KK92RN

Yep press-ganey is all we hear about also. We have to do pt and employee rounding ( to see how things are working, does anyone need to be recognized for excellent care or assistance ect...) So basically the charge nurses are doing some jobs of management cause management used to do the rounding. and we have to do hourly rounds and answer the call lite within 3 beeps. keep the pt informed. blah blah....i know the people who own the press ganey company are making bookoos of money from all the companies that use them.

any nursing procedure book should have how to do it step by step and you really don't need a policy on a procedure unless its required by some certifying agency and i don[t believe that is.

crocs have the holes in the top of them so you have to be careful of body fluid spills or needles. my hospital actually is not going to allow them anymore

we call ours a clinical practice council. it is a way to include the clinical staff in some of the administrative decisions that affect the hospital and staff and always affect your patients. ours has 9 separate commitees that address different issues for example...policies and procedures, customer service, research, code blue. they all address important issues that affect staff and patients therefore they place clinical staff as well administrative staff all on the council and decisions are made based on shared governance. we have had ours in place since jan of this year. we meet once a month and have had some real changes happen which affect everyone. i think if your facility has started this then they really care about the staff and the patients.

ok so is there an automatid referal to the dept of children to check on these children that are being born to these ladies..

most definately file the order now before you start school. it take about 4-6 months and you tell your side of the story when you turn in the paperwork. they may say they will give a probationary license but at least know before you start school.

I work in a busy ortho trauma floor so we get stuff all the time. what we usually do is if er calls report before 630 and brings them up then we accept them and get them settled. we give a brief report and then the oncoming shift picks it up. if for some reason i am caught up then i can get it done but that doesn't happen very often... if they call after 630 we tell them we will take report and they can bring them up after shift change so that there will be staff available becasue we do person to person. then they can have a non licensed person bring them up...with post ops we just end up getting them and situated in the room but usually not after 630... it seems to work...

I would think you would still be staffed like icu. and need the same equipment. my hospital has a stepdown unit but it is off of icu. they get vent pts and some other stuff. i work ortho/trauma and we get head injuries and the long term traumas but no vents....

i was taught in school that for any change you have to talk to the md. but if i know the doctor or it was a pt home med then you should be covered. I the doctor wrote specifically for that then i would call. some mds you can never tell what they will do.

I have been in med surg for 6 years and prior to that i worked skilled nursing rehab in the same hospital. i have been on a ortho, neuro, trauma, ms unit for 2 years as a rn charge and pretty much love it. I am comfortable there now. took a while. but i get to see interesting things, and learn something new everyday. i also get to participate in the care of pts at very scary times and there have been numerous times i have left work knowing i did my best and helped that pt. my hospital is currently working on a med surg week so that other specialty areas will recognize that ms is a specialty. so our goal is to get as many nurses that are qualified to get certified.

I work on a 28 bed ortho, neuro, med-surg, trauma unit. We have split the floor so it works like this: staffing for the floor total. 2 charge 6 nurses on the floor and 2 pca. Each side has a charge and 3 nurses and 1 pca for 14 pts. now don't get me wrong people still complain but the majority of our pts are hips and knees so we get alot of postops. maybe 7-8 on one side and 4-5 on the other most of the time. this is in addition to giving blood and new admits and stuff like that. We run most of the time but very rarely does one nurse have more than 5 pts a piece.

i have back problems to. i know when i need new shoes when my back starts to hurt. i have good luck with nike shoks. actually only took me 5 minutes to walk out with them and i usually take 3 hrs to find a good pair.

only one tech for 28 pts. doing own vs. pt goes into st 140 c/o cp and transferred to pcu. total care trauma head injury pt with trach. sx all day. pt going for craniotomy family dilema there. new p.o. amp. p.o vs. every one else behind at 730 pm so stayed to help them. finally done at 830. glad it was over.

