siegolindoRN

I'd like to remind everyone that nursing is one of the few professions where, depending on what unit you work, only requires you to work 13 shifts a MONTH, only firemen have better schedules than we do.

Mount Sinai Health System uses the "Split Flow" patient flow improvement process. It utilizes separating ESI 1/2 and high level 3 (abd pain with co-morbidities) into acute areas and ESI low 3 (abd pain NO comorbidities), 4 and 5 into an evaluation ar...

Those are the days where teamwork is paramount for both safety of the patients and the nurses. As many have mentioned, manage up for assistance, don't assume you will be helped by maintaining silence. Don't just involve the nursing side but also the ...

its a multifactorial thing; on one end you have clinical practice, patient expectations, usage deals through supply chain, etc and on the other, the financial impact. Both are influenced by the medical director and/or senior administration. An IV ba...

that sad part in the battle between ADN and BSN is that someone entering nursing as a second career with a previous bachelors education will be forced to spend more money in getting another bachelors degree (depending on year graduated may/may not ha...

I have kept a per diem gig since my first year post nursing school. The rates are higher than staff but lower than any overtime. Most places have stipulations regarding how many shifts, weekends, holidays etc per month that need to be "picked up". Si...

As far as I know, only NYC HHC hires ASN prepared nurses along with most SNF or LTC organizations. I believe NYS (mostly psych) will take ASN and so does the VA (openings in the city are rare). The private sector, Montefiore, Mount SInai, NYP, Northw...

Where were your coworkers in all of this???? They should have divided up your assignment so that you could've gone home. I can understand why a DON would refuse report when they are in charge of the house and couldn't possibly perform bedside care. I...

Pain can directly influencing BP, HR, and RR, amongst other things, so it should be monitored closely. When asking for pain ratings, I always add a comment to either validate or invalidate what my patients are reporting, its how I meet the need for d...

KindaBack, Ill admit, "anything" wasn't the best word to use as those other items I would agree are not our responsibility (not as primary RNs at least). What is in our scope is addressing the potential mental/behavioral health issues that a patient ...

A nurse can delegate a support staff member to watch a patient, they need not wait on a supervisor to make that decision. Charge nurses on various units can also coordinate the use of support staff in coordination with the supervisor. At the end of t...

I have experienced this many times in my ED career, sometimes we were able to get family come in, sometimes we have called ACS, sometimes the NYPD. The one common denominator all the situations had, a sitter (support staff) is placed with the child(s...

The practice of flushing the line, or changing blood tubing, in between transfusions comes from the need to monitor for transfusion reactions (policies are created for the broadest applicability). The obvious difference in standard administration vs ...

Get your year in first, then transfer to another unit. If after your second year, you still feel the organization is not up to your standards, then leave. If you quit after only a few months of work, you will find it extremely difficult for anyone to...

1a)Full Time Equivalent (FTE) is equal to 1950 hours per year, some places work out complex algorithms so nurse's work 12 or 13 shifts in a month (11.5 flex). How you are scheduled can depend upon the payroll solutions the nursing department uses (ex...

Take the loan, you can always apply for your repayment to be based on income. Its all about how you manage your money.

Dont bother with Kaplan or Princeton!!! Go to learningext.com, this is a service provided by the National Council of State Boards of Nursing. This is the organization that creates the NCLEX exam. Far less expensive and the questions provided are stru...

just like anything else, you have to find your little piece of happiness in any career. I have worked emergency service for 14 years (7 EMS, 7 RN, 3 as a nurse leader in EDs) and can say I have had my fair share of days where I questioned myself over...

I dont forsee mandated ratios in NYS. NY and Cali cultures are on opposite sides of the spectrum. NYSNA would have better luck getting "float pools" written into CBAs in order to improve overall staffing than legislation in Albany.

Interestingly, most nurses who work in a non union environment and are separated from their employment (regardless of reason), change their tune regarding the unionized environment. There is a piece of mind when you can work and just focus on the car...

I have a different viewpoint. That so called "scab" nurse thats brought in to take care of my patients affords me the piece of mind to be able to participate in a work stoppage, exercising my right as a unionized worker. I am a professional with a ce...

I remember when i was in school what helped me was a presentation by a fellow student (who was a teacher starting a new career) on how the nursing process is the nursing term for critical thinking. It made so much sense afterward and was very helpful...

Fragmentation is not the answer, unity is. Nurses hire nurses not hospitals. Nurses drive change within hospitals. Nurse requiters are instructed to hire BSN only. It is good for the profession and for an individuals future not to mention the publics...

here in the city per diems can make $48-55/hr.

sorry about the late reply. BSN is $1500.