TeachingeveryoneRN

The ER is not the business of caring or compassion; it is strictly business. This being said, that doesn't mean you are not compassionate or caring, but how can you be when this is not the environment you are in. Switching positions in the hospital is a safe bet as you maintain your clinical skills; take an office position or a clinic position and your viability for hospital units decreases. I think it's time for measurable outcomes for you; what I mean by this is where can you see your patients get better by measurable outcomes. The patients whom you have stabilized in the past and sent to other units, hoping they got better and went home, now you receive them stabilized; watch them get better and they say "thank you" when they get to go home. I'm sorry you are in this fix hope it all works out for you.

As a seasoned nurse, I would like to give you all hope. I have my ASN and am now going for my BSN. I have 12 yrs in nursing and when I first started was in the same boat, first I worked in an office (more secretarial, than nursing). Shortly after that, (even though I didn't want too), I worked in a subacute care/LTC for a year, than finally obtained a hospital job. After 2 yrs Telemetry, I finally got my place of comfort L&D. Don't knock LTC, this says a lot to hospital nurses; 1) your organized 2) you have great assessment skills 3) you have great time management 4) you have great communication skills with people of all ages. 1) Organization: You are able to pass medication, chart, call dr's, pass medication, comfort, and chart in 8 hours on HOW MANY patients?!!! 2)Assessment: You are able to tell from 50 ft away, if someone is in respiratory distress and needs more than an albuterol treatment or his 02. The blue color in the face is not just the blue hair dye! 3)You did ALL of THAT in 8 hours!!! 4)When working in LTC, the mental acuity may not be as sharp in all the patients; some have mind of children, teenagers, young frisky adults etc.... Don't fret you all will find your way in the world and doors will open when they should. Though it is hard to think about this now, imagine the interviewing experience you are gaining and how you all will be able to help the next group during a nursing job shortage.

Triaging a pt for the ED classifies patients, just as hospitals are classified for trauma. A Level 1 pt, is a trauma pt (high speed impact, head injury, burn victim w/3rd degree), Level 2 is a critical care such as an MI, pneumonia, COPD, CHF, exacerbation, Level 3 is acute care, and level 4 is sub acute care; migraine etc.

help! would like to finish my bsn i am in need of several brave souls who would like to answer interview questions. there are 12 total, please remember these were assigned to me, i did not write them. some of the questions and requests may seem redundant, you won't need to answer all 12, only those that apply to you/your specialty. i'm looking for a clinical administrator, apn, certified-nurse midwife, crna, staff nurse, clinical nurse specialist, and a research nurse. i thank you all in advance for your time, thoughts, and support. 1. in solving patient care problems, discuss how you utilize and value the knowledge of other disciplines. what team members are you most often engaged with, and what is the unique expertise of each? 2. in demonstrating appropriate teambuilding and collaborative strategies when working with interprofessional teams, describe how you accomplish this. 3. how do you see care (patient) applied within your particular nursing practice situation? 4. describe the roles of different nurses in promoting safe and quality outcomes of care for diverse populations. 5. describe how you apply quality improvemnt processes to implement patient safety initiatives and monitor outcomes. how are nurse-sensitive indicators monitored in your institution? 6. describe how nurses facilitate patient-centered care in you institution and practice. how are patient-centered care and advocacy similar to and different from each other? 7. describe a situation in your practice in which you could see that the principles of ethics, professional nursing standards, altruism, and human dignity affected your nursing practice or a specific outcome. 8. describe a patient care initiative in you r organization that improved outcomes and enhanced cost effectiveness in care delivery. 9. describe how nursing research has improved or changed a particular aspect of patient care in your institution. how is the research project different from quality improvement activities? 10. describe how information technology and patient data are used in your institution for ethical, effective clinical decision making and how patient confidentiality is protected. 11. describe a particular situation in whic you have been involved with roles and responaibilities of a major healthcare regulatory agency that affected patient care quality, workplace safety, healthcare reimbursement, or the scope of nursing practice. 12. compare nursing practice roles for the registered nurse, clinical nurse leader, advanced practice, registered nurse, and clinical nurse specialist in your clinical setting. describe specific differences in their duties, knowledge, and abilities. thank you again, i hope to pay this forward for other nurses as well.

