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Search Results Type: Posts; User: MunoRN

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  1. Need opinions
    I would guess it's more about the chance to save $4000 than it is about inappropriate charting, since relevant quoting of the patient is generally considered appropriate, even if you're quoting...
    9:30 pm
    Forum: General Nursing Discussion
  2. The Health Insurance Marketplace: What We Learned and How We Can Educate Our Patients
    This has to be one of the most wildly inaccurate posts I've ever seen here. It is absolutely within a nurse's scope to both educate the patient about their healthcare as well as to address...
    Nov 25
    Forum: General Nursing Discussion
  3. ANA wants GM foods labeled, please join effort ant tell FDA
    Personally I support labeling GMO products, but only because I'd prefer not to buy non-GMO products. GMO products need less water, less fertilizer, less pesticides, less herbacides, etc. I've never...
    Nov 23
    Forum: Health / Stress Management 101
  4. Ethical Dilemma...Shingles :(
    Based on the CDC's recommendations, you likely wouldn't be restricted during your classroom period, but the CDC recommends that Occupational Health and/or Infection Control be aware of your VCV...
    Nov 23
    Forum: Nursing and Professionalism
  5. Obamacare and hospitals
    So how would that work? Should insurers/medicare give the patient cash for their diagnosis rather than paying the facility/providers directly? I think most people agree that they would prefer to...
    Nov 21
    Forum: Nursing Activism / Healthcare Politics
  6. Obamacare and hospitals
    So you're saying that even though taking a medicare-run plan and having it instead run by a for-profit insurers increases the cost of that plan 12%, it's not due to the for-profit insurer? It would...
    Nov 21
    Forum: Nursing Activism / Healthcare Politics
  7. Obamacare and hospitals
    There could well be a long list of reasons why it costs more for us to use for-profit insurers, but in the end the fact still remains that it costs us more. Are you saying you're not opposed to...
    Nov 20
    Forum: Nursing Activism / Healthcare Politics
  8. Initialing MARs with no prescription and no access to doctor
    In my state confirming the identity of meds is not outside the scope of RN's and we do so regularly during the medication reconciliation process. What we can't do is to relabel medications that...
    Nov 20
    Forum: Nursing and Patient Medications
  9. PICC line blood draw
    The INS recommendation for general blood draws from a PICC or CL is to waste 1.5 to 2x the lumen volume, or about 3ml for a typical power lumen. Bard's recommendation is higher at 5ml.
    Nov 20
    Forum: General Nursing Discussion
  10. Obamacare and hospitals
    We have been overpaying, based on the insurance industries own complaints that they just can't do what regular medicare does for the same price. http://www.ahip.org/Issues/Medicare-Advantage.aspx
    Nov 19
    Forum: Nursing Activism / Healthcare Politics
  11. Obamacare and hospitals
    Exactly, medicare advantage, which is just medicare benefits managed by a private company instead of the government, costs more than government run plans and exist on the back of taxpayers, so why...
    Nov 19
    Forum: Nursing Activism / Healthcare Politics
  12. Obamacare and hospitals
    I've yet to see an article you've provided that says medicare is less efficient. You provided one article, from AHIP, that didn't even say that. It sort of implied it, but if you actually look at...
    Nov 19
    Forum: Nursing Activism / Healthcare Politics
  13. HIPAA violation
    That's actually not necessarily a HIPAA violation. HIPAA acknowledges that incidental exposures occur and that avoiding them are not always practical, although they should be avoided whenever...
    Nov 17
    Forum: HIPAA and Nursing Challenges
  14. Obamacare and hospitals
    Actually nearly everyone will use medicare at some point. Of the total amount we pay for healthcare, $2.8 trillion, about $572 billion of that is what we pay to medicare to cover us all in our later...
    Nov 16
    Forum: Nursing Activism / Healthcare Politics
  15. Obamacare and hospitals
    I don't understand why you think it wouldn't be more sustainable to pay less for the same service. Both medicare and private insurers perform the same basic function; they pool revenue and pay...
    Nov 15
    Forum: Nursing Activism / Healthcare Politics
  16. How has Obamacare affected you and your employer?
    Insurance premiums have actually been rising every year long before the ACA. If she gets no assistance in buying insurance then she makes at least $50k a year with one kid, $70k if she has two which...
    Nov 15
    Forum: Nursing Activism / Healthcare Politics
  17. IV catheter changes..
    We no longer limit field starts to 24 hours, the same rotate-based-on-assessment rule applies. The 24 hour rule was based on research from the early 80's, mostly at a single facility, which found a...
    Nov 15
    Forum: General Nursing Discussion
  18. Obamacare and hospitals
    I don't really get the conservative's take on "the video" even if they are correct about the context. If it's such a partisan democrat bill, why would democrats need to be 'tricked' into voting for...
    Nov 15
    Forum: Nursing Activism / Healthcare Politics
  19. mechanical ventilation q
    It's basically the same thing, breath stacking is a physical action that contributes to auto-peep. The two terms are often used interchangeably.
    Nov 15
    Forum: Nursing Student Assistance
  20. "I need to eat, I'm a diabetic!"
    There are some patients where I agree, they don't need to be eating right now and there is nothing wrong with telling them they need to wait. The problem is that for many diabetics it's not only low...
    Nov 14
    Forum: Nurse Colleague / Patient Relations
  21. "I need to eat, I'm a diabetic!"
    There are certainly times when a patient doesn't actually have to eat, but for many diabetics it is actually true that they may need to eat even though their blood glucose is over 200 due to regular...
    Nov 14
    Forum: Nurse Colleague / Patient Relations
  22. How has Obamacare affected you and your employer?
    Health insurance premiums have been steadily rising since long before the ACA. Your increase of about 5% per year is actually lower than the baseline of insurance premium inflation prior to the ACA.
    Nov 14
    Forum: Nursing Activism / Healthcare Politics
  23. IV catheter changes..
    Even though he's giving you bad information, even that it is a valuable learning experience for you; keep up to date on the evidence and recommendations, understand them, and never consider anything...
    Nov 14
    Forum: General Nursing Discussion
  24. cam walker and c diff
    Why not just use bleach wipes?
    Nov 14
    Forum: General Nursing Discussion
  25. How has Obamacare affected you and your employer?
    Medicaid is already a state run program, and the various systems for getting these folks jobs, job training, etc is already managed at local community levels.
    Nov 13
    Forum: Nursing Activism / Healthcare Politics


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