NextGen

NextGen

Orthopedics/Trauma/Med-Surg

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About NextGen

NextGen specializes in Orthopedics/Trauma/Med-Surg.


Latest Activity

  1. Where do patients go?

    I have been a nurse for 7 years, worked 5 in acute care and the last 2 in Acute Rehab. Patients are being discharged from acute care much sicker than they were 5 years ago. The theory behind Acute...
  2. My patient's large and deep wound has been intentionally left open. She was transferred from the surgical unit to my unit without adequate wound care orders. The wound is continuously seeping yellow...
  3. My patient was put on a vent during a pneumonia episode and has not been able to be weaned off. Now she is on my LTAC. Her O2 levels are always good. She has coughing spells and periods where she...
  4. This is an example of a poorly trained nurse manager. She does not know how to (1) investigate a complaint made by a nurse about another nurse, (2) differentiate between staff gossip or targeting...
  5. Death came to visit

    A cautionary tale: Children are not always the best medical POA. Appoint someone who is able to listen to medical advice and understand it. My mother-in-law appointed her daughter as her medical...
  6. Trouble getting a job in a "Good Ole Boy Town"

    You were in the military. Have you considered applying for a nursing position with the
  7. Can you just keep me till after
  8. Would you report this error?

    I agree with your thoughts and advice. All you can ever do in life is what you believe is the right thing to do. You are so very correct about how middle mgmt operates. I went to my manager about...
  9. Hers is an answer to this question that is well received: I am looking for a hospital that has a stronger emphasis on patient centered
  10. Just Say No to Lateral Violence in the Workplace!

    What I have found is that lateral violence has been inbred into the hospital culture for a very long time. If you are the nurse or aide who speaks up about unfair treatment to your manager or to...
  11. While I understand not wanting to write papers, the articles that you research to write those papers is important. You have a choice in how you get your BSN. You can write meaningless papers just to...
  12. I work night shift on a busy med-surg unit. Often, our senior patients get confused at night. These are patients who are not diagnosed with Alzhemier's or dementia and are not confused during the...
  13. In EPIC, go to the blank field (or search area) in Patient Summary and type in "ED Encounter Ed Only". This will bring up all the emergency department information on a patient you could ever need....
  14. I found out the hard way that if you complain to a manager about just about anything, you are tagged as "not being a team player". Not being a team player has become the euphemism for complaining...
  15. Are all these certifications worth it?

    We are in a profession that is constantly changing due to new technology, advances in our understanding of medicine and new protocols. We will be learning new things every day for the rest of our...