tippeny

tippeny

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  1. Do you simethicone?

    Our GI doc likes to use a Simethicone rinse to get rid of bubbles in the colon. He will tell the GI tech how much, but I am looking for something written that recommends a specific concentration of simethicone for this use. I'm coming up empty handed...
  2. Room turn over times

    I would also think that 5 minutes is super fast in regards to infection control as well. That doesn’t allow much to time wipe down the room/equipment and allow for an adequate dwell and drying time for a number of products.
  3. Post procedure phone call from nursing

    I work in an outpatient clinic and we do routine colonoscopies and EGDs. I don’t have a specific script, but we have a checklist for our follow-up calls. Basically we are asking if they are experiencing any pain (if so, get a pain score); are they to...
  4. Hoping someone on here could answer a general question regarding the probationary period of new government empolyees. If a nurse has previously held a gov job and completed their probationary period, do they have ANOTHER probationary period at a new ...
  5. How do you know when to let a new employee go?

    Thank you for all of the comments. They really are helpful. I have engaged senior leadership as well as HR, so everyone is aware. I have had a sit down with the employee to let them know of the deficiencies and have a written record of the conversat...
  6. I am relatively new to the management side of things. I have a new(er) employee who is still in a probationary period and they are just not picking things up very quickly. We are in a clinic setting and this nurse has been here for over 5 months and ...
  7. Endoscopy Center without RN in procedure room ??

    I work with a gastroenterologist who only does Colons & EGDs. We mostly use conscious sedation as our patients are typically healthy. For the less healthy folks (high BMI, cardiac problems, PTSD, anxiety, etc) we use CRNAs and MAC (protocol). Whe...
  8. Rapid response in the clinic

    We do have a RRT where I work but it doesn't seem at ALL efficient to me! They overhead page- sometimes code purple, sometimes Rapid Response, sometimes code BLUE!!- but the response time is very lagging. A crash cart is brought (just in case) even t...
  9. The specialty clinic that I work in is overhauling how we treat patients who vagal in the clinic. We see derm, GYN, and GI patients and have at least 2 or 3 patients each week who vagal after minor procedures (IUD insertion, skin biopsy, etc). We typ...
  10. Is school nursing stressful?

    Stressful? Absolutely! Worth it? Absolutely! My experience as a school nurse was that there was a fairly steep learning curve the first year- just like any new job. But like the previous posters said, you are the only medical professional in the buil...
  11. Delegation of Diabetic Care

    You didn't mention what kind of school you are at (or did I miss it?) When I was at my middle school, the kids were fairly independent. They could work calculations, dial up insulin (all had pens or pumps) and self administer. They were, however, req...
  12. Our middle school did send and email and told the teachers at the beginning of the year during a staff meeting that the Health Room hours were from 9:00-3:00 (school was open from 8:45-3:25). We explained that the times before/after those were for ki...
  13. Problems changing specialty after school nursing

    I, unfortunately, just left school nursing for financial reasons and had no problem returning to a clinical position. I am not doing bedside however- I am working in a multi-specialty clinic a as an RN. I only hve 4 years of nursing under my belt, bu...
  14. GS nurse pay scale

    I just started 2 weeks ago at my clinic and the nurses there said that in 2013 about half of the staff was furloughed when they came to work. They did receive back pay for the time they were furloughed. Ours is not a critical unit and our job descrip...
  15. GS nurse pay scale

    Thanks! I haven't seen that pay calculator before. It is quoting me the same as the OPM website- which doesn't match what I was offered. Hmmm. I'll have to find time to go to the HR department and ask there.