Turk182

Turk182

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All Content by Turk182

  1. Rapid Response Team

    I always smile when I see a post with someone who works in a "small rural hospital" and the bed capacity is 30 or plus. I also work at a small rural hospital, but we have one in patient floor with the capacity for 16 -18 beds. A while ago we implem...
  2. Bad Rep for Med Surg

    As the manager of a Med Surg floor, I have read and fully appreciated every posted comment relating to this subject. I think everyone has hit on a valid point of some aspect or another, and for the record, I know how hard you work! I'm not so sure...
  3. Every IV in the AC?

    Another thing to consider, who placing the IV/heplock? In my experience, many times the ER tech, not the nurse will place the site. Often they want to be assured of a "sure" thing and not feel like other's are judging their skill if they don't get a...
  4. Calling All Nurse Managers/Clinical Directors

    Bravo to all of us who keep plugging along! If you've read my first post from when I took over as the manager of a Med-Surg unit at a small rural hospital, you'll know how frustrated I was with many of the things that have been posted recently. I st...
  5. About productive hours per patient day?

    Mr. "RNPATL", Dude, you're awesome. I can't count how many postings I've read from you that were soooo helpful. There was absolutely no orientation to my management postition when I started 1 1/2 year ago as the manager had quit months before and t...
  6. staffing issues

    Before leaving for work, I sat down to find some help with what is evident to be a monumental problem everywhere. I've been a manager for almost 1 1/2 year now, and feel like I'm not making any headway either. We are a small hospital, one floor, an...
  7. Nurse hours per patient day

    I'm the manager of what is termed a Med-Surg unit, however, our case mix regularly includes ICU candiates as well as Cardiac Care Step down patients for various reasons. We are more of a "fly by the seat of your pants" orginization. Administration ...
  8. Nursing doing ABG's

    Does anyone work in a hospital that does not have a very efficient Respiratory dept? There is a possibility that ours will be eliminated and Nursing will do the ABG's and such. I'd like to talk to anyone who has experienced this, how the staff boug...
  9. Nursing doing ABG's

    That's great! Question: Do ya'll obtain and run them or just run them and give it to lab? What type of training did you get before hand and did you do a competency check as well? Thanks for your time!
  10. Getting staff to "own" the unit

    Thank goodness for this forum!!!! I can't tell you how much the comments regarding "all nurse managers are not the same" theme has made me feel a bit more positive. "Zashagalka" : I don't understand the hostility in your postings. I understand co...
  11. making the transition to management

    Nothing brings the morale of the unit down then watching some people get away with murder, over and over and over. Most people will tell you they would rather work harder because they are short then have someone they see who does everything wrong/ca...
  12. Help I Am Losing Control Of My Unit

    Dear Skay, I know you posted this last month, and don't know if there has been any change, but as cheesey as it sounds I swear I wish I could give you a big hug. Sometimes management does really suck... sometimes it sucks a lot! But I'm sure you'v...
  13. Nursing doing ABG's

    THANK YOU!.....To everyone who has replied so far. I really appreciate your suggestions and if have any more that come to mind, please let me know. We're a level 3 hospital, and I figure if you don't technically have to have a physician in house for ...
  14. Getting staff to "own" the unit

    Thank You Tulip, I appreciate the response. For all of us managers out there, your frustration is a good reminder of what we need to remember and try to accomplish.
  15. Getting staff to "own" the unit

    Wow- I sense some seriously built up resentment there. Let me clarify please..... Anything anyone has come in for, I have paid for their time. When only one person shows for the staff meetings, I pay them 2 hours per federal law ( I required them ...
  16. Getting staff to "own" the unit

    I have had the same challange in getting staff to "own" their unit. More staff meetings than not, the only people in attendence are those that are on shift working. Despite, food, gift certificate drawings, alternating the times to accomodate day/n...
  17. As a manager, my first question would be how did you decide to go into such a specific type of nursing right out of school? What was your clinical experience like during school? Was there a field you liked particularly more than others? I think y...
  18. Calling All Nurse Managers/Clinical Directors

    I'm a nurse manager, in a small rural hospital, of a 20 bed medical surgical unit. I use the term medical surgical loosely because we care for patients that would otherwise be on a cardiac step down unit or in ICU unit in other hospitals. We regula...
  19. Foreign nurses

    A few years ago my facility took the foreign nurse route- we have several Indian nurses ( 1 male and the rest female) on my M/S unit. I'd like to know what kind of difficulties anyone has encountered, especially with "cultural unknowns", and how h...
  20. Foreign nurses

    I'm sorry, I didn't get what you were getting at.
  21. I failed my 1st take...still in the denial stage

    Listen up- You've time to mull it over, now its time to take it again. My best advice is don't put it off! There was a student in my class who graduated with me in 2001. She had a really hard time with the academics of nursing, but the compassion...
  22. Lost but not alone!

    One morning, one of my most experienced LPN's ( I'd put her up any RN any day, young or old!) went in to assess her dementia patient. This gentleman was someone who's demeanor would change day to day, even hour to hour at times - You could kinda te...