system of staffing. You take your hours per pt day (theoretically based on average acuity), and use that to determine how many staff members you need for each census...

  8. in house job transfers

    nursemaa replied to irmaRN's topic in General Nursing

    Usually they discuss things like attendance, attiude, teamwork, dependability to complete assignments, and any other issues (good or bad) that we want the other manager to know. Some places award the...

  9. legal question about off duty mandatory meetings

    nursemaa replied to Cheyenne RN,BSHS's topic in General Nursing

    Hmm...seems strange that they would only hold one meeting, and penalize those who are on sick leave or vacation, or may not know about it. Are you sure you didn't misunderstand? I've known of places...

  10. Getting staff to "own" the unit

    nursemaa posted a topic in Nurse Management

    Need some advice. Do you all have any ideas for getting staff to get involved in their unit beyond just coming in for their shift? I hear staff complain alot that there are many problems in nursing,...

  11. Getting staff to "own" the unit

    nursemaa replied to nursemaa's topic in Nurse Management

    On behalf of all of us managers on this board....THANK YOU ! We really do just as much work as the staff do, it's just different work. We're all part of the team, we just have different

  12. Adequate Staffing

    nursemaa replied to mjscan_07's topic in Patient Safety Issues

    33 bed med surg unit: typical staffing when full is 5 RN, 2 LPN (days and nights), with 4 NA on days, 2 NA on eves and 1-2 NA on nights. Sometimes go with 3 RNs and 3 LPNs if there aren't 5 RNs...

  13. Getting staff to "own" the unit

    nursemaa replied to nursemaa's topic in Nurse Management

    All of the above statements make sense. I think you have greatly misunderstood me. I definitely do listen to my staff. Many great ideas and solutions to problems have arisen out of those hallway and...

  14. Getting staff to "own" the unit

    nursemaa replied to nursemaa's topic in Nurse Management

    I can't speak for any others, but for me it's not a matter of asking them to do my job. It's simply that I really do believe that when the team works together on a project or problem, the outcome is...

  15. Nurse dates doctor openly at work.

    nursemaa replied to castle's topic in General Nursing

    1. Many couples have met at work- not unusual, not necessarily unprofessional. 2. If he's married, then he's a pig and she should dump him, but unless I'm a close friend who can talk to her about...

  16. Nursing Unions-what is the good,bad, ugly?

    nursemaa replied to johnson0424's topic in General Nursing

    One thing I'm not crazy about in regards to unions is that you lose some flexibility and control. For instance, where I work the posted job always is awarded by seniority- the manager can't choose...

  17. Is it true?!?! Say it aint so...

    nursemaa replied to lovingpecola's topic in Post Graduate Students

    We had to do breast exams but not pelvic exams. The teacher stood by and watched- it was disgusting. We wrote to the dean to complain about that and several other things- the teacher was removed...

  18. self schedulint

    nursemaa replied to nurcindy's topic in General Nursing

    I use this method too. We don't usually have any trouble, except occasionally everyone wants the same day off so there's no nurse on the schedule! I then give that day off according to seniority,...

  19. Lab Labeling--help!

    nursemaa replied to deefibber's topic in Emergency

    Thanks, good ideas. I have shared with them the financial and patient-outcome ramifications of mislabeling. The clear box idea sounds interesting. The labels print pretty quickly after the order...

  20. Lab Labeling--help!

    nursemaa replied to deefibber's topic in Emergency

    Labeling at the bedside is the best way to prevent errors. I've found though that many nurses draw the blood, stick the tubes in their pocket and carry them around until the lab printer produces the...

  21. Use of Morphine for end of life comfort

    nursemaa replied to Wicherubgirl's topic in Patient Safety Issues

    My mother died a couple of weeks ago. Before she got the morphine, she had been in terrible pain and frantic because she couldn't breathe. The morphine allowed her to rest and slip away quietly. So...

  22. In your opinion what makes a great nurse?

    nursemaa replied to BuddyGwen's topic in General Nursing

    I totally agree! Many times our patient sat surveys come back with comments like "the nurse acted as if I was bothering her". A great nurse understands that the patients are the reason we're there,...

  23. C Diff

    nursemaa replied to Perfectms10's topic in Geriatric, LTC

    Because C Dif results in sometimes rather explosive diarrhea, the spores from the bacteria can heavily infect the whole environment. It is not safe to have these patients share a room with another...

  24. Getting staff to "own" the unit

    nursemaa replied to nursemaa's topic in Nurse Management

    Amen!! For the record, I always pay people who come in on their own time for meetings, but that doesn't seem to help either. I post minutes in a notebook for them to read...some do, some

  25. Slugged in the chest by med-surg patient

    nursemaa replied to stomper's topic in General Nursing

    Wow...was this patient oriented? I was punched in the chest once by a very confused patient. While it certainly hurt me, I wasn't angry because he really was out of it. But if the patient was...