smartin13

In my facility all of the units are a specialty. Even the med/surg units, for instance we have a Neuro/Neurosurg unit, HemOnc, Ortho/Trauma, Cardiac, General Surgery, GI/Transplant all as individual units. There is no area in my facility where a ne...

Sometimes I am taking report from the ED in the middle of the hallway, or in a patients room while they are toileting and do not have easy access to a computer to check so I ask. I am sorry if that is inconvenient for you, however I am no longer all...

Any IV not started in my facility has to be changed out within 24 hours. Our IV's expire after 4 days (old policy was 72 hours) and have to be changed unless we have an order from the MD. Some units do not stick to this policy, however our manager ...

Yes we had a simulation lab where we "started" IV's on a computer program. After we showed we were competent with that we were able to start IV's in the clinical setting when ever we had a chance. No hospitals in my area have "IV" teams and startin...

Working in an acute neuro department and with the recent focus on removing foley's I have extensive experience with condom catheters, and most of the time they stay on and don't leek. Ensure you have the correct size so that it is snug, use your ski...

At my facility intermittent tubing is changed every 4 days along with continuous tubing, this was recently changed from daily. Nothing in our policy states anything about the amount of times you connect/disconnect the tubing from the patient. Unfor...

I have three jobs currently, all part time. My primary job is working two 12 hour night shifts a week and receive benefits there. I then work agency for another hospital where I may get called three times a week to work or not at all. There I make...

Not a solution to the problem of the lack in care necessarily however when I see that one of my patients needs oral care and isn't receiving it consistently I get an order for nystatin swish and swallow/spit or biotene scheduled. It is amazing to se...

In my facility most new positions are "flex" or rotating as you say. Half of the flex staff like nights (I fall in this category), the other half like days. We self schedule and I haven't had to work a day shift since last year because we switch sh...

I currently attend MU and am in the FNP program. Like every program there are problems. My class has a FB page and that has been amazing as the instructors are not allowed to "teach". Some instructors do reviews, others do nothing so the FB page h...

The insurance provided by my hospital only pays if we deliver in our hospital so there isn't much of a choice. If I had a choice I would not deliver there just because there are better facilities in my area to deliver. I do know that if I were to b...

At my PRN job they call and ask if I can work, I say yes or no depending on what I want. I have no obligation to holidays, weekends, or the amount of shifts I take. It does not interfere with my full time job as I get to decide when I work.

Tell the union reps. If retaliation occurs report it to the union. There really isn't much else that can be done if your co-workers don't want to use the avenue they have available to them.

I work in a union facility and this does not happen. There are rules that have to be followed when a position opens up as to how long it has to be posted on the floor, in house, and then to anyone. While posted on the floor or in house the position...

We use it all the time in our post-op patients who have a hard time going after several days regardless of if they are female or male.

You gave your father just what you promised. You did not let him suffer. He could have just as easily fallen or aspirated in a facility. Having you by his side I am sure provided him with great comfort. While we may know what to expect in patient...

I work on a neuroscience unit that also does tele, we usually run 4:1 max is 6:1

we do our assignment by acuity. Our scale is 1-4. 1 being independent walkie talkie and a 4 being a total care, tube feeds, turns, incontinent etc. We try to make our acuities as equal as possible. Sometimes that gets messed up when a nurse is ba...

It took about a month for me to hear back. Waiting is the hardest part!

All of the nurses on our floor work up until they go into labor. Some have gone into labor while working. I work on a Neuro floor with a lot of lifting and some confused/combative patients. We try to make sure that assignments for those expecting ...

I haven't heard anything since I got the acceptance call/email. No info about registering for classes, financial aid, or anything else. I was going to give it a few more days and contact my admissions advisor if I still haven't heard anything. Has...

Just checking in with everyone. I got the call today and I'm in for this fall. I can't wait until we get to go through this together!!!

I work in a large teaching hospital which is unionized and we are calling off about 15-20 floor nurses a day right now. Our cancelling goes by seniority (per union contract) so most senior gets offered and it goes down the list. If you are the last...

In my hospital (large teaching hospital) every floor is a tele floor meaning that any patient could be on tele at any time. While all of the floors have techs (that are located in one large room on a different floor) to watch the monitors and call w...

We recently made a change to where we have no independent charge nurses. We have never had them on nights (and run with 4 patients if staffed or 6 max if not). Now they are taking away the independent day shift charge. They say that because of the...