Charles S. Smith, RN, MS

Charles S. Smith, RN, MS

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All Content by Charles S. Smith, RN, MS

  1. merit based salary increases

    This is just about square on the nose George. As a nursing administrator I knew first hand just how much funding went in to the merit system. The caveat from the CEO and CFO was...if you give a 7.5%...
  2. Pot Smoking and Nursing

    Thank you George for putting it simply! Marijuana use is illegal and is cause for license revocation in every state of this country. If you need to be high to work, or high to forget work, get help...
  3. Straight pay for 12 hour shifts?

    OT depends on how your facility manages the federal requirements or collective bargaining requirements for OT....1) OT after 40 hours/week or 2) the 8/80 rule..anything over 8 hours and anything over...
  4. Responsibility for other nurses?

    Lever, again...just know what your hospital requires and what your nurse practice act allows. You asked the original question about responsibility for others. We do when we know that a patient is...
  5. Responsibility for other nurses?

    In a word....yes. The reporting mechanisms of any hospital should clearly indicate that any/all unresolved issues or issues of risk are reported immediately to a manager (unit or house supervisior)....
  6. Responsibility for other nurses?

    The sad fact is that the charge nurse is responsible for whatever the hospital says she/he is responsible for. Get a clear definition of what the charge duties are and get some basic...
  7. Surgical consent forms- using layman terms

    In many hospitals now, the informed consent signature line states something like "witness to signature only" indicating that the nurse is only witnessing the signature of the patient or legal rep of...
  8. Surgical consent forms- using layman terms

    This is not a corporate lawyer requirement. The basis of this practice is to elicit from the patient the procedure she/he is having in her/his own words. You are not supposed to write it out yourself...
  9. Interesting post...I work with folks as described and I do not ever hesitate to confront them respectfully. I do not let them get away with anything and am relentless about patient care. If I have...
  10. Anyone allowed to nap on their breaks?

    Be careful to check your hospital policies regarding sleeping on duty, your break times, extended lunch times, documentation of time off the unit, responsible persons who are accountable for your...
  11. How does your hospital/unit handle call ins?

    There is another issue at stake here. What about those of us who do not abuse our time off, but collude with others who do? You know the ones...they tell you on the sly that they had "something more...
  12. How does your hospital/unit handle call ins?

    All too frequently policies are implemented globally that affect all staff when only a few need the sanction. Address the problem with the individuals involved and don't punish the rest of the staff...
  13. Tired of being UNDERPAID!?

    Consider Independent Practice and choose your own financial destiny...
  14. Pain scale (Rated R)!!!

    I certainly have been in the same boat. My solution to solving the dilemma for me is to ask the next question and the next question and then offer alternatives to the patient. Asking questions will...
  15. Pain scale (Rated R)!!!

    I am curious as to how a healthcare professional can argue with a patient about how that person EXPERIENCES pain? The pain a person feels is her/his pain and is not based on how we think pain is...
  16. mind mapping

    Mind mapping is a simple tool used to draw out the key components of problem solving. MM has many forms, the circles, the tree diagram. In essence, MM allows you to take a large problem or concept...
  17. Any FUN nursing Jobs?

    Super insight as usual MollyJ! Finding one's niche is critical for all of life's opportunities. Coaching is a great way to help find niches and to bring about new meaning to a "stuck in a rut" or...
  18. Any FUN nursing Jobs?

    Super insight as usual MollyJ! Finding one's niche is critical for all of life's opportunities. Coaching is a great way to help find niches and to bring about new meaning to a "stuck in a rut" or...
  19. Any FUN nursing Jobs?

    Yes, I absolutely enjoy going to work. As an independent contractor in a professional practice group, I have choice in my life and career now. I have multiple options for every day and I love it!...
  20. Any FUN nursing Jobs?

    Yes, I absolutely enjoy going to work. As an independent contractor in a professional practice group, I have choice in my life and career now. I have multiple options for every day and I love it!...
  21. Funny Names for Nurses

    I worked in OKC in the 80's and our cardiac surgeon was Dr. Hartsuck too...are you by any chance from OKC?
  22. Nurses as independent contractors...

    I certainly applaud your efforts LoisJean...business skills are not an entitlement to anyone except for those who want it badly enough. Congratulations on establishing yourself as a business entity...
  23. Nurses as independent contractors...

    Peggy..while there are some short term benefits to the hospitals who contract for services, hospitals clearly want their own employees for a number of reasons. Hospitals have traditionally exercised...
  24. Nurses as independent contractors...

    Thank you so much for the vote of confidence Carrie!!.. We really have set the wheels in motion for nurses to become entrepreneurial and to form professional practice groups. For those of you who...
  25. No I wouldn't recommend nursing

    Kudos Judy. You have hit the nail on the head! Until the profession itself (including those of us in it) does something, we will certainly continue to be in the soup. Nurses must take this...