ajohnson8407

The QI project is a unit initiative that the hospital is working on for when JACHO comes at sometime this year. The supplies is something that’s been voiced by the staff. The daisy and admissions packet is really a project I took on myself from another council I am in.

I believe they are aware of the pay. We have a mostly seasoned and some middle road nurses. I work at a community hospital branch of a major hospital system so the new grad are usually at the main campus. The survey Monkey is a great idea though! Thanks

We do have a clinical ladder here. It is based on a point system. Basically a portfolio that you put together of times you have spent in committees, doing committee work outside meeting times, volunteering, non-mandatory in-services, staff teaching, and special projects. You can get level 1 through 4. based on that you get a certain amount of money per paycheck. its a good amount $50 to >$300/paycheck. It is a lot of work so there aren't a lot of people on my unit that do it. I have done it the past 3 years and the payout is worth the work.

Good morning. I've seen some other posts about this from a while back but I am posting again to see if there is any new insight. So I am the chair person of our unit practice council. What I do is attend our hospital quality practice council and bring the information back to the UPC meeting and also discuss ongoing projects for our unit. At this time we (really I mean I, because it's basically just me participating) are working on increasing pain reassessment score documentation (QI project) and increasing nurse satisfaction in supply availability by bringing commonly used supplies closer to the bedside in locked drawers outside each room. We have also revamped the admission information sheet for parents and are working on increasing patient, family, and staff knowledge of the daisy award to increase daisy award nominations for our unit. I believe that if staff come to the meetings they will be able to see the amount of positive change to our unit, but I'm having a lot of trouble with staff buy in. I've tried morning (0730) meetings, evening (1930) meetings, afternoon meetings via skype (3pm) (as suggested by nightshift) to increase participation but to no avail only 1 or 2 people show up to the meeting. I've also used my own money and brought food to meetings! :( Please help. Let me know what your ideas are or how it's worked for your UPC or hospital committee.

I also work on a small pediatric unit, we have 7 available beds. We can have 6 pts and still be staffed with 1 nurse! There should def be minimum staffing laws. I believe there should at least be 1 nurse and 1 cna on the floor even with 2 pts. Here is a problem for your paper. I had to call a Rapid response on a patient all i had was the pulse ox machine built in the wall to hook him up to. the RR team was mad that the crash cart wasn't there and set up when they got there. The first thing they teach you is to not leave your patient so I was supposed to leave the room run all the way down the hall to get the cart (BTW the pt was breathing and had a pulse he just wouldn't wake up)

Im an RN working in a small peds unit of 8 beds. We normally staff only one nurse on the (locked) unit. we get another nurse when we reach 5 patients. Im going to be meeting with the CNO about a new staffing plan. I need some helpful opinions or maybe some ideas on staffing policy. We mostly care for GI, RSV, FUO, etc. I know that having 1 RN on the unit is not acceptable but don't know how to get that through to admin. Especially now that the unit is locked it is like adding another patient to our load because we have to actually walk to the door to let people in (no buzzing in ) Please Help!

Im an RN currently in a similar situation as you. I work on an 8 bed pedi unit that staffs only one nurse until she reaches 5 pts. no aide, no sec, you are alone. and did I metion we are now a locked unit and have another phone to answer (the door) that I have to actually walk to let ppl into there is no buzzer. It's like having another patient. does anyone know if there are laws against this or have any ideas of how staffing could work in this situation from a mgmt point of view. I am having a staffing meeting with my CNO and I want documentation to take with me to the meeting.

I worked at a hospital with Krames on Demand which I loved, I worked at a hospital with our own patient educator just call her up and she does the teaching and brings the handouts. I am big on educating my patients so they don't end up here again. I work on a pediatric floor and the hospital that i work at has no patient education access anywhere. I am forced to go online to find anything and most of the information goes over the parents' head. does anyone know a free patient education website to print out handouts. Thanks Pedi RN

I am a nurse from TX who is trying to move to NY to be with my fiance. I have my RN for NY and by now I think that every hospital in NY has a copy of my resume. I have called and had no one call be back. I have gone and sat in Human resources for an hour and not gotten to talk to a single person, except for the secretary saying that everyone is busy. Im so ready to move there. does anyone have any suggestions???

I know there are alot of universities that have online programs. I am about to get ready to do my RN-MSN online. I am applying to Texas Tech and Midwestern State Both are accredited.

that is a good question. like I said we are stuck in the dark ages. we have meditech but we only have it for email, admission assessments, and entering orders. I came from a hospital in san antonio that we did computer charting on everything the only thing on paper was the MAR. Paper charting is sooo time consuming.

Hi I am currently working on a pedi unit. I just started working here in October, we have a new director and we are trying to bring the unit out of the dark ages. We are still paper charting and we are in need of a new updated nursing flowsheet/assesment form, that includes the assesment Q12H, fall precautions, pain, etc. can anyone help me out??