thinkertdm

Latest Activity

1. HIPAA - PHI infraction?

   thinkertdm replied to kacy6595's topic in HIPAA

   In order for HIPAA to be in effect, doesn't there need to be two things? Like an identification of some sort (such as a name) matched to protected health information? Surely you aren't claiming that using a wheelchair is indicative of health inform...

2. Nurse's getting younger

   thinkertdm replied to Keepstanding's topic in General Nursing

   Maybe the nurses aren't younger, maybe you are just older. Don't mean to be snarky, but I'm sure when you started, an older nurse said the same exact thing about you. Also, you seem to equate ability with age. Not even age, but the appearance of a...

3. One carpal spasm question-please guess

   thinkertdm replied to Blackcat99's topic in General Nursing

   Technically, it's not a "Babinski reflex". It's a plantar reflex, and it's a Babinski sign when the toes curl up. It can be a sign of a central nervous system lesion, or can be a normal variant in a small portion of people.

4. Do you find this article insulting?

   thinkertdm replied to cacentralvalley's topic in General Nursing

   Happy hospitalist is an ignorant SOB who believes that as a physician, all others are beneath him. He may have valid points, but his pomposity hides any point he tries to make. In his little world, he has all the answers, and no one else- and this ...

5. Is this a HIPAA violation?

   thinkertdm replied to studentCL2009's topic in HIPAA

   It's not a HIPAA violation, because the patient isn't identified. I believe HIPAA violations happen when the patient is identified. That's why case studies can have patient initials in journals. Additionally, for it to be a HIPAA violation, there ...

6. Injury of Unknown Origin

   thinkertdm replied to HurricaneCasRN's topic in Geriatric

   I think that you are right, technically, it is "unknown" because it is, well, unknown. However, that label is used when there isn't a plausible explanation of the event. You had one. The abuse label is the opposite- you don't want to click it unles...

7. A hospitalist's clash with a PA and NP

   thinkertdm replied to TheSolemnHospitalist's topic in General Nursing

   So, despite all your so-called advanced training, you are intimidated by someone taller than you? Why is this even relevant? Unnecessary tests=insurance fraud. I'm sure some bean counter somewhere would have flagged this. What tests? I'm int...

8. Can you prick a diabetic too hard?

   thinkertdm replied to esunada's topic in General Nursing

   Short of stabbing it into the bone, you can't really do it too hard. This person was just being a baby. Also, check the finger (or ask the patient) to find one that is least used. If I forget which finger I used, I usually default to my pointy fi...

9. Is it okay for a CNA to call herself a nurse?

   thinkertdm replied to Mrs. SnowStormRN's topic in Relations

   While I agree that physician assistants should not call themselves doctors, they are NOT "assistants"- certainly not on the level of a CNA calling herself a "nurse".

10. how long until nicotine and byproducts are flushed from your system?

    thinkertdm replied to ashleyisawesome's topic in General Nursing

    They probably aren't more supportive because most smokers have quit numerous times- or have no plans of quitting at all. Nicotine is one of the most addictive substances known, and it's very difficult to quit, even when people want to. Which most d...

11. just a health question..

    thinkertdm replied to malicexmirage's topic in General Nursing

    Respiratory alkalosis?

12. Fed up with the "rules"

    thinkertdm replied to Been there,done that's topic in General Nursing

    I feel for you, I really do. But if you don't like their rules, you don't have to play. Take a walk. And by that, I mean, quit. You can do that.

13. Placebo's & Trust

    thinkertdm replied to DJ-Adia's topic in General Nursing

    Wow- the only nurse in the world with the name of Allison?

14. Did you get their bath done? Seriously?

    thinkertdm replied to Bezoars's topic in General Nursing

    So...it's just nurses who have to do more with less? Who have to prioritize on a daily basis? Have increased expectations of them by supervisors? Who work for an organization that has to make a profit to keep everyone employed? If you think that, ...

15. Lateral Violence Research

    thinkertdm replied to SnowShoeRN's topic in General Nursing

    Chances are that it was reviewed by an IRB, probably both at the NIH as well as whatever hospital is doing it. Extremely strict guidelines were probably described (and implemented) to ensure the confidentiality of all participants. Do NOT talk to ...