Have you looked into The Advisory board-they ahve many leadership academies
incuding one for nursing managers.

Tracy Whitten

--- In NIHMBL@yahoogroups.com, KERI AMBERGER <kamberger@...> wrote:
>
>
> Have you tried "Nursing Management Institute"?  I haven't contacted them
lately so don't know if they are still around.  www.aheconnect.com/nmi
> --- On Tue, 10/6/09, kidrumm <kidrumm@...> wrote:
>
>
> From: kidrumm <kidrumm@...>
> Subject: [NIHMBL] Nurse manager training
> To: NIHMBL@yahoogroups.com
> Date: Tuesday, October 6, 2009, 9:32 PM
>
>
>  
>
>
>
> Hi Group, I am about 5 classes away from obtaining my MBA/MSN in Health Care
Administration. ..my ultimate goal is to develop a training program for nurse
managers that incorporate traditional business practices, concepts, and basic
management skills. I am going to use this concept for the practicum portion of
my degree program and have a basic curriculum outline but am looking to
streamline the teaching concepts. Does anyone currently use, have developed, or
know of any management training programs through established entities (excluding
universities) that offer certification?
>
> Thanks, Kina
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> [Non-text portions of this message have been removed]
>

I currently manage a 28 bed telemetry unit that is divided in to two 14 bed
pods. Both capable of telemetry monitoring and one that does remote monitoring
as well. Our hospital is in the middle of a patient care re-design initiative.
My beds will be spread out over 3 pods with 10 -12 beds on each pod. I am
looking to make one of the pods a true progressive care unit (predominantly
medical patients as we already have a surgicial stepdown unit.) My other two
pods will be for telemetry patients. We already take vented patients on one of
the pods, as well as IV medicatd drips like dopamine (renal dose), dobutamine,
cardizem, lasix, insulin, etc., on both pods. Nurses are BLS and ACLS providers,
go through a basic and advanced arrhythmia and EKG interpretation course, and a
critical care course. We are also moving to an all RN staff. I am in need of
feedback regarding staffing patterns on progressive care and telemetry units. I
want to create patterns that continue to maintain nurse, patient and physician
satisfaction as well as a healthy work environment.

Anne Winkler, RN, MA, CCRN

Our nursing staff is allowed to pull sheaths on both Telemetry and ICU
floors. They go through proper training and direct observation before being
deemed competent. We do not use lidocaine prior to a basic sheath pull.

Thanks.

Raumi Kudrna, RN, BSN, CCRN
ICU Clinical Coordinator
Extension: 4780
E-mail: rkudrna@...



[Non-text portions of this message have been removed]

We have a completely open visitation policy with no restriction based on age or
number of visitors. We do allow each RN to use good judgment when allowing
visitation so that it is in the best interest of the patient and family. We also
encourage family presence during resuscitation and invasive procedures.

Don Baker RN CCRN-CMC CNML
Director of Critical Care and Rehab Services
2009-2010 Beacon Award Recipient ICU
Twin Cities Community Hospital
Templeton, California
donald.baker@...

--- In NIHMBL@yahoogroups.com, "katrecey" <Katrecey@...> wrote:
>
> We are in the process of revising our hospital visitor policy. I'd like to get
an idea what some of you are doing related to ICU specific visitation. Are any
of you willing to share your policies. My unit is a 28 bed Cardio Vascular Surg,
Gen Surg/Medical ICU.
> *Number of visitors allowed
> *Hours
> *Children/Infants??
> *Nights
> *Do you appoint a designated Visitor to receive all pertinent info ? If so,
How do you manage this communication?
> Catrice Nakamura, RN, MSN
> ICU Manager
> Providence Little Company of Mary - Torrance
>

The obvious choice is the ENMO program with AACN and AONE. Excellent program.

Summer

________________________________
From: NIHMBL@yahoogroups.com <NIHMBL@yahoogroups.com>
To: NIHMBL@yahoogroups.com <NIHMBL@yahoogroups.com>
Sent: Wed Nov 25 10:56:58 2009
Subject: Re: [NIHMBL] Nurse manager training



Have you tried "Nursing Management Institute"?  I haven't contacted them lately
so don't know if they are still around.  www.aheconnect.com/nmi
--- On Tue, 10/6/09, kidrumm
<kidrumm@...<mailto:kidrumm%40sbcglobal.net>> wrote:

From: kidrumm <kidrumm@...<mailto:kidrumm%40sbcglobal.net>>
Subject: [NIHMBL] Nurse manager training
To: NIHMBL@yahoogroups.com<mailto:NIHMBL%40yahoogroups.com>
Date: Tuesday, October 6, 2009, 9:32 PM



Hi Group, I am about 5 classes away from obtaining my MBA/MSN in Health Care
Administration. ..my ultimate goal is to develop a training program for nurse
managers that incorporate traditional business practices, concepts, and basic
management skills. I am going to use this concept for the practicum portion of
my degree program and have a basic curriculum outline but am looking to
streamline the teaching concepts. Does anyone currently use, have developed, or
know of any management training programs through established entities (excluding
universities) that offer certification?

