Hannahbanana BSN, MSN

Physiology, CM, consulting, nsg edu, LNC, COB

Knows a thing or two because she’s seen a thing or two.

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All Content by Hannahbanana

  1. Hannahbanana

    How much do you owe in student loans?

    Hannahbanana replied to MJB2010's topic in General Nursing

    Consider getting gigs as an expert as a legal nurse consultant. Attorneys value our knowledge of health care and systems highly. There are many ways to use your nursing expertise in this work:...
  2. Hannahbanana

    Lost job over HIPAA violation

    Hannahbanana replied to MInurse19's topic in HIPAA Challenges

    I’d guess a lawsuit from a family member or regulatory body because something really bad happened, the colloquial definition of “sentinel
  3. Hannahbanana

    Lost job over HIPAA violation

    Hannahbanana replied to MInurse19's topic in HIPAA Challenges

    Because HIPAA violations are charged to a facility, not an individual, per the law. Facilities are responsible for seeing that their employees and business associates are compliant with policies...
  4. Hannahbanana

    Relatives/friends/whoever call the operator and get transferred to the unit...what do I say?

    Hannahbanana replied to bella14b's topic in HIPAA Challenges

    It has been considered that even confirming that the person is in the hospital at all is a violation of their privacy. Might want to have the Risk Manager review this c the switchboard staff and put...
  5. Hannahbanana

    Medical DPOA for my mother, constant refusal to give me information even with the official form

    Hannahbanana replied to InSchool4eva20's topic in HIPAA Challenges

    85% right- the physician may or may not be able to make that on-the-spot determination. The physician or others in the care situation may throw the “competence” word around but it has a specific...
  6. Hannahbanana

    More than I wanted to know

    Hannahbanana replied to FlorentineRN's topic in HIPAA Challenges

    When things have cooled down a bit a letter to the DoN ccd to the ER director might be appropriate. Emphasize that you were concerned about specific aspects of his assessment and care, especially...
  7. Hannahbanana

    Best practice for comforting embarassed patient?

    Hannahbanana replied to AdelaideSole's topic in General Nursing

    Matter of fact, professional, compassionate is perfect. You could add, “I know this is distressing and embarrassing. This is a common side effect of XYZ, we see it often. (If true, add that there is...
  8. Hannahbanana

    What Can We Do About a Negligent Doctor?

    Hannahbanana replied to Brenda F. Johnson's topic in General Nursing

    FWIW, there are hospitals where nursing has standing protocols for constipation, skin care, urinary management, and other routine measures. Perhaps that MD was in that mind
  9. Hannahbanana

    Being forced to give corporate access to my medical records?!

    Hannahbanana replied to IRN2011's topic in General Nursing

    I’m not an attorney and this is not legal advice, but your Atty will want this information more likely than not. 1) There is a particular legal definition of “disability” for purposes of...
  10. Hannahbanana

    Having A Nurse As A Patient

    Hannahbanana replied to SkyDancer77's topic in Patient, Colleague Relations

    Just had a second opinion for ?of some ortho work on an arthritic knee that abruptly deteriorated when its sister had to rehab, appt scheduled long ago but luckily (???) had an acute exacerbation and...
  11. Hannahbanana

    Mean and Nice Coworker

    Hannahbanana replied to NewNurse26's topic in General Nursing

    Others may also be experiencing this with her. It might -might- be worth it to go to a trusted charge nurse or nurse manager and say, “I’m new here and am having confusing interactions c SusieQ....
  12. Hannahbanana

    New Nurse, On Call, Called Off My Scheduled Shifts

    Hannahbanana replied to Owlseye's topic in General Nursing

    There should be a “call-out /OT book” where there’s a record of who got called out or mandated on what day and whose turn it is next (allowing for normal rotations). If you think you are getting...
  13. Hannahbanana

    Help with rhetoric

    Hannahbanana replied to Nunya Business's topic in General Nursing

    Rhetoric isn’t quite the word you mean, but I think you want words to use to get them to take delegation of actions that are legally yours to delegate. “Because I’m the nurse and I said so”...
  14. Hannahbanana

    LTC vs. Rehab Patients: Who Is Priority?

    Hannahbanana replied to SilverBells's topic in General Nursing

    If you really want an answer, recognizing that it might turn out to be one you don’t want to hear, ask for a sit-down with your manager(s) and ask them to help you understand their priorities for...
  15. Hannahbanana

    Patients Viewing Nursing Notes In Real Time

    Hannahbanana replied to Tnurse24's topic in General Nursing

    People often forget that, while HIPAA may prevent you from releasing PHI to people without legal access, it does NOT prevent you from listening to what a family member or other part has to say. If a...
  16. Hannahbanana

    What if I'm not meant to be a bedside nurse?

    Hannahbanana replied to jms01's topic in General Nursing

    Check the specific requirements for sitting the exam. Most certifications require more than one year of verified experience in a specialty area. Certifications are evidence of actual expertise, so...
  17. Hannahbanana

    PICO help

    Hannahbanana replied to Mattie Barone's topic in Nursing Student Assistance

    Also consider HIPAA problems, potential for miscommunication using a nonprofessional who isn’t trained in medical language for purposes of translation, pt reluctance to share personal info via a...
  18. Hannahbanana

    NANDA

    Hannahbanana replied to geverett's topic in Nursing Student Assistance

    To start, have the NANDA-I most current edition in your hand. Read the introductory section for students. Yes, you do need to do this. Think of it as the driver’s ED book you had to read before...
  19. Hannahbanana

    Is it a bad idea to enroll in program that only has STATE Accreditation?

    Hannahbanana replied to Moonkitten's topic in General Students

    Boards of Nursing can decline to offer you licensure by reciprocity if the program you take elsewhere doesn’t meet their standards. This is regardless of whether your state did license you before....
  20. Hannahbanana

    Looking for some ABSN advice!

    Hannahbanana replied to cclynn1's topic in General Students

    You will not have a lot of recreational time, and you will make friends in your program who will be in the same boat and understand why you can’t go out to play this weekend because you have a big...
  21. Hannahbanana

    Oxygen Therapy

    Hannahbanana replied to Deli's topic in General Students

    You have confused SpO2 and PaO2. An oxygen saturation (the “S” part) refers to the percentage of red blood cells that carry oxygen at the instant of measurement. Normal is 95-100%, meaning...
  22. Hannahbanana

    Order of Credentials

    Hannahbanana replied to Al Kalosis's topic in Nursing Professionalism

    * When we respond in this kind of forum we are often addressing more than just the OP. It’s not always all about you. * Not everyone feels that providing direct patient care is the only or...
  23. Hannahbanana

    Little Miss Know-it-all

    Hannahbanana replied to WisconsinCheddr's topic in General Students

    This isn’t an either-or proposition. As students, you are learning more about nursing than just lab check offs and normal findings. Your clinical time and classroom time are also giving you a taste...
  24. Hannahbanana

    Order of Credentials

    Hannahbanana replied to Al Kalosis's topic in Nursing Professionalism

    Your opinion is your own; that's not the same as a rationale. Susie Q, BSN, MA, PhD(hon) has a nursing degree but not a license for some reason. She may have failed NCLEX, but she may have...
  25. Hannahbanana

    Struggling On My New Job

    Hannahbanana replied to Lovethenurse2b25's topic in General Nursing

    Pretty much everybody needs staff now. You lose nothing by asking. And pretty much every HR department understands, "It just wasn't a good fit." That's all you have to say-- because it's the