Having walked in your shoes, one of the first things I did was to remember what the staff complained about when I was not "admin-*****", the RN's and LPN's were both upset about IV's piggy-backs etc. The RN's would have to take time from their patient's, med rounds, charting to hang and check IV's for LPN's. I contacted our Pharmacy vendor and arranged for and LPN IV medication certification class. This was really appreciated. Next, I conducted a skill's lab, but with the CNA's being the patient's. The one's who were most difficult in assisting in team work and patient care were able to be the patients in: "wet diapers" and "lumpy diapers" (tennis balls and water to imitate.....), cloudy plastic cups over their eyes trying to feed themselves, or be fed by staff who were speaking to one another and not "paying attention to the patient", securing one in a wheel chair with 1-2 cinder blocks being dragged behind so they could see what it felt like to want to get somewhere and have to struggle. The proper positioning in bed to prevent bedsores. I had teams of two place each other in bed as they would a patient, then position them properly. I even had them perform oral care, face washing etc on each other so there could be instant peer feedback. Though not all change was instantaneous, the biggest that I saw was empowerment of staff who were oriented the wrong way vs right way, and they would apply the "right" knowledge. As for your drama queens who will quit on the spot. Fine, but remind them pt neglect is against the law. Always keep a paper trail of the infractions and conversations had with the employee. If you type a summary of the conversation ask the employee to sign if they agree. Remind them it is not a warning, or goes against them, it is to "remind" you that you've discussed this with them and won't need to repeat information to the same people twice wasting their time! I hope all of this helps and wish you to enjoy your new adventure.

I am in need of several brave souls who would like to answer interview questions. There are 12 total, please remember these were assigned to me, I did not write them. Some of the questions and requests may seem redundant, you won't need to answer all 12, only those that apply to you/your specialty. I'm looking for a clinical administrator, APN, certified-nurse midwife, CRNA, staff nurse, clinical nurse specialist, and a research nurse. I thank you all in advance for your time, thoughts, and support. In solving patient care problems, discuss how you utilize and value the knowledge of other disciplines. What team members are you most often engaged with, and what is the unique expertise of each? In demonstrating appropriate teambuilding and collaborative strategies when working with interprofessional teams, describe how you accomplish this. How do you see care (patient) applied within your particular nursing practice situation? Describe the roles of different nurses in promoting safe and quality outcomes of care for diverse populations. Describe how you apply quality improvemnt processes to implement patient safety initiatives and monitor outcomes. How are nurse-sensitive indicators monitored in your institution? Describe how nurses facilitate patient-centered care in you institution and practice. How are patient-centered care and advocacy similar to and different from each other? Describe a situation in your practice in which you could see that the principles of ethics, professional nursing standards, altruism, and human dignity affected your nursing practice or a specific outcome. Describe a patient care initiative in you r organization that improved outcomes and enhanced cost effectiveness in care delivery. Describe how nursing research has improved or changed a particular aspect of patient care in your institution. How is the research project different from quality improvement activities? Describe how information technology and patient data are used in your institution for ethical, effective clinical decision making and how patient confidentiality is protected. Describe a particular situation in whic you have been involved with roles and responaibilities of a major healthcare regulatory agency that affected patient care quality, workplace safety, healthcare reimbursement, or the scope of nursing practice. Compare nursing practice roles for the registered nurse, clinical nurse leader, advanced practice, registered nurse, and clinical nurse specialist in your clinical setting. Describe specific differences in their duties, knowledge, and abilities. Thank you again, I hope to pay this forward for other nurses as well.

Stay brave you will be ok!

As far as EPIC I find it to be very user-friendly. I am also familiar with Centrix, Meditech, Mckesson, and Epic. I specifically listed them from poor to very good. The flow for charting and being able to see the Dr's order is very easy. As far as EPIC being in every state, it's not. It depends on the hospital system. VanGuard uses McKesson, Northwestern Memorial Hospital and University use EPIC, and Adventist uses Centrix, Most hospitals are using EMR. Hope this helps and feel very fortunate that you are getting good training and if you become proficient in this you can become proficient with any EMR system.