brimama

nights is no different than days--our ratio on med surg stays the same and with oncology i think you need more due to the emotional aspect with the pt and family

i work in tennessee and the typical med surg unit has a ratio of 7 nurses and 3 tech with the charge nurse floating. this is a ratio of 1:6

hiring in murfreesboro tennessee

Started out as a CNT for 12 years in LTC and then hospital setting. Currently have my BSN and am now a nurse manager of a 37 bed med surg unit. I LOVE MED SURG. I love the diversity and never knowing what is coming in. Yes we get alot of total cares and dementia patients but coming from LTC this is my kind of patient. I have a general turnover every 2-3 years of new nurses who transfer to their goal area. I pride myself on teaching them everything I can so that they have a firm foundation and will be a welcome addition wherever they go. I have sent several nurses to ICU, CCU, ER and elsewhere and I have never received any negative feedback from their other areas, only praise. Remember that we all start from med=surg. whether you went directly to a speciality area out of school or med surg-what you are taught in that first year will always include med surg.

At our facility our core measures have been at 95-100% for years. The reason for this is we have all core measures in Cerner charting and all the nurse has to do is document that she has taught the patient. We also given the patient a booklet and explain it and chart that this was done as well. This has been so positive our hospital is now sponsoring a CHF clinic for outpt in order to help our patients maintain what they have learned.

I agree with the above but I would like to add that you may have to suction down the nares. If the family tells you the pt just had a seizure you need to ask several questions but watch the pt for their reaction because they maybe psuedo seizures. I have had patients that when a gave them a command during a so-called seizure, such as raise your hand, open you eyes, they responded. Stay calm and don't panic.

i agree with you. these are standards of care and best practice is not being followed. I sure that there are care plans for this pt and I would ask the charge nurse or nurse manager what they consist of and why he was not being treated as he should be.

There are several factors involved here. You are planning a wedding, working nights in the unit (stressful), and possibly have jet lag. Did you sleep during the day or night on your trip? I think follow up with your doctor is a wise decision. It sounds like you may need more help than you alone can provide yourself. Good luck to you

Dr. Payne Dr. Drey Dr. Bone-ortho Dr. Showalter-urology(we say show water)

good luck

As a nurse manager having 1 nurse out makes it so difficult for the other employees and the patients. It is your responsibility to check the weather report and my nurses have stayed in town or in the hospital.

If you let your staff know how you are doing on the budget they can become part of the solution.

I have 60 employees and 37 beds. My HPPD is 8.7 I am able to staff 7 nurses and 3 techs on days and nights( 12 hour shifts) The charge nurse floats and helps everyone. I have a secretary on days for 8 and nights for 8 hours. My staff is very happy when they have 7 nurses which is 80% of the time. You will always be over budget with the HPPD that is set for you now.

I put up the sign up sheet for the holiday 2 months in advance. If you worked it last year you can be off this year, If you want to split a shift that if fine.

I wanted to be a nurse since I was 8. I am now 45 and have been in health care since I was 18. I knew that I would be a nurse, it was just a matter of when.