justus501

Latest Activity

1. a state resurvey for an F tag?

   justus501 replied to aiker31's topic in LTC Directors

   I am writing from illinois. I am assuming you are talking scope/severity being a F. In that case, as resurvey would depend on if it was substandard quality of care (ie the deficiency written under on of the care tags like 225, 323, etc). We, as a g...

2. State Tags

   justus501 replied to txdon's topic in LTC Directors

   I assume you are talking about federal tags, not state tags, as state tags vary from state to state. -They are looking at all incident reports...reporting and investigations events..with citations at F225 -Falls are always a big one...with citations ...

3. Falls versus Culture Change

   justus501 replied to ejpip1's topic in Geriatric

   I may have missed this in anothers suggestion, but can you put a fall mat in place to minimize the injury when he falls? Also...think about why he is getting up... Does he need to use the toilet? Put him on a toileting program-like every two hours o...

4. Wisdom on becoming an Educator

   justus501 replied to ERNeck's topic in Educators

   I have just graduated from a MSN Nurse Educator program. I now wish I would have picked a different program. I love education, don't get me wrong, it just limits you. I now cannot afford to quit my current job to teach because of a $15,000 or more...

5. Thinking about writing a funny book on the first year of being a nurse...

   justus501 replied to natashrn11's topic in New Nurse

   Start making a journal of daily events as they happen. Then a year or two down the road you will have pleanty to work with. I love this idea!! I wish I would have written down my first year experiences in psychiatric nursing-whew- what a hoot!! ...

6. 1st year as an RN, Am I done?

   justus501 replied to gcook21's topic in New Nurse

   Do they have a grievance procedure at the place where you were employed? Reason I ask...I was fired for refusing to accept a patient assignment that I felt was unsafe (9 patients total; on a cardiac stepdown unit with fresh MI's, Cath's and 4 open he...

7. I have a dilema, so advice from the experienced would be greatly appreciated

   justus501 replied to Tito RN's topic in Illinois

   Definately, hands down, take the ICU job. You will learn and see so much!! Especially since it is a "poor hospital". I worked with a nurse who had worked at cook county and she had taken care of such a broad range of things...alot of trauma and g...

8. Blood: do you administer platelets or PRBC first?

   justus501 replied to TJacob's topic in General Nursing

   Hmmm...interesting question. I have worked ICU and we used to give them simultaneously, as we had multiple IV's or a Triple Lumen Catheter. If you didn't have multiple access, It would depend on the situation. My initial thought is that the blood ...

9. DON Needs Suggestions

   justus501 replied to PammyRN,CEN's topic in LTC Directors

   I think that any fall that resulted in more than minimal harm (ie a fracture) is at least a G at F323. If the facility has a history of multiple falls...it could be considered an Immediate Jeopardy. Just make sure you have documented well. The ins...

10. Nursing Student but i think i sorta have a mental issue?

    justus501 replied to jassmin's topic in Disabilities

    Hi there! Bravo to you for coming forward with your issue. It takes courage to do so. I think that you need to seek help. Privately!! It is not anyones business what your issue is, unless you make it theirs. Unfortunately, the medical field doe...

11. I think I have ADHD but I'm afraid to ask my Dr.

    justus501 replied to coffeelover10's topic in Disabilities

    You have done the hardest part.....admitting there is a problem. Everyone of us battles with our own mental issues, whether it is depression, anxiety, adhd, bipolar disorder...what ever. It is nobody's business what your diagnosis is, or what meds ...

12. Career change suggestions needed

    justus501 replied to dthfytr's topic in Disabilities

    What about a legal nurse consultant? Something you could do at home, on your own hours as your body allows. You sound like you have had some very good clinical years, and that could definately help. I know there are online courses or seminars you ...

13. Does anyone take Lamictal?

    justus501 replied to ijuanabhappy's topic in Disabilities

    First...welcome to nursing!! Second....take a deep breathe...you are ok....you are not alone!! The first year of nursing is VERY stressful. Nursing School just does not prepare you for the real world of nursing. It takes time....give yourself tha...

14. Professional relationship issues

    justus501 replied to nurseebol's topic in Educators

    What you are describing has been described in detail in the literature!! It is called horizontal violence...also known as bullying. Literature describes this phenomenon as a prevalent behavior among nurses. It is very unfortunate. One study I rea...

15. For all you instructors out there...

    justus501 replied to chinacatSN's topic in Educators

    Hi... Although unfortunate, it is just life. No matter what the profession, there are always those who are slackers. Nursing Education has changed since I was in school. I just completed my education... Master's Degree in Nursing Education. I too...