nancynurz

nancynurz

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About nancynurz

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  1. Nurses struggling with mental illness

    Just need to plunk down my 2 cents here :) Any and every person who is breathing meets the DSM-IV criteria for SOMETHING-- night terrors, various forms of insomnia, nicotine addiction, caffeine addiction/ abuse, dyslexia, dysgraphia, sibling rilvar...
  2. You know it's going to be a bad visit when....

    Doesn't the CMS stress use of objective observation on the OASIS? How many patients tell you "Oh, I can shower juuussstt fine honey" but when you ask them to show you how they get in and out of the tub, they can't lift their leg over the edge?! Was...
  3. Not feeling to good about a co-worker

    If you want to play it low-key, what about the old "It takes two to argue" approach. If she gets absolutely NO response other than "Thank you for your insight; I'll take it into consideration" it takes the power and control from her. You have ackno...
  4. Not impressed by the "cannabis dependence" implications-- this is a psychological dependence and no pill can alter your belief that you need it BUT I wonder if it has any potential for AIDS and cancer; maybe even pain management. As for weight loss ...
  5. Home Health Care/ Organizations

    Call your state ombudsman. I know there are times when the nursing home has to take him back. They cannot discharge him without making arrangements for further care needs-- your dad was dumped! If he is not doing well and home health can't come ou...
  6. You know it's going to be a bad visit when....

    The "sweet" elderly and blind IDDM tells you that they used to work in a funeral palor and "see" (OK, here it comes . . .) dead people. Not only are they visible, they are audible. I have seen too many things to discount this, but on the next quest...
  7. ? about personal responsibility

    This has always been difficult for me. I can understand the high number of substance abusers in psych-- if you have the choice to experience side effects like blunted emotions, weight gain, diabetes, muscle stiffness, tremors, drooling, etc., or you...
  8. Day in the life of a Psych Nurse?

    I currently work as a behavioral health home care nurse and I entered nursing in a communtiy mental health center. This was pure luck-- single mom, new grad, 8-5 M-F, on-call q6 weeks and all major holidays off. Because it is a specialty, I started...
  9. Evenings and weekends

    I started working home health on weekends and finally took 1/2 days on Friday-- there is little hope of contacting doctors for anything not considered urgent outside office hours. Plus, recerts can become a hassle when they fall outside your work da...
  10. undermedicating pain in the elderly

    The longer you stay in the hospital, the more risk you have for noscomial infections. Plus, I know I just plain feel better in my own home and on my own schedule with my own food :)
  11. latex is this a sign of being allergic to it?

    I knew about the pineapple reactions, but the tomato/ salsa thing was new. Hmmmmm, I had a horrible reaction to one brand of salsa but thought it was justsome odd spice. About 3 years ago, I put on my gloves, took them off and had this burning ache ...
  12. Perplexing question- Diagnosis Order HELP PLEASE

    Hooboy! I have no idea where I got SN is primary from :imbar I've had it placed in my brain and gold-plated, so now I've gotta train myself back out of it! Even the Palmetto GBA manual CLEARLY states: "The HHA enters the ICD-9-CM code for the prin...
  13. Perplexing question- Diagnosis Order HELP PLEASE

    http://www.cms.hhs.gov/oasis/usermanu.asp This is where I get my information. It states in the manual that nursing takes precedence over PT, you can show it in black and white. There is also a list of State contacts for OASIS questions. Most state...
  14. Perplexing question- Diagnosis Order HELP PLEASE

    If nursing is a skill, the nurse has to "complete" the OASIS and the primary diagnosis is the one driving nursing service. Order for skilled services by priority are: SN, PT, OT, then ST. PT can recert and be a primary skill. OT can be primary aft...
  15. Add

    I wan't diagnosed until 6 years after I got my BSN and passed the Boards. I am able to multi-task better than I can focus on one task, I can bounce from one crisis to another and fill more than one role at a time. I've done community mental health ...