SC_RNDude

SC_RNDude

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All Content by SC_RNDude

  1. Nursing is a passion?

    SC_RNDude replied to mindofmidwifery's topic in Nursing Professionalism

    People seldom have a passion for something they can also make a living at. There is some research that shows that the people most satisfied with their jobs are ones who have worked at and have...

  2. Rally for National Nurse-Patient Ratios

    SC_RNDude replied to nrsadvocate's topic in Activism, Healthcare

    I think you missed the point. Maybe "unnecessary tasks" wasn't the best way to put it. To make up for having to employ more nurses, they may employ fewer non-nurses. Nurses may find themselves doing...

  3. I want to learn stuff!

    SC_RNDude replied to Destiny78's topic in General Nursing

    Try med-surg again. You'll learn plenty and be more marketable for travel nurse positions, especially if you get tele

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

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

    BG, vitals, and meds given should all be documented in EPIC for you to see. If not, then that is the bigger issue. You don't think a verbal report might have missed covering important things? Are...

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

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

    For a verbal report, both nurses have to be available at the same time. Where the "no verbal" report process is in place correctly, the receiving nurse gets advance notice. In my case, the floor get...

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

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

    As many here have attested to, it's not theory, it is happening. If the process is put in place correctly, patient movement from the ED can happen efficiently and safely without a verbal report. My...

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

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

    My answer to this would be the same as it was a few pages

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

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

    A crashing patient being emergently transferred to the ICU is a much different situation then a patient bring brought from the ED to the floor with advance

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

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

    Here is another good one...morphine is given in the ER, and is appropriately charted. Verbal report is given, but the ER nurse forgets to report on the morphine. The floor nurse, who doesn't review...

  10. J tip - Anyone using this?

    SC_RNDude replied to AnnieOaklyRN's topic in General Nursing

    Yes, we use them for peds patients for IV's. They work well for older school-aged kids and teens....those old enough to understand what it is. If the patient is too young, it's just one more thing...

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

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

    Someone else posted this earlier. Since when do we always agree with The Joint Commission...lol! I don't know what to tell ya, except that as evidenced here, many institutions have some sort of no...

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

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

    So, what caused the "horror" among the nurses? No one has been able to say, with specificity, what bad things happen when there is a process put in place for the nurse to receive a written report or...

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

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

    I would say that the issues you speak of are bigger then verbal report vs chart review/written

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

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

    I've been a ED nurse for 6 months, abd a med-surg nurse for 4 1/2 years before that. I agree with you, that many ED nurses feel that they have it harder and they are better. I know how hard med-surg...

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

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

    You might like to know, but it isn't a

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

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

    Would a verbal report prevented this mistake? Possibly, but far from a sure thing. Following a written protocol for nitro administration would have. Or including nitro in the allergy/adverse...

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

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

    Various bits of data? I thought it was the permanent record that patient's care from their arrival through discharge. Why do I have a feeling your "interactive conversations" that convey a more...

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

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

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

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

    The H&P is not needed. There should be a triage note, or something along those lines. If not, then that is different issue that needs to be addressed. Evidently, from the many posters here that...

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

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

    Well, when the two nurses involved are right there on the same floor in the same area, and there is no patient flow issue related to nurses trying to catch each other on the phone, it would be silly...

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

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

    Time isn't the ONLY concern, but it is a big concern. Not just to the hospital, but also to the patient waiting to go up (a big pt satisfaction concern) and the patients in the ED waiting room. The...

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

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

    If you don't know anything about them, that is a different issue then verbal report vs chart review. You could receive a patient without getting a verbal report too, thus you wouldn't know they were...

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

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

    Whose interpretation of the standard? Our handoff process wasn't on their "list" of concerns that was communicated to staff. I would think that would have been a big one. Also, CMS visited us...

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

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

    What bad things are happening because of these

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

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

    I don't think anyone said they are safer. I could argue they are, but don't have evidence. It's faster. As for the "bad things that can happen", or as the OP said a "disaster waiting to happen",...