All the above and to add it can be up to 72 hours now and called out patient care. This also is used to prevent another re-hospitalization used as a negative statistic against the hospital. Hospitals cannot bill for a diagnosis r/t previous admissio...
steelcityrn replied to BC Roberts's topic in General Nursing
Insurance companies are not going to pay for acute care without a licensed professional taking care of them. There may be virtual nurses used in the future, but I do not believe they will ever be used for the total care of a patient in an acute care ...
steelcityrn replied to NurseLoveJoy88's topic in General Nursing
My point was maybe there was nothing to document, as it was not a true wandering situation. Now that your saying it was, I like the other agree you do not document on anything you did not witness or was present during the incident. Why doesn't your s...
steelcityrn replied to meaganellise's topic in General Nursing
Oh yes, fell in a wet floor. leople probably thought it wasn't anything big, but besides a knot on my head and a sore back, I had a very rare post traumatic cataract form immediately. If you hit your head that hard, not a good situation!
Nursing also happens behind a desk. Upon looking at pages and pages of documentation, I cannot tell you how many times I have to talk to the direct care nurse to have a patient re-evaluated for a problem, call the physician for a change dressing, med...
steelcityrn replied to bisacat's topic in Emergency
I recently met a distant relative at a funeral who is diagnosed with bi-polar. He could not sit still at his own mothers funeral. He was her only child. He was disheveled, had no one there who he could call to give him a ride to his own mothers funer...
steelcityrn replied to payang0722's topic in General Nursing
If a medication is not ordered as a prn, you need to report the lethergy to the physician. The order may be changed to 1-2 prn qhs. Once the patient has been on fentenyl for a while, they may need the order changed again to qhs.
If that is your facilities policy to ask all of those questions, then so be it. I usually say something like " I know there are alot of questions here for you to answer, do you want family in to help, keep in mid some may be personal"? Usually this i...
steelcityrn replied to Mudder's topic in Relations
Continue to monitor as you are a supervisor. Continue to be aware of the need to assess her medication rounds. You as a supervisor need to make her aware that you are making sure all medications are delivered and signed off as given at the correct ti...