betts

While a nurse in Indiana, was caring for an elderly married couple w/o any children or immediate relations whom owned a very large farm which they offered me if I'd take care of them at home till they passed on.

If only we could w/o feeling ashamed! I cared for an elderly resident that was also a retired professor and extremely wealthy. She had decided upon her release to go on a cruise to the Greek Isles and asked if I would go as her private nurse with all expenses paid,$5000.00 spending money, clothing allowance,etc... My husband said DO IT! GO! Have Fun! At which point I thought him trying to be rid of me(not the case)but alas.....Integrity prevailed.

Q. What does HMO stand for? A. This is actually a variation of the phrase, "Hey, Moe!" Its roots go back to a concept pioneered by Doctor Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked hard enough in the eyes. Modern practice replaces the physical finger poke with hi-tech equivalents such as voice mail and referral slips, but the result remains the same. -------------------------------------------------------------------------------- Q. Do all diagnostic procedures require pre-certification? A. No. Only those you need. -------------------------------------------------------------------------------- Q. I just joined a new HMO. How difficult will it be to choose the doctor I want? A. Just slightly more difficult than choosing your parents. Your insurer will provide you with a book listing all the doctors who were participating in the plan at the time the information was gathered. These doctors basically fall into two categories -- those who are no longer accepting new patients, and those who will see you but are no longer part of the plan. But don't worry -- the remaining doctor who is still in the plan and accepting new patients has an office just a half day's drive away! -------------------------------------------------------------------------------- Q. What are pre-existing conditions? A. This is a phrase used by the grammatically challenged when they want to talk about existing conditions. Unfortunately, we appear to be pre-stuck with it. -------------------------------------------------------------------------------- Q. Well, can I get coverage for my pre-existing conditions? A. Certainly, as long as they don't require any treatment. -------------------------------------------------------------------------------- Q. What happens if I want to try alternative forms of medicine? A. You'll need to find alternative forms of payment. -------------------------------------------------------------------------------- Q. My pharmacy plan only covers generic drugs, but I need the name brand. I tried the generic medication, but it gave me a stomach ache. What should I do? A. Poke yourself in the eye. -------------------------------------------------------------------------------- Q. I have an 80/20 plan with a $200 deductible and a $2,000 yearly cap. My insurer reimbursed the doctor for my out-patient surgery, but I'd already paid my bill. What should I do? A. You have two choices. Your doctor can sign the reimbursement check over to you, or you can ask him to invest the money for you in one of those great offers that only doctors and dentists hear about, like windmill farms or frog hatcheries. -------------------------------------------------------------------------------- Q. What should I do if I get sick while traveling? A. Try sitting in a different part of the bus. -------------------------------------------------------------------------------- Q. No, I mean what if I'm away from home and I get sick? A. You really shouldn't do that. You'll have a hard time seeing your primary care physician. It's best to wait until you return, and then get sick. -------------------------------------------------------------------------------- Q. I think I need to see a specialist, but my doctor insists he can handle my problem. Can a general practitioner really perform a heart transplant right in his office? A. Hard to say, but considering that all you're risking is the $10 co-payment, there's no harm giving him a shot at it. -------------------------------------------------------------------------------- Q. What accounts for the largest portion of health care costs? A. Doctors trying to recoup their investment losses. -------------------------------------------------------------------------------- Q. Will health care be any different in the next century? A. No, but if you call right now, you might get an appointment by then.

Q. What does HMO stand for? A. This is actually a variation of the phrase, "Hey, Moe!" Its roots go back to a concept pioneered by Doctor Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked hard enough in the eyes. Modern practice replaces the physical finger poke with hi-tech equivalents such as voice mail and referral slips, but the result remains the same. -------------------------------------------------------------------------------- Q. Do all diagnostic procedures require pre-certification? A. No. Only those you need. -------------------------------------------------------------------------------- Q. I just joined a new HMO. How difficult will it be to choose the doctor I want? A. Just slightly more difficult than choosing your parents. Your insurer will provide you with a book listing all the doctors who were participating in the plan at the time the information was gathered. These doctors basically fall into two categories -- those who are no longer accepting new patients, and those who will see you but are no longer part of the plan. But don't worry -- the remaining doctor who is still in the plan and accepting new patients has an office just a half day's drive away! -------------------------------------------------------------------------------- Q. What are pre-existing conditions? A. This is a phrase used by the grammatically challenged when they want to talk about existing conditions. Unfortunately, we appear to be pre-stuck with it. -------------------------------------------------------------------------------- Q. Well, can I get coverage for my pre-existing conditions? A. Certainly, as long as they don't require any treatment. -------------------------------------------------------------------------------- Q. What happens if I want to try alternative forms of medicine? A. You'll need to find alternative forms of payment. -------------------------------------------------------------------------------- Q. My pharmacy plan only covers generic drugs, but I need the name brand. I tried the generic medication, but it gave me a stomach ache. What should I do? A. Poke yourself in the eye. -------------------------------------------------------------------------------- Q. I have an 80/20 plan with a $200 deductible and a $2,000 yearly cap. My insurer reimbursed the doctor for my out-patient surgery, but I'd already paid my bill. What should I do? A. You have two choices. Your doctor can sign the reimbursement check over to you, or you can ask him to invest the money for you in one of those great offers that only doctors and dentists hear about, like windmill farms or frog hatcheries. -------------------------------------------------------------------------------- Q. What should I do if I get sick while traveling? A. Try sitting in a different part of the bus. -------------------------------------------------------------------------------- Q. No, I mean what if I'm away from home and I get sick? A. You really shouldn't do that. You'll have a hard time seeing your primary care physician. It's best to wait until you return, and then get sick. -------------------------------------------------------------------------------- Q. I think I need to see a specialist, but my doctor insists he can handle my problem. Can a general practitioner really perform a heart transplant right in his office? A. Hard to say, but considering that all you're risking is the $10 co-payment, there's no harm giving him a shot at it. -------------------------------------------------------------------------------- Q. What accounts for the largest portion of health care costs? A. Doctors trying to recoup their investment losses. -------------------------------------------------------------------------------- Q. Will health care be any different in the next century? A. No, but if you call right now, you might get an appointment by then.

