I'd be very interested in hearing what id out there. One of our intermediate units is proposing a 6:1 ratio for our RN's. They will have an unlicensed tech...
I am seeking the expertise of the great leadership pool available on this listserve. To make it as brief as possible, I am enrolled in graduate school with a...
Heather, Our facility is open to hiring "newbies" into management positions- especially the unit manager and supervisor roles. They rarely hire director level...
Our medical/surgical unit is currently team based. They are probably going to go to primary nursing soon as the patient load and acuity has risen so much in...
I agree with you, Beth. Team nursing has only proved to be effective for budgets - never a big staff or patient satisfier, never promoting patient safety! ... ...
Dear All, Do any of you have a standard of practice that reflects how many patients your monitor tech can watch? If you do, could you please share it as well...
My facility is planning to open a Progressive Care (step-down) unit in the near future. Currently we have a 12 bed ICU. All ICU patients (surgical, cardiac,...
Our "team nursing" generally consists of an RN & LPN for 8 - 10 patients. They don't split the tasks, but rather, for 8 patients the LPN would likely take 5...
... Lori- We have had it both ways atr our hospital-team to primary back to team and now back to primary. We have found too many mistakes with team nursing are...
I'm e-mailing to request any information you may have pertaining to mandatory education. We're currently assessing our mandatory education needs, systems we...
My unit is a CV PCU. We were once part of a 24 bed general PCU, but split from them due to MD requests for a specialized unit and our hospital's CV initiative....
For those that have or are going to primary nursing, what does that look like in your organization? All RNs for liscensed personnel? 24 hour responsibility...
This is great, thank you so much. Can you provide me with the following: Average daily census(approximately) Number of CNAs and monitor techs (and their...
Hello to everyone: I am being asked to approved allowing patients with diagnosis of "soft" r/o MI to be admitted to remote telemetry units. Just to make sure...
Hi Mary- What makes them "soft"? Did they have negative markers? Neg EKG and other negative tests? Are they pain free? Why are they diagnosed as R/O MI if they...
We do not do this... we are looking at the potential to place these pts on our new short stay unit, but will probably not do this. Our policy is that if they...
Seick Healthcare Consulting of Mobile, AL just did an inservice on this for us at noon today. It's long and invovled. Sandra Seick, RN is her name. Bottom line...
Our ADL last month was 13. Last year our ADL was 10 over all. Our productivity is calculated by man-hour/stat and doesn't take into account the skill mix. I...
Does anyone use a Foley catheter protocol or decision tree. We are trying to decrease our UTI rate and thought this would be a good place to start. Thanks....
No, but have been rying to resolve same issue. I wanted to initiate a daily reassessment of need for foley catheter and daily renewal but have not had success....
Our pathway for our open hearts has a d/c on POD 2 unless clinically indicated. We incorporated this into our standing orders. If nothing else, it is a trigger...
We are looking at redoing our code blue flowsheets and I am interested to find out what others are doing. If anyone has a form they could share or an idea of...
I was wondering if any of your hospitals use ECCO (Essentials of Critical Care Orientation) computer learning modules as part of your nursing orientation and...
What are you doing for post discharge phone calls? We are currently in the process of seeting up in our telemetry unit and would like to know what your...
I am looking for some information related to ICU Medical Directors. 1. Do you have a paid medical director of your critical care area? 2. How many hours are...
We do discharge phone calls from every unit in our organization. We copy the face sheet and D/C instructions and the charge nurse makes the phone calls a...