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http://bertrogers.com/olc/healthcare/newsletter/verbal.htm This is an excellent website that talks about why verbal orders/telephone orders can lead to problems. And ways to prevent it. Ever play that game telephone as a child? Where you tell someone something and they pass it on? By the time it reaches the end.....it sounds nothing like it started out as?????

We have a box on the doctors order that we check that says "read back"

Well, it's interesting to know that not all nursing schools are requiring this. ok, here are the directions. "assess a semi-directed or indirect nursing situation in which a need for change is identified. This is not a nursing care plan. Focus on changes in the nursing unit management procedures. Propose a detailed plan. Develop criteria to evaluate the effectiveness of the plan. Apply systems theory. Reflect changes in the big picture" My problem is I am not currently in a clinical area and can't think of any things that need changing. I was thinking about writing a paper about starting an IV team that went around and changed tubing and dressings but have no place to get the info on how that set up would work. Thanks.

The main nerve injury is usually the peroneal nerve and that has to do with where the abductor straps are placed and if they are too tight.

Why not turn them? What are you afraid of? After all you can always turn them back. Seriously, the sooner you get them to understand that turning is important the better.

I have to do a change paper. Having writer's block. Any ideas? thanx for the help.

For those RNs out there who started as ADNs and later obtained a BSN- In your personal experience- was it worth it to you personally? Professionally? It is a very personal decision. I was an LVN, then an RN (1981). I had many hours of credits from 3 different colleges and then started my BSN at a 4th college. So there were classes they didn't want to accept so I had to fight that by going to the Deans of various departments. In 1981 I was tired of school and going to work even though I liked the idea of a BSN. For years I thought about going back and figured "why bother, it is not like you make any more money". I went back because my eldest was going off to college and I thought why pay for her to get a degree and not myself. Plus, I was so tired of overworked and understaffed. It has taken me 3 years to finish, this, my third nursing program. I started out half time. Then got tired of how long it would take and quit work and took classes during winter break and summer. I started out taking some of my classes on line at the junior college (stats and eng 1B). I found a Bridge program at a local state university that gave me credit for more previous work than they would have a few years back because of the nursing shortage. My advice would be to look for Bridge Programs. School will keep getting more expensive. And a lot of people will get their BSN. Some day you may see the job you want go to someone with less experience and more letters. There are a lot of scholarships out there right now because of the nursing shortage. Some colleges offer a combination of on-line and web casted classses. I also heard there is a RN to MSN out there. I would look into that. Personally it was worth it, professionally with all my years of experience it isn't really except it allows me to get away from clinical nursing. I am currently applying for a manager position.