Thanks, Kina

[Non-text portions of this message have been removed]




________________________________
Notice from St. Joseph Health System:
Please note that the information contained in this message may be privileged and
confidential and protected from disclosure.


[Non-text portions of this message have been removed]

Have you tried "Nursing Management Institute"?  I haven't contacted them lately
so don't know if they are still around.  www.aheconnect.com/nmi
--- On Tue, 10/6/09, kidrumm <kidrumm@...> wrote:


From: kidrumm <kidrumm@...>
Subject: [NIHMBL] Nurse manager training
To: NIHMBL@yahoogroups.com
Date: Tuesday, October 6, 2009, 9:32 PM


 



Hi Group, I am about 5 classes away from obtaining my MBA/MSN in Health Care
Administration. ..my ultimate goal is to develop a training program for nurse
managers that incorporate traditional business practices, concepts, and basic
management skills. I am going to use this concept for the practicum portion of
my degree program and have a basic curriculum outline but am looking to
streamline the teaching concepts. Does anyone currently use, have developed, or
know of any management training programs through established entities (excluding
universities) that offer certification?

Thanks, Kina



















[Non-text portions of this message have been removed]

We do them only in Critical Care, ED, CT (CT guided interventions, biopsies,
etc)
IF the patient is on the floor, they will be transferred to critical care for
their procedure, recovered, and sent back.

    Would anyone be willing to share their monitor tech orientation?  Currently,
we cross-train all the LNA"s to complete an intensive Basic Dysrhythmia course
followed by unit education, orientation time at the monitors, and self-study
modules to re-enforce material.  For facilities that cross-train, do the
orientees take the same class as the RN's for Basic Dysrhythmia?  What is the
candidates process for screening new monitor techs...is this done after working
the units for 3 months, 6-9 months, 1 year, or on hire? If candidates are
screened during the hiring process, do you use a "screening tool"? 

Many thanks,
Patty L. RN, BSN
Clinical Educator




[Non-text portions of this message have been removed]

Occasionally we have patients coming back to our tele unit that will still need
their sheath pulled. I have heard some hospitals discontinuing this
practice. What is the standardized practice regarding numbing the area? 
Thanks,
Jeanne




[Non-text portions of this message have been removed]

We are "open" visitation, for the most part.
We are closed from 630-800 morning and night for shift change and from 900-1100
T-Fr for rounds.
Visitors must call back prior to entrance, though we are not a locked unit
(yet).
Children uner 14 are discouraged.
We highly encourage visitors to let their family members rest at night...though
technically we are "open"
We do not let family member stay in the room as a general rule
Rule is 2 visitors at at time (though this is flexible depending on the
situation and RN-but we tell everyone that this is the rule)

We have a "code number" that we give families they they must have in order to
receive information.
We encourage a spokesperson for the family.

We have the spokesperson name and number documented with one back up person
listed.

These are the general rules. We have a family brouchure that we give out
outlining the guidelines (also talks about the ICU environment, no plants,
no latex balloons, etc)...
There can be exceptions made for most of the rules if a patient is actively
dying...we may have a family person stay in the room if the patient is agitated
and the family member keeps them calm, etc...

Everyone tries to be consistent but at times there can be difficulties if you
have a very flexible RN followed by a not so flexible RN.


Also, the hosptial has set for a restricted visitor policy during the H1N1
season since we have been hit hard:
2 visitors ONLY throughout the entire hosptial.
NO Children allowed in the hospital (< 18, I think)
These restrictions will lessen again after the flu season...

Anne Hansen RN, BSN, CCRN
CCU Staff Development Specialist
ehansen@...



 

My institution (and unit) is having some challenges with the medication
questions, specifically the question about being informed of side effects. Does
anyone instituted programs/ideas, etc. to help increase these scores that you
might be willing to share?

Thanks,

Kirstan

We are in the process of revising our Monitor Tech annual evaluation/
appraisals. I am interested in finding out what others use to evaluate their
monitor techs or staff in that similar role. Please share and thank you in
advance.

Robyn Williams RN, BSN, CCRN
Department Director CVICU/CICU
UMC Health System
Lubbock, Texas 79415
robyn.williams@...

Hi,

We have a P&P but have not had the clinical support to utilize it, yet....
Me and another CNS is trying to get support through our Patient & Family
Centered Care Group.
See attachment and Good Luck!

