rn_patrick NP

rn_patrick has 17 years experience as a NP.

Latest Activity

1. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   I don't think anyone is lazy. Like I said in my initial post I was asking am I overreacting for my more at risk patients to want vitals daily. Obviously the feeling here is "something small like vitals" is not that big a deal. Corporate SNF or LTC ar...

2. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   I have been doing #1 with specific nurses and techs. Which has increased compliance on my high risk patients. Which is really all I wanted. Since writing this, I did go to RN management and ask "Do we really need to do this every day." I have been t...

3. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   "Thanks for taking the lead on this..." I'm going to go back to him and ask if he just wants me to drop this or to work this up. I asked the question since I may be pursuing something that nobody really cares about.

4. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   That one person with the A1C of 11-12 is on Lantus. I'd be fine with her getting VS daily. I can't find a set of solid guidelines "This is how often you do vitals..." I'd be happy with Admission, 3x days after admission, then once a week, UNLESS on ...

5. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   I'd like a source on that. Especially when I read that failure to assess and failure to report a change of status is one of the leading reasons RN's get sued. Overall I agree with you about the vitals not being indicated daily. That is what their fa...

6. Falsely accused of falsifying documentation: What should I do?

   rn_patrick replied to Lorie Brown RN, MN, JD's topic in Career Support

   Do you have malpractice insurance? If so contact them. I know with NSO part of the policy covers board representation. If you Google dealing with a claim from the BON everyone suggests NOT going it alone.

7. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   I've tried that. I was more thinking as a staff nurse I would not disregard orders or at least document why I could not obtain the vitals. Maybe all RN's don't feel that way?

8. RN's skipping vital signs

   rn_patrick replied to rn_patrick's topic in Safety

   I can usually get the patient to do the vitals for me. We also have a new RN who is more motivated and is able to get them also. I very much as a former staff nurse at a different facility appreciate the patient is too agitated to do vitals. The iss...

9. Insulin Administration

   rn_patrick replied to chemdawg's topic in Safety

   It's been a while but everywhere I have worked you waste it in the sink. The real risk is contaminating the whole bottle with something and not catching it.

10. A Fishy Healthcare Operation?

    rn_patrick replied to psych.nurse's topic in Safety

    There are really strong anti-kickback rules for reasons like this. I used to service as a Psych NP several group homes owned by one Woman. Suddenly I lost many of my patients because they were all going to a new program. Turns out the owner of the g...

11. RN's skipping vital signs

    rn_patrick posted a topic in Safety

    Hello. I'm an APN/NP working at a Psych Hospital as the psych attending. Let me tell you what's happening and can you tell me if I am overreacting? I wanted to edit this down so it's not quite obvious if someone else from that facility is reading thi...

12. Psych no salary/pay

    rn_patrick replied to IDNP's topic in NP

    I think hospitals pay the best. Like that rate posted above.

13. Psych no salary/pay

    rn_patrick replied to IDNP's topic in NP

    Which is part of their model. Start people and have them move on in a year. Get more. Repeat. My patients are on their 4th provider in a row.

14. Psych no salary/pay

    rn_patrick replied to IDNP's topic in NP

    Im doing community mental health again. You commented on another post a while back. Maybe you work in a hospital so the facilities can pay more. Maybe you are a rockstar? I like a slower pace since i can get overwhelmed at times. The numbers you quo...

15. Psych no salary/pay

    rn_patrick replied to IDNP's topic in NP

    1. Are they covering anything? Group Malpractice or letting you buy into their Health Insurance (The second one if you are older is the big one). 2. 130 is really up there for psych. I'm locums and my package comes to about 85/hr. (Or I failed my neg...