Content That ArwenEvenstar Likes

Content That ArwenEvenstar Likes

ArwenEvenstar 4,667 Views

Joined Feb 12, '05. Posts: 352 (42% Liked) Likes: 346

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  • Oct 10 '11

    Fraud is fraud and the same tactics work across the nation.

  • Oct 10 '11

    Quote from ArwenEvenstar
    http://archives.postandcourier.com/a...12638851.shtml

    Just fyi that Maxim healthcare locations in South Carolina were involved in the recent medicaid fraud indictments.
    Above article more specifically about SC.

    This more broad: http://www.fbi.gov/newark/press-rele...ommon-practice
    Maxim is the same, no matter what state you are in.

    JMHO and my NY $0.02
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW

  • Sep 20 '11

    The point is not that we want to sit on our butts and not do anything. It's about parents manipulating the agency and nurses using such activities as a bargaining chip that can at times can bleed into insurance fraud as the families dispense "favors" in return such as charging for eight hours when the nurse only works for four.

    Those dynamics aren't healthy for anyone. In fact a good nurse can be harmed by the dysfunctional synergy. (is that even possible? ) Glad you have such a nice case, though! PDN is great when things just click. I was actually terrifed I'd be bored to death after hospital and clinic jobs my entire previous career.

  • Sep 20 '11

    I used to do my patients laundry because he would soil several outfits a day with his short bowel sydrome. Sometimes I would clean the area that I was sitting in just for peace of mind because the house was so disgusting and I was getting sick alot. I would sanitze counter tops, railings, and door knobs for my own benefit, never the clients. Other than that type of cleaning, I would say NO. Dont DO It!

  • Sep 16 '11

    If you don't care to renew your license, consider delivering non-medical home care for the senior population. I have friends who are NOT nurses or healthcare workers, but have developed a VERY successful non-medical business. These types of service are popping up everywhere. At first, my friend was actually the one going into senior's homes to assist with doctor appointments, light housekeeping, occasional grocery shopping, companionship ....etc.
    She got so many calls to do this for other clients that she needed to hire people to help.
    It then morphed into a full-fledged home care company. Her qualifications.....years of caring for her own family including her elderly mother. She is insured/bonded and licensed with the department of health. She has inspired me to create my own business. There's lots of free help out there in the small business administrations to help guide you.

  • Sep 15 '11

    Well its when we typically get the most admits, have the second round of meds, discharge the most people and then try to get people to bed. Can be a very very busy shift.

  • Sep 15 '11

    Quote from Quickbeam
    I haven't seen an RN in an MD office in forever. I always ask, too. They dress up the MAs in scrubs with a fancy name tag with no credentials. I also report the facility to the nursing board if I catch the MAs calling themselves nurses. Because I'm a cranky old broad!
    Oh yeah, they don't do anything to let you know they are NOT a nurse. If you call and ask for "Dr Smith's nurse", "Carrie" will get on the line and I KNOW she's an MA! If you ask for clarification you get "oh, I'm Dr. SMITH'S nurse". Um, no, you're not.

  • Sep 15 '11

    I haven't seen an RN in an MD office in forever. I always ask, too. They dress up the MAs in scrubs with a fancy name tag with no credentials. I also report the facility to the nursing board if I catch the MAs calling themselves nurses. Because I'm a cranky old broad!

  • Sep 15 '11

    Is it me or are more and more doctor's offices replacing RNs with MAs? Some places go as far as letting them do histories, injections, and give results. As a nurse I have worked as a patient care tech/cna but I also know the level of critical thinking it takes to be an RN so it does bother me that MAs seem to be given a lot of RN responsibilities. As fellow nurses I wanted to know your thoughts?

  • Sep 14 '11

    Quote from ArwenEvenstar
    Yes, it seems that some of the threads about Maxim have disappeared...at least the ones that voice honest concerns about the problems with Maxim. If I say anything negative, this may too disappear! Clearly censorship is going on.

    Quick summary: Maxim offices are run by very young men in their early 20's with degrees in things like sales/marketing. They lack life maturity, and don't understand health care or nurses. Communicating with them was immensely frustrating. They just wouldn't "get it"! They could put on an initial positive professional front, but be wary!

