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In some systems, I don't doubt it, but per diem where I work means a higher wage without being offered any benefits...no pension, no PTO, no sick time, no health insurance. The higher wage is...

I have done some research on the ACA, and apparently, the change goes into effect 1/1/14. All employees working more than 30 hrs/week on average over the previous 12 month period must be offered...

In some states like mine, absence of a legal document specifying POA then follows kinship rules with the spouse at the top of the list. If she is not able to make a decision, then yes, the husband...

From what I've read, being offered insurance, waiving the option, buying private insurance, then using the premium tax credit will be a paperwork nightmare for employers. If even one employee uses...

I do. No problem getting full time hours. I'm on my husband's insurance, and my kids are teens, so no problem with them staying by themselves. I will never go back to regular staff, if I don't have...

Let's put it this way...I let my husband read my most recent evaluation (which was very positive), and he said, "That's not you!" :D

The two most demanding patients with basic ADLs who absolutely refused to do anything--but who could dial their cell phones to their daughters complaining that no one did anything for them--also had...

We have a kit with a sterile container for UAs and a vacutainer with preservative for C&S. Our kits, however are designed for collection in the container, then you hook up the vacutainer to put it in...

Here's the thing. Chronic migraine sufferers hardly ever look like the second description. They mostly look like the first description, even the teens. They are experts at using distraction to deal...

It usually doesn't take long for blood sugar to go up. I did have a patient w/ a BS of 22, and it took about 30 minutes w/ two rounds of oral interventions to get it within normal range. Awake,...

There is a flip side to this. I get a little uncomfortable during my admission questions when a young, relatively healthy patient talks about not wanting to be on life support. I keep thinking,"Yes,...

No. I have always had a lot of support around me, plus I'm extremely determined when I want something. I've taught myself many things in my life, by myself, starting with roller skating when I was 7....

There are certain professions in which identity as that profession is obtained over time: police officer, firefighter, teacher, doctor, nurse. It seems to be limited to those professions in which the...

The system worked. What is there to write up?

That's how we do it! LOL

Well said.

I also want to add that even if all nurses aren't busy with patients, we are required to do charting. If I don't carve 10 minutes here, 5 minutes there, out of my day to go brain dead at the...

At my old place, charges took lower acuity patients with a slightly lower ratio (1-2 pts less) than the rest of us. Our ratio could go 1:7 max, and it happened often. Responsibilities were bed...

Esme, thanks for the excerpt. I love OWL too, although I didn't go to Purdue. ;) The reason given was to "help maintain an impersonal tone." Hrmm. While the message of objectivity is good, I...

I "liked" the posts that I felt were very constructively worded criticism. Nothing was "rubbed in" in those posts except for the fact that prioritization of a critical lab value is what she needs to...

This might have already been said, but I believe the poster you quoted was saying that the message was correct, but the delivery was wrong. In other words, I believe you agree with the poster you...

Peer evals CAN be based on professionalism, competence, and reliability (and that's how I would do one, if forced); however, as a peer, I would still hate to say that a co-worker is unprofessional,...

I would hate to peer review someone who I think sucks. I would love to peer review someone who I think is good. If I had to peer review someone who sucks, the review would be neutral and...

"En caul" is when a baby is delivered with the sac intact and the baby inside it, I believe.

At my previous workplace, we never did narrative charting either. When I got a new job, narratives are expected x 2 in a 12 hour shift. It took me a good month to refine my narratives and get in a...