SappyRN

SappyRN

Pediatric, adult medical, lt

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About SappyRN

SappyRN has 22 years experience and specializes in Pediatric, adult medical, lt.


I knew from a very young age that I would be a nurse and I have nor been disappointed.

Latest Activity

  1. LPN's in hospice?

    We use LVNs. We have about 200 patients on servic. We have 2 full time LVNs and 2 part time. They go into the field and make routine visits when someone is on vacation. They also help when the caseloads are high. Yhe LVNs cannot " pronounce" but ...
  2. Reliant Rehab or St Joesephs?

    I have a friend that needs to choose a rehab center for her father. She has been given the option of Round Rock or Bryan. Does anybody have info on either of these hospitals? He is post stroke, also recent bka
  3. Vanco Administration Question Please!

    I have seen "red mans" in children with a slow infusion. It is something you will never forget. Find out what your clinic policy is and discuss the situation with your immediate supervisor so next time you have some back up. When it happens again,...
  4. "What I Really Do" meme

    Love this... i want to create a board for my office like this... its awesome!!!!
  5. That is excellent advise. Our Hospice utilizes part time and PRN staff to cover vacations or high case loads. We will only use experienced staff and it is usually someone that has already worked full time with us so we know their skill level.
  6. Lost license?

    I do know a couple of nurses that lost their liscenses for drug related issues. One did a goluntary surrender, sought help / rehab, cleaned up, then petitioned to get it reinstated, and was able to. Another, just gave up and never looked back. The...
  7. No Management Experience - Only Clinical

    You will need to express some of these concerns in the interview and ask them what training they will be providing that is specific to the job. Always promote what you are bringing to the table... the vast knowledge and experience that you do have. ...
  8. Productivity in Hospice?

    Our hospice monitors prouctivity also, most do. Sometimes it is warrented because for all of us who work our rears off, there are some who slack, provide less than standard care, who want to be paid to shop for groceries in the middle of their work ...
  9. Needing advice

    unfortunately sometimes people are not ready to actually hear that their loved one ie dying. Something that helps is to be able to fully explain hospice. Every hospice has their own policies, but the family needs to shop for the one that will meet t...
  10. accepted supervisor position, need resources

    Something that also might help is to read up on how to deal with different personality types. There are many good books out on this subject. If you can identify a persons type of personality it helps you understand what they need from you to feel sup...
  11. I think she should peruse a refresher course and explain that her last job was not a good fit because she recognized her own need to refresh her skills in order to perform at a higher level. She should contact HR and find out her status. Since she wa...
  12. RN supervisory visit Frequency?

    OMG. That's all I can say
  13. We usually cancel routine visits when the roads are iced over. If we know the weather is likely to turn that bad we have the patients tucked in really good with extra portable O2 and meds. We also will have families call sheriffs dept for pronounceme...
  14. Good or Bad Luck with Hospice Pharmacia?

    We use HPS and the pharmacists are great with advice. We also make sure all of the staff has copies of the formulary.
  15. really??? (sigh)

    I dont smoke anymore but when I did, my favorite response to negative criticism about being a nurse that smoked was... " you know, before I became a nurse, I was a mere human just like you"