midwest40

I have recently been promoted to Director of PCU, I love the position but am facing problems from staff. The 42 bed unit has been without a director for the last 6 months, there was no monitoring of what the charge nurses were doing (director of m/s was trying to supervise both floors). Orders were missed on a daily basis and we were losing the trust of doctors and patients. We have started a charge nurse report book and I have instructed charge nurses to keep track of labs, procedures, history and any other pertinent information in this book for staff and doctors. I was told this took too much time and kept them at the desk instead of on the floor. Am I wrong, or is this their job! They have been working as overpaid CNA's for the nurses for too long. Secretaries were entering orders and putting the charts away assuming nurses were going through charts regularly and signing off their own orders (doesn't work), there were no checks and balances. I am having a charge nurse meeting next week for current and aspiring charge nurses. I would welcome any thoughts, and would appreciate any resources that spell out charge nurse duties. Thanx all

I love having students, keeps me on my toes. I like to assess the patients first, find all abnormal assessments, then have the students find X amount of problems with the patient. Then we discuss all test results and potential problems related to abnormal assessments. The students love it, I get great reviews from instructors, and I feel like I'm contributing to the future of our profession.

try it a couple of times, you get used to it

If you read this study in full, it states that no increase in infection was noted from artificial nails, it is the length of the nails, be it artificial or natural, that was the problem.

It's been 43 years that I have been biting, have quit on occasion, grew sharp nails during these times. Acrylic makes nails thicker so they are not sharp, and have anti-fungal painted on biweekly. When do people with real nails use anti-fungal?

And the studies even state that there is no increase in nosocomial infection from artificial vs long natural. So short artificial should be ok

I'm not talking about crappy "looking" nails, I'm talking open wounds to my finger tips. I have bitten for 43 years, I find that artificial nails are not as sharp as real nails, and they are much more difficult to bite

Are there any studies to show that infection rates dropped once artificial nails were banned. Isn't the length of the nails more important than whether or not they are fake? I am a nail biter and when I don't have acrylic nails I bite below the quick till they bleed. This seems to be more of an infection risk than manicured, well kept artificial nails. My acrylic nails are less than 1/4 inch. I have not found one study showing decrease in nosocomial infections following an artificial nail ban. I did find that the original study was based on 40 people, it found increase in bacteria but not increase in the spread of infection. And in the NICU infection study, it was due to glove ruptures from long artificial nails. I just want some facts if anyone can help. Thanks