Zippy83

Zippy83

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  1. When you are talking about cost and efficiency, I assume you were talking about the number of visits for an individual patient per episode? She doesn’t say that the other nurses are taking on more...
  2. Help! PPV versus Houly HH visits

    Even if your visits only take 10-20 minutes, which is hard to believe even for the most stable patient (what about teaching on management of diabetes, wound healing and infection control,etc?), what...
  3. The patient does not seem to have had any serious symptoms or adverse effects related to the error, thankfully. However, both adult children are MDs and they have already called to formally complain...
  4. Transgender man has stillbirth

    Actually, it’s not either-or. Gender and sex are not the same. One is biological and the other is a societal construct. The best example of this is people who are born intersex (having some of both...
  5. Moving California. Insight on pay scale etc?

    I was going to guess Palm Springs, but later you mention you are in a mid to large size city. I guess that’s also subjective. Where can you get a huge house with a pool for that price in SoCal?...
  6. Moving California. Insight on pay scale etc?

    There are many factors involved, I agree. My family has also been here for generations, but I did live out of state for a couple years so I have some comparison. Do you rent or own, and are you in a...
  7. Moving California. Insight on pay scale etc?

    Do you have a specific part of California you want to live in? It’s a huge state and there are a lot of variables. I am in Southern California, and an RN with you education and level of experience...
  8. Moving California. Insight on pay scale etc?

    As a California native, I agree with the posts that say it’s terrible and you shouldn’t live here! ? But seriously,the cost of living is so high, I know that I could be living better anywhere...
  9. How do you get called in?

    We had this issue at one of the hospice agencies I work with, one of the triage nurses was only sending text messages into the On Call nurses who were supposed to do the visits, and not following up...
  10. Big med error and communication breakdown

    It had been beeping but the patient and wife ignored it and didn’t tell anyone or take a look at the pump, even when I called to give a new ETA.
  11. Difficulty with coworker

    I am less convinced that this is an overall problem with the work environment with the details given so far. The OP sounds somewhat unsure of herself even in her explanation of what happened, and this...
  12. Difficulty with coworker

    Whether or not she’s usually a good employee, that is completely out of line for her to refuse to do her job while she’s at work because she’s handling something personal. School is on her own...
  13. BON and alleged verbal abuse via pt

    This made me laugh out loud because I read it imagining donuts from the bakery. I was thinking to myself, I’m jealous too if a facility is using donuts for pressure relief! Thinking in terms of the...
  14. Yes you will use math. Many things are automated now, but you still have to double check dosages set by devices or prefilled by pharmacies. Also when setting CADD pumps, feeding pumps etc, or...
  15. Taking manual bp on forearm

    Taking a forearm BP on an obese patient is not at all uncommon. In fact, the patient is probably used to this, which is why they directed OP to do so. It also seems pretty clear that the OP...
  16. Need advice

    Is this a for-profit school? A public program? Do you know how they are doing financially? Maybe it was too late to bring in alternates but they also couldn’t run the program without the rest of the...
  17. BON and alleged verbal abuse via pt

    I could see how even asking for extra staff to reposition her when standing over her might have drawn the reaction that you got. Even if you had said “We need 5-6 people”, she might have heard...
  18. Don’t worry about what the MD thinks of you, you did your job. I once had a visit on a Saturday to a home health patient, I knew she was almost certainly healing normally but she had some concerns....
  19. Should I divorce my husband

    I see the humor in including a pack of cards in a gift for nurses this year, In fact I even see it as a way that the companies are acknowledging that they are aware of the issues facing nurses and...
  20. Big med error and communication breakdown

    So the patient was at home with his wife, but the wife did not call anyone or do anything about the machine beeping. Also, it would have been beeping at the times that I called her to give her my new...
  21. Nursing Assistants

    In my state in the US there are state guidelines that facilities have to follow. CNAs can only do non-invasive care, ADLs, range of motion, vitals. They can empty a catheter drainage bag but can’t...
  22. What is a bad day?

    7 years in hospice and I’ve definitely had bad days, but usually when I was with a bad agency. Hostile admin/management exist in hospice also, it really depends on the agency. In the field, if they...
  23. Does size matter (Gloves nurses, gloves!)

    If the gloves are too large, especially the vinyl ones that don’t conform at all, I have so much trouble manipulating anything small, so it makes wound care or injections really difficult. I might...
  24. Should I divorce my husband

    Keep him, he sounds like a real
  25. Reasons nurses get fired

    This sounds like one of my instructors from nursing school. He was funny and always telling stories of his hijinks as a floor