PsychNurseWannaBe

PsychNurseWannaBe BSN, RN

LTC, Nursing Management, WCC

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All Content by PsychNurseWannaBe

  1. Is this a system flaw?

    PsychNurseWannaBe replied to MonkeyLPN's topic in Geriatric, LTC

    What we do is we get the order, coumadin 5 mg po daily, next pt/inr is 12/7. So I will transcribe in the mar the new order and on 12/7 I will write vertically through the time slot INR. They can't...

  2. Wound vac with compression wraps?

    PsychNurseWannaBe replied to paddler's topic in Wound, Ostomy, Continence

    I would contact your wound vac rep or the manufacture of the products. If I am understanding you, you are asking about placing a vac and then covering the vac with compression? I don't know where...

  3. New Grad RN with great LVN job

    PsychNurseWannaBe replied to ProgressiveThinking's topic in First Year After Licensure

    If you stay in the LVN role as an RN, you will be held accountable to the higher standard of your RN credentials. Just so you

  4. Nope, you're not going to die tonight...... says the hospice nurse

    PsychNurseWannaBe replied to Old.Timer's topic in General Nursing

    Yeah...she could have said I will be here for you and when the time is right, I will make sure to open the window for

  5. Holy Wound Batman!!

    PsychNurseWannaBe replied to PsychNurseWannaBe's topic in Wound, Ostomy, Continence

    Yeah... I thought of a wound vac. If she was a healthy person who is eating and able to take supplements I would definitely go with a wound vac (if I could get it approved), but I don't think it...

  6. Deleting nurses notes

    PsychNurseWannaBe replied to Rugford5LPN's topic in Geriatric, LTC

    OK...this is under SNF, I am thinking the typical SNF. I don't think you have to worry about someone hacking the system to delete the note without leaving a trace. But thanks for bringing the topic...

  7. Nope, you're not going to die tonight...... says the hospice nurse

    PsychNurseWannaBe replied to Old.Timer's topic in General Nursing

    It's has a noble feel but not

  8. LPN taking wound care course; skin tear question

    PsychNurseWannaBe replied to followyourbliss's topic in Wound, Ostomy, Continence

    I only use a tegaderm if it is necessarily and definitely depends on how fragile their skin is. I had a guy that I used a tegaderm to create a smooth surface for when he put his pants on over the...

  9. What would the IV rate be...?

    PsychNurseWannaBe replied to nashgirl516's topic in Nursing Student Assistance

    I don't think this is a TKO order... 17 ml/hr??? That doesn't seem right. If you are to provide 100 ml of solution x EVERY 6 hours and not OVER 6 hours. But what the run time be? Over 15 minutes,...

  10. Gero Psych

    PsychNurseWannaBe replied to Animal3's topic in Geriatric, LTC

    We are limited to applesauce, pudding and ice cream. We are not allowed to put medications in any other

  11. Moving Target

    PsychNurseWannaBe replied to DixieRedHead's topic in MDS Coordinator Information

    I was getting used to 3.0 until these darn changes. But from what I got from rehab coordinator, rug up or rug down is focused around their next PPS assessment. Does that require a COT if done in the...

  12. Joint Commission Survey

    PsychNurseWannaBe replied to crazyforthis's topic in MDS Coordinator Information

    Those reports are in our software program under MDS 3.0. I don't think QI/QM is set in stone yet since the 3.0. Or it isn't in my state, from what I am told. I don't know where you would find them...

  13. unit manager interview/salary

    PsychNurseWannaBe replied to sophie09's topic in LTC: Directors, Assistant

    In my area, its salaried, mid to upper 50K for a SNF. DON 75K to

  14. Position difference between RN vs. BSN

    PsychNurseWannaBe replied to kalevra's topic in Diploma, ADN, BSN

    For my area, the only difference is you need to have at least a BSN to do pubic health nursing. And normally some management positions but that depends on the facility. I think there is a difference...

  15. Pharm Rep making rounds with the nurse?

    PsychNurseWannaBe replied to optimist's topic in General Nursing

    I have seen reps in surgery... they are normally performing a service to the MD about the product the surgeon is going to use. I wouldn't expect the rep to always be there. I have a vendor who is...

  16. Moving Target

    PsychNurseWannaBe replied to DixieRedHead's topic in MDS Coordinator Information

    When it comes to therapy they monitor RUGS on medicare patients and when they want the ARD to capture their minutes. Their program tells them when they can do things. I have yet to do any COTS, EOT,...

  17. Dealing with noncompliant client?

    PsychNurseWannaBe replied to Carolinathe3rd's topic in Medical Assistant, CNA/MA

    Try a staff change. See if another CNA has better luck at

  18. NUR DX question about infection

    PsychNurseWannaBe replied to sgalvin07's topic in Nursing Student Assistance

    :thankya: LOL... just kidding... You're welcome though.

  19. NUR DX question about infection

    PsychNurseWannaBe replied to sgalvin07's topic in Nursing Student Assistance

    OK... fast and dirty version... It's getting late :) Risk for diagnoses do not have an AEB because if it did, it would be an actual diagnosis and not a risk for. I never like this question because it...

  20. just don't understand!

    PsychNurseWannaBe replied to Daisy02's topic in General Students

    Our lecture and clinical had separate

  21. Frustrated and need to vent

    PsychNurseWannaBe replied to QuenymamiRN's topic in Geriatric, LTC

    What gets me is when something comes to the unit at let's say 11:00 (non urgent, no med orders, etc), it gets passed to PM (little irritated), PMs passes it to NOCs, (getting pretty ticked) and then...

  22. Frustrated and need to vent

    PsychNurseWannaBe replied to QuenymamiRN's topic in Geriatric, LTC

    Where I work, passing of work is an unfortunate byproduct of cutting labor and overtime. But not the STAT stuff. That should be done STAT. So, the morning shift should be faxing their INR results...

  23. Moving Target

    PsychNurseWannaBe replied to DixieRedHead's topic in MDS Coordinator Information

    I put out my grid for the nurses on Monday or Tuesday. The ARD is set to Sunday. It's split between AM and PM. NOCs has to do the sleep assessment portion. I would say that I don't change ARDs but...

  24. DNR

    PsychNurseWannaBe replied to mialedbetter's topic in Activism, Healthcare

    I didn't know if varied state by

  25. Excessive smoke breaks

    PsychNurseWannaBe replied to ProgressiveActivist's topic in General Nursing

    LOL