October 26, 2012 On track with assignments and documentation on the nursing units. In the ED with students to direct the emergency set-up for chest tube insertion. The students do not document in the ED record, but can assist with procedures.  An opportunity to engage SNs in an important task and reveiw of important documentation for any procedure of this type. SNs were reminded to talk to their patient and offer comfort to the patient and his daughter.  Early communication with the surgeon who would perform the procedure, the primary ED nurse, and respiratory therapist helped the procedure go well for all involved. The SN confirmed the drug and dose in the orders, set-up the equipment, and visualized the signed consent for chest tube insertion.
During the post care conference, I gave a 30min. lecture on hospital policies and procedures.  The SNs were directed to the SJGH website for nursing policies on Fall Risk, Environmental Rounds, and hospital approved abbreviations.  Everyone was given a copy to review. Following the policy review, two SNs presented their Patient Education Projects for discussion.
My experience for this day taught me to be an example for my SNs. Professional courtesy and respect for others should be at the forefront of all we do as nurses. Also, institutional policies are in place and to be shared, from the beginning.
My2cents