JustMeRN

JustMeRN has 16 years experience.

Latest Activity

1. How to get into CM?

   JustMeRN replied to Curious1alwys's topic in Case Management

   In my opinion clinical experience is important and outpatient experience helps. With the experience you listed you might get some bites depending how competitive the specialty is in your area. And yes, more than half your time is spent in office task...

2. Medicare SN frequencies

   JustMeRN replied to JjemRN's topic in Home Health

   Write them for month frequencies. So instead of 1w8 write 4m2. So in your case, if you want to see them once a week but don't need another visit this week do 3m1 followed by 4m1 and adjust your visit dates accordingly. Writing for visits in a mont...

3. Texas Children's investigates RN for social media HIPAA violation

   JustMeRN replied to JustBeachyNurse's topic in HIPAA

   You are allowed opinions sure. However, vaccines and the question of vaccination is not an opinion based argument. It is a fact based argument, and the facts are clear, vaccines are oberwhelmingly safe and effective. There is no evidence to the co...

4. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   I read up a lot on cosleeping when my littles were little, we had a side car sleeper, best thing ever. I'm not saying cosleeping can't be done safely, just pointing out that bed sharing is frequently encouraged for easy night nursing even though be...

5. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   im a firm supporter of cosleeping, but bed sharing is considered one of the highest risk factors for SIDS, a blog I read said that the risk of bed sharing basically cancelled out any benefits from breast feeding in terms of SIDS risk. Also, pacifier...

6. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   im not saying that breastfeeding shouldn't be encouraged, my point is the evidence is not inconclusive enough to warrant the aggressiveness that has become the breast is best movement. Woman are literally so scared of giving their infants formula the...

7. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   Have you seen this one? Breast-feeding Benefits Appear to be Overstated, According to Study of Siblings

8. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   But what you are not doing is providing evidence beyond your opinion that formula carries enough health risks that infants should be given pasteurized donated breastmilk above formula. And I'm not going to yell, because quite frankly I'm not sure wha...

9. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

   JustMeRN replied to cjcsoon2bnp's topic in General Nursing

   Can you specify where you are getting your information from? Everything that I have read recently published is coming to the conclusion that the benefits of breastfeeding have been overstated, the benefits over formula are small, and when taken into...

10. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

    JustMeRN replied to cjcsoon2bnp's topic in General Nursing

    Nearly 12 years ago I had my healthy, full term son with every intention to breastfeed exclusively. I was ready. When he was just a few hours old he had a low blood sugar, over the next 12 hours I would nurse, then the wonderful on nurses would cup ...

11. "Breast Is Best": A Mantra to Promote Infant Health? or Stigmatizing Adage to Guilt Moms

    JustMeRN replied to cjcsoon2bnp's topic in General Nursing

    To the part I bolded, can you back this up with anything? What risk does formula carry? Do you also realize that you have gone ahead and continued to guilt trip moms who can't, or choose not to breastfed? You are perpetuating the guilt heaped on w...

12. OASIS quandry

    JustMeRN replied to bbritton_64's topic in Home Health

    I do admits exclusively, and when I'm training someone new I always tell them adl questions should not be about what the person can currently do, but what is the ideal situation that would result in the best care of the patient. Regardless of wether ...

13. New Grad as a Assessment Nurse? Need advice

    JustMeRN replied to EvaMilly87's topic in Home Health

    nope, nope, and nope. In my opinion home health is not the place for new grads, and that scenario sounds terrifying. Keep looking, and good luck!

14. OASIS experts chime in please!

    JustMeRN replied to iSurvivor's topic in Home Health

    Yes, a new medication for pain, the pain would be the treated condition (or the identified cause of the pain ie arthritis, fall, fracture). You should always have a change in treatment, this is your skill. New meds (the condition treated is the diag...

15. Returned documentation

    JustMeRN replied to BabaLouRN's topic in Home Health

    Initially yes, now no. I make my notes as thourough as possible so reviewers have very little questions at this point. Initially it felt like I just couldn't get it right! What really helped is when they requested I change or fixed stuff I asked for...