catlover314

catlover314

NICU, Educ, IC, CM, EOC

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All Content by catlover314

  1. Radical Management Strategy

    As a manager, I will admit my first reaction to this topic was defensiveness. All the hatin' directed at managers and upward! Sorry to be the bearer of bad tidings, but the focus on satisfaction...
  2. Productivity

    Agree that a realistic staffing grid is vital. When the mgr and director set up the guidelines, the average mix of patients has to be taken into account, not just average daily census. We sat down...
  3. My facility's HR doesn't let mgrs give detailed references. All you'll get is "not eligible for rehire" as a reference. Not worth it for one day more at a job. Agree with Brillohead: Because it's...
  4. AMA Discharges

    Has anyone noticed an uptick in parents seeking discharge Against Medical
  5. Sunrise Hospital, Las Vegas

    I was there years ago and it was sheer horror. But that was years ago, and it may be unit dependent or may have improved since then. I would be interested to hear from a recent traveler there cause...
  6. Need advice

    If you've been one place for 30 years it might be challenging to adapt to new hospitals on a regular basis, but if you studiously avoid the phrase "at my old hospital we never did it that way!" you...
  7. Want to travel with a 2 year old and a good friend.

    When I traveled with little kids (2 year old twins) I was with their dad, and that went smoothly. When we split I did one assignment with a nanny-type arrangement and it was really not good at all....
  8. Move up or down?

    I think I understand what would drive you away from your current job, but what I don't hear is why you would WANT the rural job. If you are looking to be a director it makes sense and I'd see it as...
  9. Classicdame had a good point; what is in it for them? If duties are assigned, there is a responsible person, so "everyone" is not held responsible if "no one" does the required task. That leaves...
  10. How do you deal with explosive customers?

    With respect, I disagree with TheCommuter. Coupled with quality measures, customer service ratings now impact the reimbursement rec'd from government and commercial payers. So the pennies on the...
  11. How do you deal with explosive customers?

    Years of psych nursing, then floor nursing, now management have led me to agree with the posters that reference acknowledging the person and their distress, asking what they need, apologizing for the...
  12. Bully?! Help,I need good comebacks!

    Agree that this is establishing a pecking order, not bullying. Agree with rn/writer "I wouldn't make a big deal out of being swamped. That implies that you'd do it if you weren't so busy. The truth...
  13. How can I get my nrsing education paid for 100% ?

    Agree with above posts. Some employers do offer tuition assistance and there are scholarships, but aside from winning the lottery you will probably have to pay for most of the cost yourself. Agree...
  14. 1.5yrs. NICU to Peds. Float?

    1. Not too soon to branch out! 2. You answered this in your first paragraph...you want to learn, you connect with families, you've learned enough to precept others, so you learn fairly quickly and...
  15. Level 2 vs Level 3 NICU

    OP: Jolie's answer was great. The Board of Health, or whoever licenses hospitals in each state, can authorize different scopes of service for level 2's, so you really have to look at each state as a...
  16. I am blessed to work with a bunch of great nurses. Hardly any of them would say that about themselves, oddly enough. The best nurses I know seem genuinely surprised when others tell them how great...
  17. New nurse here. How do I overcome a suspension from work?

    As a new nurse I had an older nurse who constantly picked at me. I called her Sarge to my friends. After I'd had enough, I sat her down and said "I need your help. You are so well organized, do you...
  18. Communication with parents in nicu

    Parents can come to rounds any day. We hold rounds in our conference room so family is present only for discussion of their baby. They get the full plan and can ask questions at that time. Nurses...
  19. White out does not work on a computer screen. Even though it seems like a fine idea at 0400. Just sayin' If you ever find old metal electrodes for clip on leads you can put them on your shoes and...
  20. How do you track tardiness/absences

    Admin assistant enters tardies on an Excel spread sheet after running the numbers off of our timekeeping program (Kronos). She enters the date of the tardy and the time the person clocked in. There...
  21. Career long aversion to adult poop here. Gag all the time. Anyway, I was my Mom's caregiver when she was in hospice, so of course avoiding the issue was not an option. I actually stuck tissues up...
  22. OT/PT/ST in the NICU

    Our 18 bed Level 2EQ unit has a developmental specialist who is also a PT. She does PT evals as well as NIDCAPs, infant massage and a plethora of other services. We have an ST who comes in regularly...
  23. Boosting employee morale

    You definately need support and some guidance to get through all of this, and a public forum like this one might not be the best place to get that support. If your organization offers...
  24. Career in administration vs management

    Jan 80; I'm not following what your goals are, I guess. Sounds like you don't want to work in a hospital, so I'm trying to tell what your long term ideal job would be. That could help guide you as...
  25. Share some brillaint cost saving ideas?

    Another method that I should have mentioned is to involve the staff! They see potential ways to save money day to day, and I told my staff "No idea is too small." One place I worked gave people a...