jrt4

jrt4

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All Content by jrt4

  1. How do lab draws work on your unit?

    jrt4 replied to sergel02's topic in Pediatric

    We do both. Mostly for peripheral sticks phlebotomy is drawing them but some nurses prefer to do their own. Only nurses will draw from our central

  2. Interview tomorrow!

    jrt4 replied to heather092800's topic in Nurse Management

    I like to ask about engagement scores for the staff. What are the strengths/weaknesses. And also, what does the organization do to support work/life balance. Stepping into management is exciting...

  3. Is this a smart tactic in huddle...

    jrt4 replied to AnnoyedNurse's topic in Nurse Management

    ok got you. I think its important for nurses to understand the risk of certain behaviors. Sometimes that can be conveyed through a story of what has happened to a nurse. It is a fine line though...

  4. Is this a smart tactic in huddle...

    jrt4 replied to AnnoyedNurse's topic in Nurse Management

    Sorry, my qualm was more about how the question was posed because it reads as an insinuation that the manager was using it as a "scare tactic". Without any other information I don't think that...

  5. Is this a smart tactic in huddle...

    jrt4 replied to AnnoyedNurse's topic in Nurse Management

    I don't think this is an appropriate venue to question your managers leadership tactics. I would encourage you to speak with your director or human resources partner if you have concerns about your...

  6. How to get into management

    jrt4 replied to Ashley.Hop's topic in Nurse Management

    I went through something similar early on. I had been a CNA/Tech for about 7 years before graduating nursing school. After about a year in I knew that I didn't want to be a bedside nurse for the...

  7. New to being an RN Supervisor

    jrt4 replied to ShimmaShimma0304's topic in Nurse Management

    Bring food. That always works for me

  8. New Manager Question

    jrt4 replied to NewManager2017's topic in Nurse Management

    Personally I always announce when I am on the unit. I think that sneaking up on them to try to catch them doing something would build distrust. If poor behavior is found I would suggest pulling them...

  9. Down time

    jrt4 replied to Grasshopper11's topic in Nurse Management

    I am not a home health nurse but are they issued Ipads or laptops that they could document in between

  10. BSN Nurse supervising MSN nurses

    jrt4 replied to Neats's topic in Nurse Management

    An MSN will open more doors but it certainly doesn't make you a better nurse. Some of the most skilled RNs I have ever had the pleasure of working with had an ADN. I have worked with some extremely...

  11. BSN Nurse supervising MSN nurses

    jrt4 replied to Neats's topic in Nurse Management

    I had an MSN as an assistant nurse manager when my manager only had a BSN. It didn't bother me in the slightest nor should it bother these nurses. My response would be "there is the door". If this...

  12. My first bad revew

    jrt4 replied to guest940422's topic in PICU, Pediatric

    Its pretty common practice for manager to call each other when someone is requesting an internal transfer. I usually don't even reach beyond that because in a good organization you don't let your...

  13. Advice from hiring managers in peds/PICU?

    jrt4 replied to lreinertson's topic in PICU, Pediatric

    Don't be discouraged!!! We hire internal transfers all of the time into the acute care floor. We haven't had the opportunity to do so in the PICU but we would be open to it!!! My advice would be if...

  14. Entry Level Masters and eventually a NP

    jrt4 replied to Ajr123's topic in Student Nurse Practitioner

    Usually an entry level masters degree program is a masters in nursing with a focus on clinical leadership or some sort of generic masters "specialty". We had one of these programs at a hospital I...

  15. Nurse Manager Overload

    jrt4 replied to NurseLatteDNP's topic in Nurse Management

    I am going to follow this post to see what others are doing. My current organization is not supportive of work life balance. Its a shame really. At a past organization they allowed us to work 4, 10...

  16. ADT rates and NHPPD

    jrt4 replied to laa83's topic in Nurse Management

    This is the world of pediatrics. We typically staff a charge out of staffing to help facilitate admissions and discharges. The challenge is that either the charge nurse takes a minimal assignment or...

  17. The Role of Nurse Leaders in Quality and Patient Safety

    jrt4 replied to rodney20c's topic in Nurse Management

    Quality standards and outcomes are typically driven by CMS. There are certainly other standards of care that are defined by healthcare accreditation such as the joint commission and specialty...

  18. "My kids"

    jrt4 replied to BlueBoxSearcher's topic in PICU, Pediatric

    I usually say "our friend in room x" it sounds nicer particularly if you are at the nurses station where others could potentially hear. I had a director that referred to them as "varmits"

  19. Pay for mandatory training

    jrt4 replied to HeathChris's topic in Nurse Management

    I am not sure on the exact rules you will probably want to reference your state labor laws because it could be different in every state. It is likely not "illegal" to not pay for your time. Most...

  20. Certified Pediatric Nurse Exam

    jrt4 replied to Briana810's topic in Pediatric

    This is excellent advice. It probably would have been beneficial to start before now but it can still be doable if you have a solid base of experience behind you. If not I would reschedule. I found...

  21. Ancillary Services

    jrt4 posted a topic in Nurse Management

    Hey group - I am looking for some advice regarding getting ancillary services to do their jobs so I don't have to. (yes I know how that sounds). I seem to be in a spot where I need respiratory or...

  22. Recruiting and retention tips for Private Duty?

    jrt4 replied to advocate41's topic in Nurse Management

    This will not fix a chronic recruitment/retention issue. Pay is important but not as important as a great work environment. I do agree that making sure there are safe situations for your nurses. Sign...

  23. Ready to be a manager?

    jrt4 replied to advsmuch08's topic in Nurse Management

    Good questions. I am actually an introvert and have been in management for about 8 years now. Most people in leadership are extroverts and there is certainly a place for both personalities. I think...

  24. House supervisors!

    jrt4 replied to GenSurgRNFA's topic in Nurse Management

    That's surprising! The recruiters I have worked with are always open to give salary ranges. We do not give out what we would offer but they will usually give a starting and max salary range. Most...

  25. Ancillary Services

    jrt4 replied to jrt4's topic in Nurse Management

    Thank you for validating my concerns! haha I've been at facilities where its been rough with ancillary services at times but this place is almost to the point of ridiculous. I realize we are all...