samaritan

Staff development helps you keep in touch with patient care. It gives you an oppurtunity to keep your hands on skills on. The money is good...not as good as administration or bedside nursing, but better than nursing school teaching. The stress level is MUCH MUCH lesser than an administrator. Lately, on my unit, administrators are staffing the floors, if they cant get coverage for holes in the shift :uhoh21: . It seems like they are responsible for everything that happens in their units . They are paged at odd hours, they come in on weekends to catch up on office work. Their family life is a null. I feel sorry for them. Educators are responsible for orientation, classes, education, training, staff development, policy development, incoorporation of Evidence based practice etc and I love it. :redbeathe The disadvantage is that if there are budget cuts, the educator is sometimes, the first to go. Thats all I can think of Hope this helps samaritan

This question is directed to all Indiana RN's. Does anyone know if RN's in IN are allowed to administer Ketamine IV/IM for procedural sedation? What is your hospital policy?

I dont know the exact site, but if you do a google search for BKAT, you will find the site. The test is copyrighted and you have to purchase it from the website. Samaritan

Please bring to your Nurse educators attention regarding the current ACLS guideline, it clearly states that CPR should not be started if rigor mortis is present.

Your experience is awful, but really I am not shocked. This almost sounds like the story of the MedSurg unit and ICU at our hospital. Managers are frequently staffing the floor and so is the Director of Patient services. New hires are being hired, but not quick enough to replace nurses who are quitting. These days,the main focus of the nurse is to just get through the day and not kill anyone. No one has detailed knowledge about the patients assessment, labs etc and documentation is at its bare minimum. Classes and inservices are totally out of question. I dont know where this is all going to end. Staff are quitting only to find that there are problems of other kind in other places. Turnover is at an all time high... Sometimes, I ask myself, what is it going to take, to make someone up there to notice what is happenning and make some REAL changes.... Samaritan.

Yes, I agree..Be prepared to learn a lot...may it be brushing up on the theory, or attending classes or seminars, reading articles, self learning packets etc. I used to work ICU and I hated to look dumb, so if I see something that I dont understand, I make a proactive effort to learn more about it. Often times, the orientation packet or binder itself is pretty adequate and usually has literature on everything that you need to know to get started. Good luck, You will enjoy it !!! Samaritan

I work in a 12 bed ICU/PCU. Our charge nurse staffs like regular nurse, but she makes decisions regarding admission placements etc. She gets on day every 2 weeks to do her PI, schedules, etc(if census is not high and if she does not have to help with staffing). Usually our charge nurse is staffing that day, due to call offs, admissions etc. As to who fills this role, the most experienced nurse is the best person to be the charge person.