mydesygn

mydesygn

pediatrics

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All Content by mydesygn

  1. legal question

    mydesygn replied to wanttobedone's topic in General Nursing

    Actually, the main reason has little to do with patient care. Every facility I have worked for has not forbid us from leaving campus but we are told to clock out. The main reason for this is if you...

  2. Looking for nurses who work with Meditech, Eclipsys or Cerner

    mydesygn replied to supermom2's topic in Nursing Informatics

    With any hospital wide system, your decision is price, resources, integration I have worked with Meditech as a full implementation and Cerner with only the order entry. PRICE: When our facility...

  3. Charting systems question (fighting with management)

    mydesygn replied to bren3299's topic in General Nursing

    I understand the nursing staff's frustration and being overburdened and staff departures. Guess what , I hate to sound cruel -- but every change made on a nursing unit has been fought using those...

  4. Charting systems question (fighting with management)

    mydesygn replied to bren3299's topic in General Nursing

    I'll start with a question - Are you working on a floor or is this an ICU? My experience has been that shortly after HIPAA (Health Information Privacy Act) came into effect, we removed all...

  5. Team Building Ideas

    mydesygn replied to chickapoo_68's topic in Nurse Management

    I guess I would want to narrow the issues that are causing the feelings of "mistrust". Are the nurse managers the primary manager for a specific unit or are responsibilities for a unit or units shared...

  6. Leaving written report at shift change?

    mydesygn replied to uptoRNin04's topic in General Nursing

    I guess I need a little more info. Every facility I have worked at does a written report, a written report is not unusual in the least, some places do taped reports. Are you saying that you were...

  7. Family Video Taping

    mydesygn posted a topic in General Nursing

    I have a question that I have yet to find an answer to. We have a family whose daughter (pediatric, dev. delayed) suffered an IV infiltration. The family is planning to sue the facility and wants to...

  8. Family Video Taping

    mydesygn replied to mydesygn's topic in General Nursing

    Such interesting replies ....and funny. Thanks. I think the videotaping was to find something else since the infiltration already happened. The unfortunate thing is infiltrations can look really...

  9. Vent: On Jumping to Conclusions

    mydesygn replied to UM Review RN's topic in General Nursing

    I have so been there. The one thing I would recommend is to not let that go. Don't get angry or jump on the person on the spot but give yourself a little time and then approach them and tell them...

  10. Why does everyone think that mgt is such a bad career choice?

    mydesygn replied to 2ndChance's topic in Nurse Management

    The facility I currently work at, has 6 open unit manager positions with no applicants for over 6 mos. The management position I vacated had only 2 applicants prior to my accepting the position,...

  11. Why does everyone think that mgt is such a bad career choice?

    mydesygn replied to 2ndChance's topic in Nurse Management

    Multiple Reasons - each one unique 1) typically salaried positioned - most managers may very well earn less money than a new grad considering the number of unpaid hours that they work. 2) called at...

  12. RN job in jeopardy please help

    mydesygn replied to fe3's topic in General Nursing

    Does your shift remain until the narcotic count is complete? Seems like the count should have been done before you

  13. Help w/ an assignment please?

    mydesygn replied to SNKerri's topic in Nurse Management

    I am no longer a nurse manager but did management for one year. 1) Responsibilites vary a great deal from facility to facility. However, mostly all nursing managers have the responsibility of...

  14. petty ? about med student

    mydesygn replied to hollyberry678's topic in General Nursing

    Truth be told, I would rather not have "untrained personnel" assisting a patient to the bathroom. I don't want the med students (or nursing students) for that matter assisting patients to the...

  15. any thing about nursing management

    mydesygn replied to cute noosh's topic in Nurse Management

    Try reading HARDWIRING EXCELLENCE, QUINT STUDER. It was written by a hospital CEO and talks specifcally about management and leadership issues in a healthcare

  16. Hostile Working Environment

    mydesygn replied to CseMgr1's topic in Patient Safety Issues

    I have been there. I was also fully aware of the "management bashing" that goes on outside of my earshot. I learned quickly not to take it personally. As far as I was concerned, you are welcome to...

  17. Feeling Upset Please Help

    mydesygn replied to GiantHeart21's topic in General Nursing

    In Texas, the LVN (LPN) pretty much do the same exact job as the RN and get paid 5-8 dollars less an hour to do it. Most LVN's go back for the RN for that reason. The facility really defines what an...

  18. Need end-of-shift report sheet!

    mydesygn replied to ilabooshka's topic in First Year After Licensure

    This is the Jot that I have used (that I take report on for my shift). It has room for 5 patients. I write my meds/treatments/feeds into the time blocks (obviously I worked nights) and I write the...

  19. upset about title

    mydesygn replied to nurse4theplanet's topic in General Nursing

    I find it really sad that the existing nursing staff at that facility allowed this practice to start and did nothing to stop

  20. upset about title

    mydesygn replied to nurse4theplanet's topic in General Nursing

    You have passed your boards and you are an RN. You should have that title appear on your badge since that distinguishes your level of licensure from an LPN or CNA. Quite frankly, I'm not sure if...

  21. Calling All Managers (Who Were Once Abused Nurses)

    mydesygn replied to VivaLasViejas's topic in General Nursing

    It's funny how we are always taught early how emotional and mental stress can lead to physical illness. I had lived with the stress for so long that it was not until I left that job (and my clinical...

  22. Calling All Managers (Who Were Once Abused Nurses)

    mydesygn replied to VivaLasViejas's topic in General Nursing

    Funny, that sounds a bit like my story. I was a pedi nurse for over 15 years, the first 9 years on the same floor. I was fortunate in that I worked with a really good group of nurses, we really did...

  23. I need some guidance please........

    mydesygn replied to staceyp413's topic in Nurse Management

    I can't offer you advice from personal experience with physicians but I do beleive that dealing with the physician should not be that different from dealing with any indiviual from an outside...

  24. Hey, Managers! What's up with the "weeding out" of good nurses?

    mydesygn replied to UM Review RN's topic in General Nursing

    I do wonder how much of the wholescale "tattling" and "eating the young" are form nurses who need control at work because they don't have a balance in their personal lives. I do find the worst...

  25. Hey, Managers! What's up with the "weeding out" of good nurses?

    mydesygn replied to UM Review RN's topic in General Nursing

    Interesting. My question is whether their performance was ever addressed in their annual evalution or by the previous nurse manager in any sort of documented one-on-one evaluation, or performance...