    In addition, whatever methods they used to organize schedules and communicate was NOT working! The left hand did not know what the right hand was doing. Schedule mix-ups and mis-communication were the NORM. I'd arrive at a home thinking I was working 4pm-9pm, to find that the family expected me to stay until 12! The family had notified Maxim of their shift need, but Maxim never notified me of the change! Maxim seemed to drop the ball with communication constantly.

    Even if you told them 2 months ahead that you would not be available a certain day, they would "forget" (and then accuse you of not showing up for work) or do absolutely nothing until the day before the shift. If you put in for a day off or vacation - I would highly recommend that you put it in writing and have them sign so you have proof you notified them.

    Maxim is about sales, not caring for human life. The young men are under high pressure (which is not their fault, but the fault of Maxim's business model) to fill shifts with nurses. So these young men could literally hound and harass you to work in their desperation to fill shifts. You need backbone!! (Or else you will find yourself working shifts or cases that don't work well for you!)

    In the threads that have disappeared, similar concerns have been voiced by nurses all over the USA.

    I went into Maxim "blind" knowing nothing about their reputation or how their offices are run. Had I known ahead of time, my experience might (?) have been better because I would have at least known the deal ahead of time. But I would NEVER work for Maxim again myself.
    Word for word an accurate description.

  • Sep 12 '11

    Quote from ventmommy
    I am NOT defending this family because some of that just seems crazy but I will say that over the years, the list of rules has grown as we have had nurses do stupid things. I had to tell one nurse repeatedly to stop parking her passenger side wheels on my neighbor's lawn; two nurses got tickets because they were facing the wrong way on the street; one nurse got a ticket because she parked behind my car in the driveway but didn't pull up enough and blocked the sidewalk.

    We now have a "no beverages but water in my son's room" because at least two of the nurses had soda explosion accidents and didn't clean up the mess and the rug is trashed.

    It sucks when a couple of nurses ruin things for future nurses.

    I definitely would not put up with video recording. We have a baby monitor that is always on and all our nurses know it. I love catching a tender moment between my son and his nurse.
    I totally agree. My assumption is that there have been alot of nurses that have done "stupid things" You are so correct. Thanks for the insight.

  • Sep 12 '11

    I am NOT defending this family because some of that just seems crazy but I will say that over the years, the list of rules has grown as we have had nurses do stupid things. I had to tell one nurse repeatedly to stop parking her passenger side wheels on my neighbor's lawn; two nurses got tickets because they were facing the wrong way on the street; one nurse got a ticket because she parked behind my car in the driveway but didn't pull up enough and blocked the sidewalk.

    We now have a "no beverages but water in my son's room" because at least two of the nurses had soda explosion accidents and didn't clean up the mess and the rug is trashed.

    It sucks when a couple of nurses ruin things for future nurses.

    I definitely would not put up with video recording. We have a baby monitor that is always on and all our nurses know it. I love catching a tender moment between my son and his nurse.

  • Aug 26 '11

    They are also one of the lowest paying agencies on the planet!! Do yourself a favor- stay as far away as you can get from Maxim.

    They are presently, spamming the Craigslist nursing/medical list serve. Almost all of the nursing ads are from Maxim. That should tell you something.

    JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW

  • Aug 21 '11

    As long as doctors continue to refer to their MA's as their nurse this will continue. Doctors are more than willing to pay $10 an hour vs $30 for an RN to work in their office. I totally get that but then call them what they are, an MA.

    The sad part is that many MA's will give patients medical advice when they actually have no clue what they are talking about and the patients believe they are nurses who can be trusted.

    I've heard some really strange things coming from MA's. One patient said the doctors nurse told her that her colored blood count (CBC) was looking better. I had a patient in the ER with an INR of 18.2 The doctors nurse told her that she should take a couple of ASA several times a day for arthritic pain even though she was on coumadin She came in peeing blood.

  • Aug 7 '11

    From your post it appears that a nursing agency is involved. Why hasn't the nursing agency implemented a 485, Plan of Care, signed by the patient's physician as part of the intake process?


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