Bug Out

Bug Out BSN

VA-BC, CRNI

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About Bug Out

Bug Out is a BSN and specializes in VA-BC, CRNI.


Latest Activity

  1. Question on confidentiality and HIPAA

    The rules on who is and is not on the care team are much looser than what you are imagining. You were speaking to someone about the care of the patient seeking professional advice, that is 100% permitted. The spirit of HIPAA is to prevent gossi...
  2. Remote RN positions

    Both my wife and I work remotely. I would recommend looking at insurance companies and then going through the supply room and med room and writing down all of the brands you see and search their websites for positions. For some of these positio...
  3. Am I Breaking HIPAA

    What Information is Protected Protected Health Information. The Privacy Rule protects all "individually identifiable health information" held or transmitted by a covered entity or its business associate, in any form or media, whether electronic,...
  4. Phasing Out ADN?

    I agree. In true nursing fashion I think the profession attempts to be everything to everyone all at the same time. I personally would support a further subdivision of bedside nurses from a leadership sort of class of nurses. Personally I think about...
  5. Phasing Out ADN?

    While I am in agreement that ADN nurses are essential I would disagree with the overall (not necessarily your sentiment) that BSNs are not useful. For a basic floor nurse I personally think an ADN is enough. For those in any kind of leadership...
  6. MSN vs. DNP: Which Nursing Degree Is Best?

    Excellent article. Not everything is the hospital bedside for nurses. Nursing is a huge profession and there are many, many things a nurse can do. Don't forget (healthcare adjacent) corporate positions such as in GPOs, insurance, medical manufacturin...
  7. Am I selfish for working overtime?

    Some of the statements you made are huge red flags for a codependent parent. Requesting you to take the day off for a parent's birthday, Mother's Day, and taking a week to chauffeur your mother and aunt are not normal. I come from an Asian culture wh...
  8. To give context I have worked in a large corporate setting for some time now and my wife is in management. I think your question is somewhat of a mix of what a manager should do and what salaried expectations are. I do not know you or your situation ...
  9. Intravenous Catheter Selection and Why it Matters

    Unfortunately the law only requires a facility to consider technology, it does not require them to adopt it.
  10. Respiratory Nursing - new RT??

    I apologize for the confusion, they certainly have a scope of practice. When you look at nursing the scopes of practice are relatively well defined since it has a very long history. When you look at respiratory therapy scopes of practice, comparative...
  11. IV contamination?

    Couple different ways to answer this. Professionally it would have been best to discard the tubing as the cap is not a super impermeable barrier, the caps are primarily designed as a sharps hazard control. There are also other concerns such as bioloa...
  12. Respiratory Nursing - new RT??

    Being a relatively young medical profession they do not have as well of an established scope of practice. Their scope is what they want it to be. A side effect of being a young profession is they do not have the political organizations like the ANA o...
  13. Respiratory Nursing - new RT??

    Except in many states that line is largely blurring. In Arizona they fired almost all of the vascular access/PICC nurses in favor of RTs since they can pay them $10 less an hour. We are seeing a greater encroachment of scope into what has historicall...
  14. Electrode Wear Time?

    How frequently is everyone changing their electrodes? q24, PRN?
  15. Burned out

    There are lots of options for different jobs such as becoming a PICC/vascular access nurse within the hospital, working in ambulatory treatment, outpatient infusion, among all of the other specialties within the hospital. There are non-bedside roles ...