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Search Results Type: Posts; User: merlee

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  1. It's Wrong!  (A night shift perspective)
    My MIL had been in an LTC facility for 9 years. She had Pick's dementia. When we placed her initially we decided then on 'no feeding tube' or other extraordinary actions. Recently she developed a...
    Sep 3
    Forum: Geriatric Nurses / LTC Nursing
  2. Mistakes are Inevitable: No one is perfect.
    Well-written article, many good points. Long before unit dose and automated systems, an instructor taught us that if you need to give less than 1/2 or more than twice of what is conventionally...
    Mar 14
    Forum: Nursing and Professionalism
  3. How to be the good patient and when to seek medical attention
    No, no, no. While I have silenced an IV alarm, I can't imagine how you managed to silence your monitor without getting out of bed. Not appropriate. I tried to be a 'good' patient but once asked 4...
    Feb 28
    Forum: General Nursing Discussion
  4. Is anyone else losing spouse coverage?
    You say that your husband is retired but not eligible for Medicare, then I am assuming he is under 66ish. Could he possibly return to work? I am only asking.
    Feb 2
    Forum: Nursing Activism / Healthcare Politics
  5. Does Preferring to Work Night Shift mean you're lazy?
    I did a long stretch of nights after my divorce. Two reasons. One, they were offering a 20% diff if you signed on for at least 6 months. The diff applied to any sick time, vacation, overtime, etc. ...
    Jan 28
    Forum: Nurse Colleague / Patient Relations
  6. Patients with sticky fingers!
    Many many years ago, in Philly, we had a gypsy queen as a patient, and lost a massive amount of linens in 2-3 days. This was before most places had an entire security dept. In those days, the supply...
    Jan 20
    Forum: Emergency Nursing
  7. Surveyor: The First Week
    Best wishes in your new position! I have been through a bunch of surveys, and, truthfully, although a bit nervous, not really afraid. I was not easily frightened because I knew my stuff! MSDS...
    Jan 12
    Forum: Geriatric Nurses / LTC Nursing
  8. The Legal Nurse Consultant
    Excellent article with very pertinent information. Thank you!
    Nov 16, '13
    Forum: Legal Nursing
  9. A feeling of impending doom
    I never received any extra pay for being a preceptor. Sometimes the assignment was a bit different, but not always. One placed I worked had a clinical scale for pay, and those of us who were...
    Nov 8, '13
    Forum: General Nursing Discussion
  10. Nurse Tech and first patient fall. Worried about being fired.
    There certainly needs to be a Fall review committee on your unit, or in the facility. 20 falls this year?? Wow. Scary.
    Oct 21, '13
    Forum: General Nursing Discussion
  11. Doing favors or giving gifts for patients: Unacceptable?
    In over 30 years of direct patient care, I can count on one hand the number of times I have done a favor where money or off-duty time was involved. One was actually in nursing school! and not...
    Oct 14, '13
    Forum: Nurse Colleague / Patient Relations
  12. Increased nurse staff levels tied to lower odds of Medicare readmissions penalties, s
    WHAT WE NURSES HAVE BEEN SAYING FOR YEARS BETTER STAFFING = BETTER CARE BUT WITHOUT THOSE RESEARCHERS CRUNCHING THE NUMBERS NO ONE EVER HEARS US. B E T T E R S T A F F I N G ...
    Oct 10, '13
    Forum: Nursing Activism / Healthcare Politics
  13. MSN (not CNL) as a bedside nurse- thoughts?
    My comment has consistently been - - who wants to spend 40-100,00 bucks on an education to work weekends, nights and holidays, ad infinitum? If you do, then so be it. But is there compensation for...
    Oct 6, '13
    Forum: Nursing Career Advice
  14. 2020 BSN law
    Sigh. In the early '70's we were told that a BSN would be mandatory by 1985. Or 1992. Or 1999..... Still hasn't happened. There are, however, as noted, some facilities that are attempting to...
    Oct 4, '13
    Forum: Registered Nurses: Diploma / ADN / BSN
  15. Curious about how to handle this situation..
    I could understand looking at the meds to see if they were something that the child had to have that night, ie, antibiotics, something for an ongoing problem, etc. and needed to be returned right...
    Sep 30, '13
    Forum: General Nursing Discussion
  16. Patient responsive but in cardiac arrest
    I have actually called 2 codes on pts that were AAO! One was about to go into anaphylactic shock - and would need to be intubated, the other was severely fluid overloaded and drowning. Both...
    Sep 30, '13
    Forum: MICU / SICU Nursing
  17. Refusing food offered by patients
    In some facilities eating something off of a patient's tray, regardless of the circumstances, can be cause for dismissal. Frankly, I would only eat something that was store-bought and...
    Sep 30, '13
    Forum: Nurse Colleague / Patient Relations
  18. Writing multiple times?
    Since I found out that the exam could be as short as 75 questions I have been amazed. That covers 4+ years of schooling? Wow! I don't believe that 2 days of testing is necessary, but one hour...
    Sep 26, '13
    Forum: General Nursing Discussion
  19. Home Health nurses HELP please!  Telemonitoring question!
    Someone at your agency should be able to give you the expected guidelines. 3,3,2,2,1,1-,1 is not uncommon, but could be fewer, like 3,2,1,1,-,1-,1. Depends on the individual case. Hopefully, the last...
    Sep 25, '13
    Forum: General Nursing Discussion
  20. Cost effective patients
    Never a good idea to 'not tell' the nurse that you are taking you own meds - what if it interacts with something, or makes you sleepy? I am surprised you would do this. Why do they charge so...
    May 31, '13
    Forum: Nursing Humor / Share Jokes
  21. Nursing jobs with a sign on bonus question
    If they are asking for a 2 yr commitment, then it is likely that the bonus will be divided up, with the last part given at the 2-year mark. Make certain that you completely understand the premise of...
    May 26, '13
    Forum: Nursing Job Search Assistance
  22. Inactive or Unemployed RN,Is it ok to apply medicaid?
    Medicaid is an income-based supplement that has nothing to do with your occupation/license. Apply for ALL of the services you may need. No one ever needs to know at the nursing board in your state,...
    May 21, '13
    Forum: Retired Nurses / Inactive Nurses
  23. HIPAA - where you least expect it
    So why can't the pharmacy person bring the groceries? Or maybe even though they are the same company, the products come from different locations?
    May 13, '13
    Forum: HIPAA and Nursing Challenges
  24. Boy, did I mess up :(
    I can't speak for your job, although this doesn't sound too bad to me. But this is definitely not something the BON would be too concerned about. Nothing happened to anybody, and it's unlikely that...
    Feb 20, '13
    Forum: HIPAA and Nursing Challenges
  25. Worst start ever
    Got a call to see a home care patient 45 miles from my home. Went out to my car and my driver's side window had been destroyed. Arrggh! Luckily, the local auto glass place was still open, and they...
    Feb 12, '13
    Forum: Emergency Nursing


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