northbynorthwest

northbynorthwest

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About northbynorthwest

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  1. It seems like everyone but nurses make more money

    Nurses, listen to me. After 40 years in healthcare, starting out as an RN and then getting my MBA and now run physician practices, there is something very important to understand about how nursing services are CHARGED to insurance companies. When w...
  2. Shocked...Confused...& Terminated=SAD "(

    First question: Are you an RN? Second question: If you are, or are not, you certainly knew the scope of practice you were taught at this facility. Are you absolutely sure you were not to administer IV meds? Get this in writing. If you are absolut...
  3. Why can only nurses call the MD?

    Sounds like a frustrating experience, and I share your pain. After 30 years of nursing experience, glad to help you out. You NEVER want an RT to get an MD order if they don't have one already. Techs that present to the floor are ultimately respons...
  4. med-surg..the "trailer trash" area of nursing??

    Well, here I am, 30 years in healthcare (RN for 15, got an MBA, did alot of consulting, and now run a practice, which I love doing), and I would like to offer some support about this med/surg thing. I am almost thinking that perhaps the TECH feels m...
  5. I hate what's happening to nursing...

    Right on. If I hear someone wants to go into nursing, I tell them they are NUTS. I tell them everything you and I know. I want to give advice to the young nurses here and lend a hand. But in the long run, it isn't worth it. Maybe at the MSN leve...
  6. improper charting vs backstabbing?

    Bad idea. Libel in this case would only be appropriate if the patient or staff meember was harmed from a legal standpoint. Otherwise there is no case. Plus you don't ever want to let anybody know you are thinking of suing. You will be blacklisted...
  7. improper charting vs backstabbing?

    Entries can never be removed from a chart. That is illegal. Once it is there it stays there. Followup notes can correct charting on the wrong patient, an incorrect piece of data can be noted and the correct data can then be entered, the usual laws...
  8. improper charting vs backstabbing?

    As usual, this is a leadership problem. Legal medical charting is a cornerstone of quality care. If there are staff nurses, including yourself, who are not aware of how to chart, your nurse manager has a training issue. Your orientation preceptor n...