DavidKarl

Latest Activity

1. Indy ltc lpns

   DavidKarl replied to joannalpn's topic in LPN/LVN

   What a psychotic way to staff a place- begging for med errors, and the like. Unless most of the staff is agency? If that's the case, they are trying to spread their in house staff around, to DECREASE liablity, so their own staff sees the patients at ...

2. Reducing ED transfers from SNF

   DavidKarl replied to HelenaHandbasket's topic in Geriatric

   Don't forget the LTC folks that are sent out to be admitted (for 3 days, naturally) for an easily treatable UTI, or etc., in order to requalify for MED-A.

3. Families refusing certain SNF

   DavidKarl replied to EllbellRN's topic in Case Management

   An easy way to affect a transfer to a different SNF, once admitted? Just raise. HELL. The first place will pull out all of the stops to help you out.

4. New Grad nurse @SNF...now on verge of quitting.

   DavidKarl replied to iamNurse23's topic in New Nurse

   No time to urinate? Hmm. A SNF nurse that never heard of Depends? This alarms me.

5. LPN...not good enough??

   DavidKarl replied to em1025's topic in LPN/LVN

   Lot's of RNs look down their noses at LPNs, but usually they are new grad RNs that are intimidated by the practical skills LPNs might posses. This stuff happens in any occupation. Other than that-here's a related cute one, that's happened to me 100's...

6. Fired..Confused..Upset

   DavidKarl replied to bigdreams08's topic in LPN/LVN

   I was fired once when I failed to quit- the DON made a new boyfriend, who was also an LPN (and wanted my job), and made all type of excuse that I was incompetent. I took my glowing evaluations, etc. to unemployment, to get an official determination t...

7. LPN scope of pratice!!!

   DavidKarl replied to NikkiL.Rutherford's topic in LPN/LVN

   The real issue is that word: assessment. In some states an LPN cannot legally 'assess' a patient, but 'evaluates', or etc. It's weird but true. Wicki describes an assessment as a 'plan of care'- lots of states don't allow that scope in LPN practice,...

8. Patient asked me what an IV med was for..i didnt know

   DavidKarl replied to NursingBro's topic in LPN/LVN

   Another thought- who ordered the IV med, and who started the IV, and who started the IV med via the IV? Two, possibly 3 healthcare workers involved (aside from the LPN) were treating a patient with an IV, without possibly obtaining consent, but obvio...

9. EMS hitch this one takes the Cake!!

   DavidKarl replied to downsouthlaff's topic in Relations

   I suspect that the atomosphere in that place is that the RN makes it clear that she is there to supervise, and not do any hands-on care. I suspect that's what the LPN meant to imply, but it was inaccurately told to the EMTs. I also agree that some EM...

10. Obamacare and Nursing.. what do you think?

    DavidKarl replied to OKNurse2be's topic in Activism

    There are 40, maybe 70 million uninsured in America. Another 100 million can't afford to USE their insurance, due to the high deductibles. The uninsured use ERs, and don't pay. Under Obamacare, 20 or maybe 50 million people will now be able to obtain...

11. MDS Nurse burned out and going back to the floor

    DavidKarl replied to LTCNS's topic in MDS

    My second clarification- I was talking licensed staff only. Obviously, CNAs are taken for granted, abused, unappreciated, paid slave wages, and many have personal strife to deal with. I have always advocated them, and usually taken their sides in arg...

12. Burnt out and struggling emotionally

    DavidKarl replied to MomRN0913's topic in Hospice

    Is this 'palliative' care more aptly what would be 'hospice' care, if the patients qualified for Medicare or another program that paid for hospice, but don't, so therefore are on Medicaid, or etc? If yes, I can imagine the nightmare caseload you have...

13. coding dental

    DavidKarl replied to wbardelli's topic in MDS

    (Oops, correction to the above: choking RISK).

14. coding dental

    DavidKarl replied to wbardelli's topic in MDS

    If you don't care plan that the patient has dentures, those reading the care plan (as if...anyone does, other than surveyors?) wouldn't know that he had dentures, for example, and if he could not speak, he may be taken to meals without his dentures, ...

15. MDS care plan meetings

    DavidKarl replied to jenrain's topic in MDS

    There is no 'care plan meeting' requirement. The requirement is that the patient/and or family must be able to 'be involved in the care plan process'. No meeting, again, is required. Why does everyone go through this ordeal, that, even most family me...