Crystal

Crystal Logsdon, RN, MSN, CCRN
Critical Care CNS
Memorial Health University Medical Center
logsdcr1@...
pager# 122-8883
(912) 350-9822
Savannah, GA




[Non-text portions of this message have been removed]

In our facility, only certain areas are approved to be able to handle a
conscious sedation procedure/patient. Never on a regular med-surg floor,
only in the specialty areas such as ICU, ER, Radiology and OPD. The
nurses who work in these areas must complete ACLS, PALS and conscious
sedation training. Plus of course, we have the extra capability for
monitoring. Our medical staff services also require physicians who
perform these procedures to be credentialed.

Sandie Rowe RN, BS, CCRN
Radiology Nurse Supervisor
Mercy Health Center
OKC, OK
This e-mail contains information which (a) may be PROPRIETARY IN NATURE OR
OTHERWISE PROTECTED BY LAW FROM DISCLOSURE, and (b) is intended only for the
use of the addressee(s) named above. If you are not the addressee, or the
person responsible for delivering this to the addressee(s), you are notified
that reading, copying or distributing this e-mail is prohibited. If you have
received this e-mail in error, please contact the sender immediately.


[Non-text portions of this message have been removed]

We have done a lot of work in this area and recently published our
research and policy in Dimensions of Critical Care Nursing. The citation
is below.

Roberta



Basol, R., Ohman, K., Simones, J., & Skillings, K. (2009). Using
research to determine support for a policy on family presence during
resuscitation. Dimensions of Critical Care Nursing, 28(5), 237.





Roberta Basol RN, MA, NE-BC

Care Center Director; Intensive Care /Surgical Care and Clinical
Practice

St. Cloud Hospital, St. Cloud, MN

Magnet Designated

Beacon ICU

320-251-2700, ext. 54110

fax 320-656-7144

basolr@... <mailto:basrolr@...>



-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of rakudrna
Sent: Tuesday, November 17, 2009 11:28 AM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Family Presence During Resuscitation





Does anyone have a successful family presence during resuscitation
policy they'd be willing to share? Our hospital currently practices
family presence, but does not have a formal policy to support the
practice, especially in regards to the family support person! Any help
would be appreciated!

Thanks,
Raumi Kudrna
ICU Clinical Coordinator
St. Alexius Medical Center





[Non-text portions of this message have been removed]

We are starting to use the rotoprone therarpy. If anyone has protocols or orders
for the rotoprone therapy would you plese share with us.
Thanks in advance.

We do in the monitored units.  All RNS are required to have a moderate
sedation competency completed, and current ACLS.



[Non-text portions of this message have been removed]

Does anyone have a successful family presence during resuscitation policy they'd
be willing to share? Our hospital currently practices family presence, but does
not have a formal policy to support the practice, especially in regards to the
family support person! Any help would be appreciated!

Thanks,
Raumi Kudrna
ICU Clinical Coordinator
St. Alexius Medical Center

In the ICU with CathLab nurses providing the conscious sedation for TEE or Endo
nurses for ex.EGD. Floor nurses do not provide the conscious sedation.

Sharon Dailey
Kentucky




________________________________
From: rmsanders54 <rmsanders54@...>
To: NIHMBL@yahoogroups.com
Sent: Thu, November 12, 2009 4:35:08 PM
Subject: [NIHMBL] Conscious sedation ont he floor

 
I am wondering of any facilites do conscious sedation procedures (eg. TEE) on
the floor at the bedside, with physician & consious sedation nurse present.

Thank you for your input.

Becky Sanders
ICU Director
Lodi Memorial Hospital
Lodi, CA







[Non-text portions of this message have been removed]

We do in our critical care units - not on the regular floors




[Non-text portions of this message have been removed]

We have when it has been in the patient's best interest to get the procedure
done and there were no other options.  The nurse who is competent to monitor
the pateint stays with the pateint until he/sghge has recovered to the point
where we would mnotrmally send the pateint back to the unit. We use portable
monitors in the patient's room so we are following the same standard of care.

--- On Thu, 11/12/09, rmsanders54 <rmsanders54@...> wrote:


From: rmsanders54 <rmsanders54@...>
Subject: [NIHMBL] Conscious sedation ont he floor
To: NIHMBL@yahoogroups.com
Date: Thursday, November 12, 2009, 3:35 PM


 



I am wondering of any facilites do conscious sedation procedures (eg. TEE) on
the floor at the bedside, with physician & consious sedation nurse present.

Thank you for your input.

