RobCPhT

RobCPhT

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All Content by RobCPhT

  1. Throwing out Med Bottles, What else can I do?

    RobCPhT replied to WVStarFish's topic in General Nursing

    You can slap a colored sticker over it. Such as common ones found at

  2. UM/CM Interqual Fraud

    RobCPhT posted a topic in General Nursing

    Can someone help me with a "Scenario"? Let's say that a Utilization Management department of a health plan decides to not run Interqual on a breast reduction request and they deny the service, but in...

  3. UM/CM Interqual Fraud

    RobCPhT replied to RobCPhT's topic in General Nursing

    I apologize for not being more informative. I work for an insurance company that has way too many cases. Here is what is happening: To save time the director over the UM department is advising staff...

  4. Is it just me or is this offensive?

    RobCPhT replied to momdebo's topic in General Nursing

    The public doesn't know how much nurses do. They have no idea how clinical and practical nurses are and just how important their job is. From what I have seen CRNA, NP, PA etc. most of these are very...

  5. Any nurses out there work for insurance companies?

    RobCPhT replied to Purdue_Nurse's topic in General Nursing

    Don't badmouth your previous employer; it looks bad. Something to the effect of "I wanted a change in career direction" would be fine. Be honest, but emphasize the

  6. Guess what RN's, you didn't need that college degree!!

    RobCPhT replied to welnet66's topic in Diploma, ADN, BSN

    In Ohio there are a few hospitals that will give you an RN certificate and let you take the state boards. It's kind of like an

  7. TPN with insulin

    RobCPhT replied to gtmoore's topic in General Nursing

    You really need to double check those. There are so many ingredients and dynamics

  8. Gossip at work

    RobCPhT replied to TGIMN's topic in General Nursing

    Hah 10mg valium!

  9. Removing needle from syringe

    RobCPhT replied to GM1987's topic in General Nursing

    It's an OSHA reg and often state board reg that health care providers use safety products. Sooooooooo DO NOT USE NON SAFETY

  10. Med error could cost my job? Need help!

    RobCPhT replied to dmwRNpa's topic in General Nursing

    Honey when you said error I thought maybe you gave the wrong blood pressure pill to someone or something. 1 vicodin tablet is silly! It would be different if a whole box of oxycontin went missing....

  11. Generic Zoloft Anyone?

    RobCPhT replied to DutchgirlRN's topic in General Nursing

    You can check pharmacy regs but for something to be generic is has to have the same active ingredients. In LTC we switched all patients to it last

  12. How much notice to give?

    RobCPhT replied to Nursing On The Run's topic in General Nursing

    I always say make sure you have another lined up if you need the money. If not give a two week notice of resignation and search for

  13. canker sores

    RobCPhT replied to sister--*'s topic in General Nursing

    Are any of the patients on proton pump inhibitors? If not lying down and acid reflux will cause this. Especially with meds that affect stomach acid. Something like prilosec or prevacaid would help...

  14. Two year RN degree online?

    RobCPhT replied to bacardi 151's topic in General Nursing

    Chamberlain is all online, you do have to travel to St. Lois once a quarter for practical validations, but I think that is as close as it will get.

  15. Needle sticks

    RobCPhT replied to SJW's topic in General Nursing

    Try to use passive safety devices. I order BBraun Angiocaths and as soon as you pull them out of the vein it's shielded and can't stick you. At least if you get stuck it will be pre exposure with...

  16. Out of nursing program cause i am smoker!!!

    RobCPhT replied to misstaz25's topic in General Nursing

    Here's the thing... since the instructor is employed by the school she has to follow the rules of the school. This really isn't a matter of opinion, its a matter of policy and fact. If the teacher...

  17. Understanding the Role of the Pharmacy

    RobCPhT replied to drmorton2b's topic in General Nursing

    WOW it sounds like you guys are having a lot of pharmacy problems. I am a pharmacy coordinator for LTC and a nursing student so I see things from both sides. Do you have any type of issue...

  18. Who Must "Take the Fall?"

    RobCPhT replied to Simplepleasures's topic in Geriatric, LTC

    I once read that the nursing home industry is regulated second only to nuclear energy. The common issue is that nurses can't possibly do their job by the books when they are understaffed. I also read...

  19. Good Bye to Nursing for me...

    RobCPhT replied to healer27's topic in General Nursing

    Nurses do eat their young. I don't know why anyone thinks it's acceptable. If you don't like bedside nursing have you thought about other positions? You can work for insurance companies, you could...

  20. OUCH!!!! Ampule issues. Anyone else have problems?

    RobCPhT replied to notyourordinarymom's topic in General Nursing

    Call the pharmacy or suppy department and request that they order disposable ampule breakers. They cover the ampule and shield your hand from nasty cuts. I order mine from healthcare logistics but you...

  21. What kind of pill crushers are you using?

    RobCPhT replied to GLORIAmunchkin72's topic in General Nursing

    Silent Night is what all of my facilities use. It really gets the job done without the

  22. How do you stop bad habits?

    RobCPhT replied to loriannlpn's topic in General Nursing

    Chantix is the new med that is growing in popularity. We have had great results in LTC. If you have medical insurance with your employer they usually have cessation programs for

  23. Ever Been Fired?

    RobCPhT replied to lpnurse2004's topic in Geriatric, LTC

    Personally I would fill out applications say it wasn't a good fit. In many states the only thing they can tell prospective employers is your employment dates and what your pay was. Even though it's...

  24. Is this a HIPAA violation

    RobCPhT replied to avalynn's topic in General Nursing

    Let's just talk about some scenarios: Victim reports HIPPA violation. Authorities can fine up to $50,000 (stated before) give violator prison time. Victim can sue for damages, both hospital and...

  25. Ampules still being used, Ouch!

    RobCPhT replied to NurseyPoo's topic in General Nursing

    Some meds still require storage in ampules. You can get disposable ampule breakers from the pharmacy. They cover the top completly and catch the glass. Inexpensive