VANurse2010 replied to rcnursing's topic in Nursing
The best person to answer these questions is your unit director, but in general... Telemetry and step-down are the same thing in some hospitals, and in others step-down is higher acuity with lower patient:nurse ratios. Step-down may take more and di...
VANurse2010 replied to freckles23's topic in Nursing
Are you people serious? The floor nurse is supposed to leave her other 4-6 patients to go transport a patient from the ED? Does your director have a picture of the CNO with a goat? Utter BS.
VANurse2010 replied to HomeHealthLPN's topic in Home Health
Inform them that an order to use equipment against safety guidelines is not a valid order and you won't be doing it. Document the date and time of the conversation. You'll get nailed if you lie in your charting just as quick as if a patient gets hu...
VANurse2010 replied to cbrue645's topic in Educators
You are throwing out the "insulting" and "rude" bits to distract from the substance of what's actually being said. Frankly, the "tone" is irrelevant, and you're still not qualified.
VANurse2010 replied to cbrue645's topic in Educators
Don't confuse your getting an interview or even getting hired with actually being qualified for the job. They aren't indicators for that and you're not qualified.
VANurse2010 replied to cbrue645's topic in Educators
You are not qualified for that job, irrespective of your masters and administrative positions. You have to have some clinical expertise or at least a lot of clinical exposure. You don't have it. The other comment may have bene overbearing, but I fi...
VANurse2010 replied to ryuunohime's topic in Relations
I get that, but this is supposedly a professional job and management should be a bit more collaborative with solutions. I would expect this type of condescension from a retail or hospitality outfit, not from a so-called professional environment. ETA...
VANurse2010 replied to ryuunohime's topic in Relations
This is far enough in advance that you should just find a new job and quit. I'm a little put off by all the advocates for putting the unit before your life, but that's the lay of (some people's) land I guess.
VANurse2010 replied to NewRN'16's topic in Relations
This is all valid and I get the frustration. However, legally the med. rec. is ultimately the physician's responsibility. It is his/her job to ensure the right meds are ordered. Community hospitals especially like to dump this on the RN because th...
Your manager is full of s. This isn't some interpersonal conflict over a minor policy. This is a major health and safety issue that involves documentation and BON issues - not something you "work out" with the coworker. Manager needs to do her damn...
VANurse2010 replied to NewRN'16's topic in Nursing
In the event that you're actually serious and not a troll - you're not actually qualified as a new grad to really know what is a dangerous, busy, or inappropriate environment. So there.
Typically you would document why you're not calling this result. This is has been allowed in every hospital I've worked in. I would escalate it, personally. And... dinged by whom? TJC and CMS do allow for sensible paging policies. If it's your f...
