Cowboys_RN BSN

Hospice, Internal Medicine

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About Cowboys_RN

Cowboys_RN has 17 years experience as a BSN and specializes in Hospice, Internal Medicine.


Latest Activity

  1. Cowboys_RN

    To triage or not to triage

    I have been a nurse a for 13 years. For the last 7 years I have worked in Family Medicine and Internal Medicine as the clinic RN. I do a lot of phone triage/advice but also some hands on pt care. Since covid most of my calls are all covid related and...
  2. Cowboys_RN

    Day 4: 2016 Nurses Week Top 5 Things Contest

    1. You don't know everything, don't be afraid to ask. 2. You really do learn something new everyday. 3. Always expect the unexpected. 4. Never say "quiet" out loud. 5. Doctors are really just people too.
  3. Cowboys_RN

    Shoes for Crews

    I'm transferring to the OR and they purchase shoes for us through Shoes for Crews. I'm torn between two styles and want to see if anyone has tried these. The first are similar to crocs: Froggz Classic II SFC Froggz Classic II - White Non Slip Clogs F...
  4. Cowboys_RN

    New Grad in OR who wants to quit in less than 6 mo

    I've been a nurse for 9 years and am transferring into the OR. The peri-op program is one year, eight weeks classroom with modules and the rest with a preceptor. My educator said even after the one year some people don't feel like they're ready.
  5. Cowboys_RN

    Coumadin Clinic

    Thanks for the feedback :) The only way that the pharmacists can bill using 99211 is using something called "incident to" billing. It requires physician supervision but does not require a face-to-face with the physician at each visit. We do however n...
  6. Cowboys_RN

    Coumadin Clinic

    I am looking into setting up billing for a Coumadin Clinic we want to start in my office. It looks like most Coumadin Clinics that are ran by pharmacists are billed use the E/M code 99211 and they bill "Incident To" a supervising physician. The regul...
  7. Cowboys_RN

    Thinking about Home Health

    I made the mistake of leaving my hospital job after 6 months and I've regretted it ever since. Almost everything you apply for wants 1 year acute even if it's not an acute position. Stick it out for at least a year so you'll have more options in the ...
  8. Cowboys_RN

    Position difference between RN vs. BSN

    A lot of hospitals in my area (Orange County, CA) are only hiring new nurses that have their BSN. Some of the hospitals that are trying to get to Magnet status are requiring all of their nurses to have a BSN by a certain date. Even the nurses that ha...
  9. Cowboys_RN

    RN-BSN Advice

    I am in the WGU program and it is working out well for me. I have no plans of pursuing an NP so the pass/fail grading wasn't an issue for me. If I plan on pursuing my MSN in Administration or Education in the future I will just do it through WGU. I r...
  10. Cowboys_RN

    FAST Scale

    I have nurses that will check off 7A, 7B, then also 7E. I am trying to explain that they can't skip and they have to choose the stage that the pt meets and also meets all the stages above. Is that correct? Also, do they need to check off multiple sta...
  11. Cowboys_RN

    RN JOB southern california

    Outside of the acute setting, nursing homes are your best bet. In California, you can't work at hospice or home health without one year of "professional" nursing experience.
  12. Cowboys_RN

    10 months in hospice and already feeling burned out...

    I spoke honestly with the owner about how I am feeling. He suggested I try working for their other company which is strictly home health. It is more task oriented but still allows for flexibility. It really doesn't sound all that appealing to me thou...
  13. I was offered a hospice position as a new grad but thought I wanted to try working in a hospital first. I worked in a postpartum unit for 7 months and loved it but the 12 hour shifts didn't work with my daycare situation. I took the job at the hospic...
  14. Cowboys_RN

    How many got only 75 questions?

    I took mine yesterday and also shut off at 75. It took me about an hour. I had a lot of priority, diabetes, cushings, isolation, and safety. There were 6 of us in the parking lot that stopped at 75. I'm in CA so no quick results. Hopefully I will see...
  15. Cowboys_RN

    New to night shift

    Thanks for all of the advice :) I think for the first week I'm going to try and nap when the baby naps and see if we can get by without using a sitter. He'll be 4 months old when I start. I can also have my 12 year old keep an eye on him if I need a ...