Well i work on a 28 bed trauma, ortho, medsurg floor and we split the floor in to 2 parts. Each side has 14 pts and the staff is set up like this: 1 charge rn 3 lvns or rn's for pt care 1 patient care associate we also have 2 unit reps most of the time on days but we have a very high turnover for pts. we have a clinical manager and she sometimes helps on the floor but for the most part she has other things that need to be done. the hospital has created a house supervisor position that is for the whole hospital and they take care of the transfers from other places, codes and support for when we need it. the charge nurse oversees all the pts on thier side and signs off on the lvn's charts. sometimes we have other rn's and sometimes we don't. when we do we try to give the rn the one less pt because they can do everything for thier pt( iv pushes, blood, ect) and it works better that way. the hospital created an admit team that consist of 3-4 nursesthat are hospital wide to help with admit and discharges and if it is slow then they can work the floor. all in all it seems to work pretty good. we always get hectic around 4 pm as usual. and staffing doesn't knock us down to 2 charge and 5 for the whole floor until our census is 25.

well there was one nurse who was drinking a herbal tea and tested positive for barbituates and they compared her meds she was taking and the information on the herb tea did not say anything about it being excreted in the urine therefor it was considered a positve test and she was terminated and reported to boards. so everyone is notified to check thier meds and stuff. thats why i am asking.

My question is to anyone with experience with this particular problem. My employer is initiating randon drug screens ( which i thought they already had) and we have been told to check the over the counter supplements we take to see if any of them come up postive on urine screen. i do take relacore and it has passion flower and all kinds of different things. does anyone know of a website or anything where i can look this stuff up... the hospital decided to do this after they cleaned house on one dept and fired 10-12 people. anyhow thanks for any info. its appreciated.

We use toradol in our standing orders for post op hips, knees ect. I have never had any problems with it. With it being an NSAID then you would watch for contraindications automatically. It was wonderful when I had it for whiplash after a car accident.

before you even send in an application to the board with your fee the board will want a declaration from you. you can get it off the website and it was 150. for me to send it in and see if they would give me a license. the background check doesn't matter because one of the questions on the application is if you have ever been convicted of or recieved def adj. for anything. so what they do is you send them everything, a statement about what happened court papers ect and they will make a decision. mine was with restrictions but i also didn't know to do this until nov and i was graduating in may so i might not have graduated and would have went to school without being able to take boards. so good luck.

well i didn't get hypnotized but i did quit cold turkey. i kept 6 cigarettes within reach for about a week. even had them in my car because i thought if i got stressed out at work i would need one and if it wasn't there i would want it more. it has now been since april 29, 2004 since i quit and its been great. now i don't know about the replacements with you being pregnant and everybody knows the risks. check with your ob because your actually just replacing one with the other and you would have to gradually decrease your dose but if the patches only have nicotine in them then i don't see the difference. noone is going to tell you its going to be alright to do any of them because of the liability but they can give you the info to make an informed choice. good luck just think positive. the hardest is the first 3 days then its the "oh i usually smoke a cig then" or someone else says " i am going to smoke want to go."

ok well it depends on what part of the hospital you work in. every floor does it different and some do the previous shift makes the next assignment. i don;t know which one is better

my hospital er did that to my father in law. kept him in the er all day long then at 10 pm transfers him to hospice and he passes 30 minutes later. all because they didn't have a bed. but he had the one he was in.

acuity, lol. what is that. it doesn't matter if we change the pts acuity level or not on our computer system we always get the same thing. and management always says " call us if you need help" we call, do we get help, not until you threaten safe harbor. i have even refused to accept an assignment until they got another nurse. they got another nurse but it left another dept short. they need to come up with something better

i totally agree. texas has safe harbor but noone uses it. everytime something comes up that they feel enough to gripe about the staffing the rn says it is to much paperwork. but most of the time if you threaten they will find someone. because safe harbor just protects the nurse should harm come to a pt due to a staffing safety issue. i have threatened once and had 4 managers on the floor within an hour because staffing was replacing an lvn with a pca and leaving 2 rn and one of them had an injury but felt she couldn't leave due to what staffing would do. so when do we all stand up and how is it going to be organizied cause i will be there and will bring a few nurses with me.

totally agree with you. and some nurses miss that aspect of spending quality time with thier patients and providing holistic care. nowadays the cna's are spending more time with the patients while we get to do paperwork

that would work if the patient load would be 3-4 per nurse for med- surg. anything else is just not safe.