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Charting meds while pt is out on pass
We don't have a policy on it. I am going to approach the DON this week. To me, seeing the circling implies "withheld" and that it wasn't given -- which makes it confusing when trying to count up the dosages for charges when doing the pharmacy billing list (esp. when doing a pt's chart who was there for several months). Thanks for the above replies....and any more suggestions are appreciated!
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Charting meds while pt is out on pass
What is the proper way to chart meds on a medication sheet when a patient is on a pass/"Therapeutic assignment" (and the pt has been given the meds to take while they're out)? I've seen: 1) the space left completely blank (not good because later how would you know whether or not the pt was gone or someone didn't give/forgot to chart the med) 2) the letters "TA" & the time written with a circle around it -- with and without the nurses' initials (but then it kinda looks like it was withheld due to the circling of it) 3) the letters "TA" & the time written with NO circle around it -- with and without the nurses' initial 4) just the letters "TA" in the box -- no time or nurses' initials 5) "TA" written at the top of the column with a line drawn down through all the boxes for that shift Does anyone know the proper way to do it?
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degrees for psych nursing
I got a BS in psychology and couldn't find a job so I went to LPN school. Only once, did the degree help me in getting a job or negotiating pay. And get this: my current employer, a psych facility, phased out LPNs (now using "psych techs" that are not CNAs nor have any education beyond HS) so I transferred to another department where a 4 yr degree was required.....and they CUT my pay!! I'd say 99% of LPN positions pay more than position requiring a bachelor's degree in psych. So, I pretty much consider that degree worthless (unless I decide to get off my butt and go to graduate school). Focus on one or the other: Nursing (BSN) or getting an advance degree in psychology.
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Moving to Arkansas
Van Buren is considered in the Fort Smith area (not Fayetteville) In regards to real estate, the Fayetteville area is much more costly area to live than Van Buren or Fort Smith. There was even a news report of people buying homes in Fort Smith and commuting to Fayetteville (personally, I wouldn't care for that commute!). I would rather find a great paying job in Fayetteville and live there (even though it's more expensive--there's just more "fun stuff" to do in Fayetteville.) I'm currently living in OK and working in Fort Smith. I'm not impressed with nursing wages in Fort Smith. I love the natural beauty of Arkansas. My all time fave weekend get-away place is Eureka Springs AR.