I have just recently joined the management team in the ER where I have been a staff nurse. Drinks in the nurses station has been an ongoing battle for as long as I have been a nurse. My manager simply comes out to the floor and procedes to throw an...
Hi there! I am tring to come up with activities for ED nurses week. We thought it would be fun to nominate our fellow nurses for awards. We need more categories with some funny names for nursing awards. So far we have come up with: HAZMAT Award (Most...
How does your ED assign patients? We have recently went from room assignments to assigning patients by acuity. The idea was so you keep your patient throughout thier stay and avoid hand offs. Sounds great but the charge nurses are having a hard ti...
I know the importance of Real Time documentation and the impact it has on patient safety. I have a nurse in my department that is always piling up charts and documenting "when she gets time". The content and format of her documentation is very deta...
gamegirlkimmy replied to joamy2's topic in Management
Seems like much of the time the physician's are the most resistant to following policy. Many times they are not updated on ever changing policies and documentation requirements. In any case they must still be held accountable for non compliance. We ...
I have been reading alot of articles about how having an MD in triage increases the flow in the ER. The article states that most ERs overcrowd due to each step being dependent on the previous i.e. triage, registration, waiting room, rooming, MD eval,...
I have been reading alot of articles about how having an MD in triage increases the flow in the ER. The article states that most ERs overcrowd due to each step being dependent on the previous i.e. triage, registration, waiting room, rooming, MD eval...
gamegirlkimmy replied to Mail4Tammy's topic in Career Support
I believe the most important quality is compassion. No matter how good your skills and how much knowledge you have, without compassion for your patients you will not make a "Good Nurse" I also believe you need to be somewhat aggressive, especially w...
gamegirlkimmy replied to peaceful's topic in California
Have you considered Kaiser, benefits are great and things have really changed for the better over the last few years. Patient service and satisfaction is at an all time high and personally they have been very supportive of my goals and ideas. I hav...
gamegirlkimmy replied to newfloridaRN's topic in Emergency
You want to make good money in nursing come to California! Our hospital starts new grads at 35.00+ an hour. Shift differential is 3.53 for pm shift and over 6 for night shift. Seasoned nurses working per diem make 50.00+ hourly. The union for RNs ...
gamegirlkimmy replied to big sweet life's topic in Management
I am expecting my bonus this week. Our bonus is based on meeting the organizational goals which are different every year. Patient satisfaction, various budget issues, and HR were 2004 goals. I am not sure how much it will be yet but am excited to ...
gamegirlkimmy replied to EstherdH's topic in Emergency
My ER has what I consider to be a huge number of new graduate RNs. If self scheduling were done my fear would be that there wouldn't be enough seasoned nurses to support all the new grads. Union contracts here in California, (CNA) for RNs, could al...
gamegirlkimmy replied to Thunderwolf's topic in General Nursing
In our Emergency department we just started with bedside report. This gives the outgoing nurse a chance to say good-bye to the patient and also introduce the oncoming nurse to the patient. We initially started this due to complaints of oncoming nur...
gamegirlkimmy replied to DeniseLPN's topic in LPN/LVN
I have the utmost respect for all roles and I really think it would be great if being a CNA was a pre-requisite to LPN, and LPN was pre-requisite for RN. I have been all 3 and I really appreciate to contributions each position makes to the patient c...
gamegirlkimmy replied to RNin92's topic in Emergency
This isn't an acronym but..... have you ever had those pitiful suicide attempts that are in your ED so much that you know they just enjoy the attention? I'm gonna write a book titled "Suicide, Doing It Right the First Time"