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
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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