luvRNs BSN, MSN, RN

criticalcare, nursing administration

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All Content by luvRNs

  1. luvRNs

    Studer Group

    Have now worked in 4 hospitals employing Studer principles. Here are several observations: 1. Must come from the top down, and the top must REALLY support the principles. Many at the top don't....just...
  2. luvRNs

    Last name on namebadge

    I think first name and credentials ( RN, LPN etc) are better. Agree that both names can be risky. I've worked in hospitals in 4 different states and no one does last names unless specifically...
  3. luvRNs

    Healthcare Reform and nursing...question

    looks like it's going to pass.... One thing we DIDN'T discuss here was that most of na individual's health care spend is in the final two years of life. If the worry about funding this is no longer an...
  4. luvRNs

    How many years have you been a nurse?

    41years as a nurse. Just retired 6 months ago. The decision to retire was for me really a physical one. I would ( and did) continue to practice until I really started to feel to tired to continue my...
  5. luvRNs

    Death

    This thread shows me you care about your patients.It's also notable that you feel this way after 8 years in long term care, where many staff get accustomed to death. Thank you for that! :hug:...
  6. luvRNs

    Mandated scrub colors

    What I like about it is that a nurse is once again recognized easily as a nurse without the cap. As far as purchasing uniforms, the choice between doing tihs and the lay-offs or job freezes some...
  7. luvRNs

    You know you're Old School when...

    I have almost the whole Cherry Ames book collection. Anyone remember those?? Cherry Ames student nurse, Cherry Ames Camp nurse etc.... Fascinating to
  8. luvRNs

    best book for a new nurse manager?

    Budgeting for nurses managers ( Steven Finklestein). Effective nurse meader and manager ( Douglas) Nursing Administration Handbook (Rowland and Rowland) Also books by Tim Porter O'grady Hope this...
  9. I've been in nurse manager positions in several agencies. common interviews have been director ( future boss), CNO ( sometimes), staff, peer managers, physician directors of the units. Facilities cna...
  10. Interesting thread. I spent a great deal of my later career in management and administrative roles, but prided myself on my visibility and presence on the floor. As a manager I held myself to the same...
  11. I reply " that's why nursing is a fantastic career choice! It has so many different practice areas. " As a nursing educator, I taught the practice to others. As a nursing manager and administrator, I...
  12. luvRNs

    Managers getting fired

    Agree with HouTx above. Being a manager has never been as challenging as it is today. As many in management say "no margin, no mission". In a climate of health care cutbacks,this is becoming...
  13. So sorry about your harrowing experience ! A few things come to mind. This was a high risk hand-off, due to the vent AND the sedation. The need for clarity is essential because of that. Did the ED...
  14. luvRNs

    The good old days...

    Sorry about your situation, but there IS hope. I am a newly retired baby boomer, and there are MANY more following me. Add to that the fact that us boomers are aging and developing illnesses related...
  15. luvRNs

    Motivating Teamwork

    Agree with the reply you got about leading by example. I would also question whether your perceptions of the lack of teamwork are jsut yours or are shared by others. I would suggest a survey to...
  16. luvRNs

    Hostile work environment

    There are legal definitions for what constitutes a hostile work environment. These include predominantly sexual harassment situations, and superior-subordinate relationships. What you're describing...
  17. Have had the priviledge to be in many different positions during my nursing career, including manager of multiple nursing units ( CVCU's CCU's, ICU's, telemetries) and director positions in two...
  18. Agree with foreverlaur above. As a former nursing instructor, I had many students who had 'clear' career goals when they started, only to 'fall in love' with a practice area they had never considered....
  19. luvRNs

    Frequency of Nursing Assessment

    Full assessment once per shift. Don't spell out wheter that is a 12 hour or eight hour shift. The number of focused assessments depends on level of care and/or patient condition, medications...
  20. First, I agree with the above statement on the nurse practice act. Know your state's sedation constraints. Some states really do not adress this well, and are vague, leaving you to seek other options....
  21. luvRNs

    24 hour open visiting in the ICU

    This question is a 'hot button' one. Having open visiting comes with associated problems, but ALSO comes with advantages. The advantages are that some families can (gasp) actually be helpful. Are...
  22. luvRNs

    Help ! New grad in icu as a first rotation!!

    New grads in the ICU is a fairly recent trend born of the nursing shortage. This setting often can overwhelming to a new grad. There are two things you can do to protect yourself. One is to NEVER be...
  23. The reason for this is a basic working experience caring for renal failure and associated conditions ( cardiac, hematologic etc) . Unfortunately L & D nurses don't have recent expernience in this...
  24. luvRNs

    You know you're Old School when...

    Love this thread !! You know you're old school when: IV's were hung in 'series sets'. All IV's for 24 hours were hung with IV sets connecting one to the other, and all were glass bottles ! Pulmonary...
  25. Re: cardioversion sedation As someone who has worked in multiple hospitals, several questions come to mind. First, is the cardiologist ACLS certified? Many 'say' they are, but don't have the...