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Charting/Documentation
I hope you get paid a lot of money for doing your job. WOW, you have a lot of work for 1 RN. My clinic sees around 90 patients/day. We have an EMR system which we review the patients allergies, medications, chief reason they are being seen etc. and can also document a note. We can order labs etc. if needed to do in the office. We do give injections also. We have a triage nurse who gets many calls throughout the day. We are also expected to leave in a timely fashion. We have several RN's, LPN's and MA's. We take turns leaving early as the day is ending. Several of the nurses can work in all the areas, so we cover if the MD or NP would need something at the end of the day. Some days are very hectic and on occasion we do stay later.
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12 Hour Shifts
I think 12 hour shifts are not safe for nurses or patients.. When I worked the evening shift (3-11) we had 12 hour shifts who by around 3-7 pm. shut down. More medication errors were documented during that time. Nurses need a break from all the craziness. I think possibly a 10 hour shift would work better due to the overlapping of shifts and finishing your work. Just my opinion.
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Old nurse required to get BSN
I feel that requiring all RN's to have BSN's is going to take these nurses away from the bedside. Nurses should remain at the bedside. We all have RN behind our name and that should be good enough. The patient's don't care how many initials or degrees you have what matters the most is the care they receive at your facility. We are going to end up with too many chiefs and not enough Indians.
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Shared Governance
We have tried to get SG going where I work in a rural community hospital. I feel that management is too involved. Management is at all the meetings. If this is truly SG, shouldn't the nurses have a say and present it to the ranks? I agree with MunoRN, "it is a puppet government for administration.:" If SG is truly for the nurses to have a say and make changes why can't administration give it a run?
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Stable life vs not enough action! Do you ever envy your inpatient counterparts
I work in a clinic and love it. I really get to know my patients. I feel that I use a lot of my nursing skills still. I did work in an acute setting and never seemed to be able to get to know my patients. We are always having to solve problems for our patients. It is very rewarding. I have been a nurse for 30 years. Everyday is a new challenge and I still rely on my skills that I learned in a hospital setting.