NextGen

NextGen

Orthopedics/Trauma/Med-Surg

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All Content by NextGen

  1. Where do patients go?

    NextGen posted a topic in General Nursing

    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. Tertiary Intention Wound Healing

    NextGen posted a topic in Wound, Ostomy, Continence

    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. Anxious Vent patient - looking for alternative therapy

    NextGen posted a topic in General Nursing

    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. Nurse Manager gossiping about employees?

    NextGen replied to Cola89's topic in Patient, Colleague Relations

    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

    NextGen replied to madwife2002's topic in General Nursing

    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"

    NextGen replied to Nurse Beth's topic in Career Advice Column

    You were in the military. Have you considered applying for a nursing position with the

  7. November 2016 Caption Contest. Win $100!

    NextGen replied to Joe V's topic in News, Announcements

    Can you just keep me till after

  8. Would you report this error?

    NextGen replied to caffeinatednurse's topic in Patient Safety Issues

    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. Best strategy for answering "Why are you leaving your current job?"

    NextGen replied to Nurse Beth's topic in Career Advice Column

    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!

    NextGen replied to Bridgid Joseph's topic in General Nursing

    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. Required By Work to Get BSN - Don't Want to Write Endless Papers

    NextGen replied to Nurse Beth's topic in Career Advice Column

    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. Confused Seniors: Any suggestions?

    NextGen posted a topic in Medical-Surgical

    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. Verbal Hand-off Reports - Are they no longer necessary?

    NextGen replied to yr.pedsnurse's topic in General Nursing

    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. Nurses Fight Back! Why Some Hospitals are Despicable

    NextGen replied to allnurses's topic in General Nursing

    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?

    NextGen replied to jvl2's topic in Emergency

    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...

  16. Turfing patients to other hospitals

    NextGen posted a topic in Patient, Colleague Relations

    What are some of the reasons why your hospital's ED turfs patients to other hospitals? My ED often gets patients from outside hospitals for procedures that the outside hospital is capable of doing...

  17. Cardiology III vs. master cardiology stethoscope

    NextGen replied to JessRNBSN's topic in CCU, Coronary, Cardiac

    I bought my used Cardiology III for $85 on Ebay between Christmas and New Years. There were not a lot of people bidding! I can hear patients in the next room with it. You will love it and it's well...

  18. Does your hospital have a cutoff time for discharges?

    NextGen posted a topic in General Nursing

    My hospital has discharged patients to home as late as 11:00 pm. This includes patients who have a 1 hour drive to get home. At a friend's hospital, they have discharged to home as late as midnight....

  19. Mid-Life Career Change to Nursing

    NextGen replied to Mike1982's topic in Nursing Career

    I also earned a MBA and worked in IT for 10 years. I volunteered at my hospital in direct patient care for 2 years then worked the last year in direct patient care while in nursing school. By the...

  20. Suggestions for Activities/Activity Room for Patients

    NextGen posted a topic in Medical-Surgical

    Happy Holidays to all! My patient population is adults ranging in age from 18 to 92. Most are around the 50 to 65 year age range. The usual stay on my floor is 4 days. By day 2, they are able to...

  21. Don't People Have Bills To Pay?

    NextGen replied to Ruby Vee's topic in First Year After Licensure

    Bravo, Ruby Vee!!!! Well written. During my first year of nursing, I cried on the way home many times. Then I got on allnurses.com and looked for threads on being a new nurse. Most said "just keep...

  22. Hard and Soft Skills

    NextGen replied to TheCommuter's topic in Nursing Professionalism

    To improve your soft skills, take a class in customer service. Hopefully, teaching customer service skills will one day be part of a nursing

  23. Nursing Salary Survey 2014

    NextGen replied to TheCommuter's topic in General Nursing

    Geographic location: Cleveland Ohio Pay rate: $26.91 per hour In which area / specialty do you work? Med/Surg What type of license do you have (RN or LPN)? RN What type of degree and/or...