Becky Sanders
ICU Director
Lodi Memorial Hospital
Lodi, CA











[Non-text portions of this message have been removed]

I am wondering of any facilites do conscious sedation procedures (eg. TEE) on
the floor at the bedside, with physician & consious sedation nurse present.

Thank you for your input.

Becky Sanders
ICU Director
Lodi Memorial Hospital
Lodi, CA

I just have a few slides.

From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf Of Summer
LaSalle
Sent: Monday, November 09, 2009 3:05 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Pediatric EKGs



Does anyone have a good learning packet or other method of teaching RN's and
MT's the differences between pediatric and adult EKGS?

Summer La Salle, RN, BSN, CCRN-CMC

We use AHA courses at this time but are lookinginto the flexibility the on-line
ACLS renewal courses offer.
Paula Coe MSN, RN, NEA-BC
Director of Patient Care Services

Does anyone have a good learning packet or other method of teaching RN's and
MT's the differences between pediatric and adult EKGS?

Summer La Salle, RN, BSN, CCRN-CMC
.



________________________________
Notice from St. Joseph Health System:
Please note that the information contained in this message may be privileged and
confidential and protected from disclosure.


[Non-text portions of this message have been removed]

The open heart recovery RN are allowed to pull the chest tubes after a
documented education class on chest anatatomy and understanding chest xrays.
Then then have to watch 5 pulls initially by our CV surgeon or his NP then be
observed pulling 5 chest tubes by an RN that has completed the above.
We still require the CV surgeon or NP to pull pacemaker wires.
We had to develop a comptencey and policy to allow this to occur that  followed
the state board of nursings guidelines.
Sonja Fick
CV Nursing Care Coordinator

--- In NIHMBL@yahoogroups.com, "hrtmndrlasccrn" <lyndastoodley@...> wrote:
>
> Does anyone have any standardized procedures for pulling pacing wires ans
mediastinal chest tubes? Are your ICU nurses or advanced practice nurses doing
this in your facilities?
>
> Thank you,
>
> Lynda Stoodley,
> Torrance Memorial Medical Center
>

Our advanced nurses clip our wires and pull our chest tubes.


--- On Sat, 11/7/09, hrtmndrlasccrn <lyndastoodley@...> wrote:

From: hrtmndrlasccrn <lyndastoodley@...>
Subject: [NIHMBL] Stabdardized Procedures
To: NIHMBL@yahoogroups.com
Date: Saturday, November 7, 2009, 9:18 AM
















 









       Does anyone have any standardized procedures for pulling pacing wires ans
mediastinal chest tubes? Are your ICU nurses or advanced practice nurses doing
this in your facilities?



Thank you,



Lynda Stoodley,

Torrance Memorial Medical Center






























[Non-text portions of this message have been removed]

I was an ACLS instructor for years and recently was introduced to an online ACLS
renewal through American Medical Resource Institute. They use all AHA materials
and base their exam on that content. I found that their test was more indicative
for what cardiac ICU nurses should know. It was 75 questions , not 33 and had
many rhythm strips and medication dosage questions and "cardiac condition"
questions. We have decided to use it for recertifications af all ACLS certs as
it was more comprehensive.




[Non-text portions of this message have been removed]

We also use only AHA sponsored courses for BLS and ACLS.
I doubt we would ever go away from having a certified course.

We have been doing "non-ACLS" for years. ACLS is very time consuming and
includes more than is required for the ICU nurse responding to
resuscitations may do in their practice. We have a custom course with
annual review of our "ACLS" guidelines, equipment, crash cart contents,
documentation requirements, etc. This demonstrates the competence
required and direct responsibility of their job duties in response to
cardiopulmonary arrest. Our protocol follows the AHA guidelines.

Roberta



List Serve Question:

We currently require ACLS certification through AHA and there has been
some suggestion as to allowing other ACLS certifications (i.e. ACLS with
"AHA-content"). What are the requirements at your organizations?

Roberta Basol RN, MA, NE-BC

Care Center Director; Intensive Care /Surgical Care and Clinical
Practice

St. Cloud Hospital, St. Cloud, MN

Magnet Designated

Beacon ICU

320-251-2700, ext. 54110

fax 320-656-7144

basolr@... <mailto:basrolr@...>





-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of lhawksworth
Sent: Friday, November 06, 2009 2:17 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] ACLS requirements





We currently require ACLS certification through AHA and there has been
some suggestion as to allowing other ACLS certifications (i.e. ACLS with
"AHA-content"). What are the requirements at your organizations?

Lisa Hawksworth, RN, MSN, CCRN, NE-BC
Administrative Director, Critical Care Services
Mary Washington Hospital
Fredericksburg, VA
lisa.hawksworth@... <mailto:lisa.hawksworth%40medicorp.org>





[Non-text portions of this message have been removed]