Search Results

Search Results Type: Posts; User: mama2

From Date
  1. Coumadin
    obviously there is more to our protocol than I can write about here, but we have a very good success rate with keeping patients within their prescribed therapeutic range. A lot of patient teaching is...
    Aug 5, '13
    Forum: Medical-Surgical Nursing
  2. Scripted responses to difficult phone conversations with patients
    for those truly special patients, I say, (in my sweetest voice) "I understand how frustrating this must be for you, and I'm truly sorry that I am unable to get you what you are asking for. Let me...
    Aug 5, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  3. Words of wisdom/advice for new hospice nurse?
    I've just accepted a position with hospice, and am excited and nervous all at once. Excited to begin a new career with an amazing team that I know is dedicated to compassionate care (they came in to...
    Aug 5, '13
    Forum: Hospice Nursing
  4. Telephone Triage
    I do a lot of telephone triage at my current job. Basically, you're answering patient phone calls and deciding whether they need to go to the ER, come in for an urgent visit, wait for next available...
    Aug 5, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  5. Coumadin
    We use a standard protocol for 5-10% increases or deductions depending on INR and therapeutic range. INR 5 or greater will warrant an MD notification (when 2- 3 is the range). If the range is 2-3 and...
    Jul 19, '13
    Forum: Medical-Surgical Nursing
  6. Abnormal labs & communication
    I usually get the message sent as a task through our EMR program. The results will come back flagged as abnormal, and depending on the provider, they will (or will not) provide a guideline for what...
    Jun 9, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  7. Tell me about the narcotic policies in your clinic please
    Pain management is handled by having each patient who is prescribed a narcotic medication sign a pain management agreement beforehand, and they are also referred to the pain clinic for comprehensive...
    Apr 30, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  8. Is it any fun working in a doctors office as an RN? Or something along those lines
    I've only been a nurse for 7 months now :)
    Feb 24, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  9. Stable life vs not enough action! Do you ever envy your inpatient counterparts
    I try to look at it this way- we are not losing skills, we are acquiring different skills. Acute care is completely different from ambulatory care- two different skill sets. I may not be using some...
    Feb 9, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  10. Patients destroying pain meds?
    Where I am in MA, we have prescription drug disposal drop-boxes at the local police stations. Call around- see if a program exists where you are, and if not, see about starting one! It's good for the...
    Feb 3, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  11. Charting/Documentation
    Hi CarreBarreLPN, Typically, I was seeing about 16-20 clients per day in-office for "nursing visits", plus giving about 10-20 injections (immunizations) per day (to patients who were seeing Dr.'s),...
    Feb 2, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  12. Is it any fun working in a doctors office as an RN? Or something along those lines
    I love my job at a community health center! I have a ton of freedom, get to do a lot of patient teaching, dressing changes, suture removal, immunizations, coumadin clinic, routine sick visits like...
    Jan 26, '13
    Forum: Ambulatory Care Nursing / Clinic Nursing
  13. Win CASH! New Year Nursing Caption Contest - $100
    Someone clearly didn't see the DNR order...
    Jan 9, '13
    Forum: allnurses News and Announcements
  14. Crusading for Better Mental Health Care: Mental Health Education in Schools
    I commend your enthusiasm :) You can start by calling the schools in your area. Find out what the curriculums are, and who the people are in charge of developing/implementing them. Lots of school...
    Dec 31, '12
    Forum: Nursing Activism / Healthcare Politics
  15. Flu Season
    Well, flu season is upon us, and it seems like every patient I triaged today had the flu or flu-like symptoms. We typically discourage pt.'s with flu/flu-like symptoms from coming to the office, and...
    Dec 28, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  16. Charting/Documentation
    I need advice on how to handle a situation. My immediate supervisor- the practice manager at an ambulatory care clinic (who has NO medical experience whatsoever) has told me that she feels that I...
    Dec 23, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  17. Frustrated in BSN program
    I'm right in the same boat with you- working 40 hrs a week, taking full-time classes to bridge from my ADN to BSN. I spend ALL of my free time studying and doing assignments that have so far, been...
    Nov 23, '12
    Forum: Registered Nurses: Diploma / ADN / BSN
  18. Walk-Ins with Chest Pain
    JZ_RN, Thank you so much for sharing! Sounds exactly like what I deal with- at least I know now that I'm not alone!
    Nov 23, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  19. Telephone Triage Stories
    I agree that triage is a different world- especially triage over the phone! I have only been doing this for a little while now, but it always stresses me out when after triaging, I determine that a...
    Nov 17, '12
    Forum: Telephone Triage Nursing
  20. Doctor's office
    We do bill for this! We use 99211 for all nursing visits. All nursing services are billed. We do simple visits like possible strep, possible UTI, BP checks, coumadin clinic,...
    Nov 15, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  21. Doctor's office
    I'm the only RN at the clinic/health center I work at, and if you are a pt. with acute pharyngitis symptoms, you will be seen by ME, not a Dr. or NP. I will assess, swab and do a rapid strep, and...
    Nov 13, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  22. Walk-Ins with Chest Pain
    Alright, I've been working in the clinic setting for a while now, but what still drives me absolutely insane is how many patients walk-in to the Dr.'s office demanding to be seen because they are...
    Nov 12, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  23. A triage nurse afraid to answer the phone!
    I felt this way at first, too! I went and bought myself a telephone triage book, and started compiling my own rolodex of phone numbers. You will get better with time :) I promise.
    Nov 12, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  24. Attn Clinic/Doctors office nurses!
    This drives me crazy where I work now...I tried correcting people in the beginning, but realized quickly that it was a losing battle. No one in the office wears their name badge except for me....
    Nov 12, '12
    Forum: Ambulatory Care Nursing / Clinic Nursing
  25. Advice -- ADN or BSN for a second career
    I say just go for the ADN! From what I understand, the difference in pay between ADN and BSN nurses is negligible, and you already hold advanced degrees, so the ADN would be enough I would think....
    Jul 2, '12
    Forum: Texas Nursing


Top