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I recently went out to a home vent case and the plan of treatment included a procedure that I have never heard of and I would like to know if any of you have experience with this. It was...

I would ask her exactly why she couldn't interview you. Just ask her like you are asking her "How are you?" "Can you tell me why you will not be able to interview me?" See what she says. She...

Ok, this is one from the Rahab setting ..... "If you can pick your nose and feed yourself then I will not put your Penis in the urinal. You will have to do this yourself!"

www.wculearning.com I received ad advertisement from them today.

Is this a LTC = Long Term Care Facility or a ALF = Assisted Living Facility? In California in an ALF staff that have been trained to state specifics can assist in giving meds. If the pill or...

I am not sure but I have heard if the facility is less than 99 beds they are not required to have 24 hour RN coverage in the building. Calli

Man if you held down a 320 bed facility does that mean 4 assessments a day with every 4th one a comprehensive??? My hats off to you ! Calli

It is a violation of the hospital policy if the policy is updated and it is a HIPAA violaition. It doesn't matter if it is a test result or any other part of your medical record. Check out...

Yes, this is a HIPAA violation. I used to teach the classes when we first introduced this to all staff. It is even against HIPAA to look up anything on a patient on your floor that you do not...

If you accessed your file in medical records it was probly according to HIPAA regulations. What you refer to as "presonal impressions" are actually part of your physicians assessment of your...

Just remember that care plans must be individualized for each patient. Example: two patients with kidney failure might not have a fluid restriction. If you get the preprinted ones make sure before...

Why was his chair taken? If he can't independently use a standard wheelchair or he doesn't fit one correctly he whould be given his electric w/c. This is restricting his mobility. Our facility allows...

Wow, I never thought my restraint skills would be used at home. I might have to try this one. Calli

OMG!!!!! First the death then the missing baby ! This mother is not sleeping for sure. She had the baby for 20 minutes before it died. Truely sad............. Calli

you need to remember that reason for covering them must be related to the 3 day stay. if this resident goes our for pneumonia then the g-tube at this point which is no longer a new g-tube and is not...

Part of the HIPAA ensures that each facility will keep of log of who has had access to your medical record or any medical record. How can they do that if they don't know you accessed it. A...

I feel for you .... We have all been there. Its difficult, but lets say this is your brother or son or father. It sounds like the best thing would be a care plan meeting with his family, the...

If you check your local library you may find nursing care plan books. You may also check your local hospital. The library is often open to the public. Hope this helps... Calli

Bottom line ...... A nurse can not "TAKE CALL" for an MD. Every MD must have a "ON CALL" replacement MD or take the call him/herself. I would get management involved and they need to clarify...

I have been a nurse for awhile and an MDS nurse for 4 years and there are days that I still feel like your icon "head into brick wall" because that would be better than the headache of the day. LOL...

This situation needs follow up on several different levels. First of all, so everyone else will know that she is OCD, it needs to be added to her Diagnosis profile. If her Seroquel has a...

NurseExec, Thank you so much. I really appreciate this. I haven't been able to PM yet but I think with this post I will have 15 posts and then they will let me post. I will PM my email to...

What nerve they had Achot Chavi ! They really wanted you to leave. Well, I have good news! I started a new position last Friday. They were even nice enough to give me the 3 day weekend. I am...

We are starting a daily pps meeting after standup each morning. I know this is a common practice but I have never had it in place. I am looking for help from those of you who already do this. ...

Thank you, I spend more time and went to the web site. It kind of answered some questions about retirement and which health cariers they use. Callinurse