deespoohbear

deespoohbear

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All Content by deespoohbear

  1. How do you convince administration and or doctors?

    deespoohbear replied to deespoohbear's topic in Rural

    Cactus wren- I really enjoy the way you think!! I will have to try your approach to getting certain patients on to bigger facilities.

  2. Should nursing charges be separate from the room charges?

    deespoohbear replied to deespoohbear's topic in General Nursing

    My point exactly

  3. Should nursing charges be separate from the room charges?

    deespoohbear replied to deespoohbear's topic in General Nursing

    I forgot about accu-checks...and lately I have been doing quite a lot of accu-checks....probably no less than 6 per 12 hour shift. Why shouldn't nursing be allowed to charge for individual procedures...

  4. How do you convince administration and or doctors?

    deespoohbear replied to deespoohbear's topic in Rural

    Hey, thanks. I will have to try a few of those lines someday. I think our family docs get a lot of static from our administrator about keeping patients at our facility. I have no problem with that...

  5. Should nursing charges be separate from the room charges?

    deespoohbear replied to deespoohbear's topic in General Nursing

    I tried to keep track in my head today everything I did that only a nurse could do and this is the list I came up with: 2 IV starts 1 d/c IV 1 IV to SL 1 foley cath d/c 2 admissions 3 prn's given 1...

  6. Should nursing charges be separate from the room charges?

    deespoohbear replied to deespoohbear's topic in General Nursing

    ]Some of that stuff you really couldn't put a charge on. I am talking about actual procedures such as foleys, NG's, IV starts, lab draws, dressing changes, etc. Doctors, therapy, resp, lab, and xray...

  7. Should nursing charges be separate from the room charges?

    deespoohbear replied to deespoohbear's topic in General Nursing

    Hey, I didn't even think about the respiratory department and their charges!! They do charge for all that stuff. Now I am feeling slighted. I believe that if nursing started to charge for nursing...

  8. er vs. ob the battle goes on sort of

    deespoohbear replied to imenid37's topic in Ob/Gyn

    Gee, our OB department wouldn't even consider taking a med-surg patient....unless it is one of their own who is having a hysterctomy or some other female surgery....once they took the son of one their...

  9. er vs. ob the battle goes on sort of

    deespoohbear replied to imenid37's topic in Ob/Gyn

    That's the problem though. The OB staff does NOT come and check them. The only time I did OB was during my clinical time during college which is close to 10 years ago. I agree that any woman who...

  10. How do you convince administration and or doctors?

    deespoohbear replied to deespoohbear's topic in Rural

    Me neither! I am probably administration's worst nightmare after an attorney!! I do not back down from an argument very easily....just ask my husband. He says I am without a doubt the most...

  11. er vs. ob the battle goes on sort of

    deespoohbear replied to imenid37's topic in Ob/Gyn

    I also work in a small hospital, except I work med/surg, not OB. Over the weekend we had a situation where a mother delivered a full term stillborn infant at home but the placenta never delivered....

  12. Telephone orders...read back and verified...

    deespoohbear replied to deespoohbear's topic in General Nursing

    I am not c/o about having to read them back because I do read back my orders....I am just c/o about the extra documentation. Yeah, I know it is a little bit of writing but we take lots of phone...

  13. Question about IV therapy....

    deespoohbear posted a topic in General Nursing

    We were having a discussion at work this evening about IV sites and infiltration. I seemed to be the only one of this opinion.... The patient had 2 IV sites. One was on the anterior forearm just...

  14. Question about IV therapy....

    deespoohbear replied to deespoohbear's topic in General Nursing

    Thanks. I will look that site up

  15. Question about IV therapy....

    deespoohbear replied to deespoohbear's topic in General Nursing

    The pt is a hard stick and the RN taking care of her didn't want to have to restick her if it really wasn't necessary. Eventually, one of the nurses was able to get an IV site in the opposite arm but...

  16. Telephone orders...read back and verified...

    deespoohbear replied to deespoohbear's topic in General Nursing

    Was the error the result of a telephone order? Transcription error? Nurse overworked? Nurse not familar with the medication and regular doses? We have had med errors made because we can't read the...

  17. Question about IV therapy....

    deespoohbear replied to deespoohbear's topic in General Nursing

    Anybody have any links that I can print stuff off so I can take it to work? Thanks. I knew I wasn't

  18. Telephone orders...read back and verified...

    deespoohbear replied to deespoohbear's topic in General Nursing

    Oh, if you do can I come work for your facility? Has the higher ups stated why they are contemplating not doing JCAHO survey this year? I bet it boils down to the money we pay JCAHO to come in...

  19. Telephone orders...read back and verified...

    deespoohbear replied to deespoohbear's topic in General Nursing

    Yeah, but it is just me talking to the doc and no one listening in on the orders, it basically would boil down to my word against his. You can write "read back and verified" till the cows come home...

  20. have you ever "written up" yourself in an incident report?

    deespoohbear replied to l.rae's topic in General Nursing

    Yes. Several times. Med errors. Once I gave a cardiac pt another patient's meds. My stomach dropped to my feet and I messed my pants. Made out the incident report and then had to call the...

  21. RN's Pronouncing Death

    deespoohbear replied to JennyHHRN's topic in Home Health

    I actually had a patient that had it TATTOOED across her chest!! Guess it got her point

  22. Faking It

    deespoohbear replied to l.rae's topic in General Nursing

    OMG!!! That is too funny!! :rotfl: :rotfl: :rotfl: What did the nurse say back to

  23. Patients who refuse to cooperate with medical/nursing treatment....

    deespoohbear posted a topic in General Nursing

    I have just about had it with patients who think the hospital is a joke. I took care of a patient recently who basically refused to cooperate with the medical/nursing treatment and plan....This...

  24. Nurses rat on nurses

    deespoohbear replied to rscarlatti's topic in General Nursing

    I try really hard not to "eat our young." I know they need encouragement and support to get them through that first year or so. I always encourage them to ask questions and if they are not sure of...

  25. Nurses rat on nurses

    deespoohbear replied to rscarlatti's topic in General Nursing

    It depends on what the situation is...if I know that a patient is in immediate danger from a nurse's actions I will do what it takes to protect that patient from harm. Of course, then there is the...