Mood and Emotional Behavior. Alzheimer's patients display abrupt mood swings and many become aggressive and angry. Some of this erratic behavior is caused by chemical changes in the brain. But certainly, it can also be attributed to the terrible and real experience of losing the knowledge and understanding of one's surroundings, causing fear and frustration that they can no longer express verbally. The following recommendations for caregivers may help reduce agitation: Keep environmental distractions and noise at a minimum if possible. (Even normal noises, such as people talking outside a room, may seem threatening and trigger agitation or aggression.) Speak clearly. Most experts recommend speaking slowly to an Alzheimer's patient, but some caregivers report that Alzheimer's patients respond better to clear, quickly spoken, short sentences that they can more easily remember. Limit choices (such as clothing selection). Offer a diversion, such as a snack or car ride, if the patient starts shouting or exhibiting other disruptive behavior. Simply touching and talking may also help. Maintain as natural an attitude as possible. Alzheimer's patients can be highly sensitive to the caregiver's underlying emotions and react negatively to patronization or signals of anger and frustration. Showing movies or videos of family members and events from the patient's past may be comforting. Although much attention is given to the negative emotions of Alzheimer's patients, some become extremely gentle, retaining an ability to laugh at themselves or appreciate simple visual jokes even after their verbal abilities have disappeared. Some appear not unhappy, but to be in a drug-like or "mystical" state focusing on the present experience as their past and future slip away. Encouraging and even enjoying such states may bring some comfort to a caregiver. There is no single Alzheimer's personality, just as there is no single human personality. All patients must be treated as the individuals they continue to be, even after the social selves have vanished. Appearance and Cleanliness. For the caregiver, grooming the Alzheimer's patient may be an alienating experience. For one thing, many patients resist bathing or taking a shower. Some spouses find that showering with their afflicted mate can solve the problem for a while. Often the Alzheimer's patient loses the sense of color and design and will put on odd or mismatched clothing. This may be very frustrating to a loved one, particularly since (certainly in the beginning) embarrassment is a common and painful emotion experienced by the caregiver. It is important to maintain a sense of humor and perspective and to learn which battles are worth fighting and which ones are best abandoned.

Mood and Emotional Behavior. Alzheimer's patients display abrupt mood swings and many become aggressive and angry. Some of this erratic behavior is caused by chemical changes in the brain. But certainly, it can also be attributed to the terrible and real experience of losing the knowledge and understanding of one's surroundings, causing fear and frustration that they can no longer express verbally. The following recommendations for caregivers may help reduce agitation: Keep environmental distractions and noise at a minimum if possible. (Even normal noises, such as people talking outside a room, may seem threatening and trigger agitation or aggression.) Speak clearly. Most experts recommend speaking slowly to an Alzheimer's patient, but some caregivers report that Alzheimer's patients respond better to clear, quickly spoken, short sentences that they can more easily remember. Limit choices (such as clothing selection). Offer a diversion, such as a snack or car ride, if the patient starts shouting or exhibiting other disruptive behavior. Simply touching and talking may also help. Maintain as natural an attitude as possible. Alzheimer's patients can be highly sensitive to the caregiver's underlying emotions and react negatively to patronization or signals of anger and frustration. Showing movies or videos of family members and events from the patient's past may be comforting. Although much attention is given to the negative emotions of Alzheimer's patients, some become extremely gentle, retaining an ability to laugh at themselves or appreciate simple visual jokes even after their verbal abilities have disappeared. Some appear not unhappy, but to be in a drug-like or "mystical" state focusing on the present experience as their past and future slip away. Encouraging and even enjoying such states may bring some comfort to a caregiver. There is no single Alzheimer's personality, just as there is no single human personality. All patients must be treated as the individuals they continue to be, even after the social selves have vanished. Appearance and Cleanliness. For the caregiver, grooming the Alzheimer's patient may be an alienating experience. For one thing, many patients resist bathing or taking a shower. Some spouses find that showering with their afflicted mate can solve the problem for a while. Often the Alzheimer's patient loses the sense of color and design and will put on odd or mismatched clothing. This may be very frustrating to a loved one, particularly since (certainly in the beginning) embarrassment is a common and painful emotion experienced by the caregiver. It is important to maintain a sense of humor and perspective and to learn which battles are worth fighting and which ones are best abandoned.

passing thru, What I've got posted at the nurses station: This is the story about four people named Everybody, Somebody, Anybody, and Nobody: There was an important job to be done and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry with that, because it was Everybody's job. Everybody thought that Anybody could do it, but Nobody realized that Everybody wouldn't do it. It ended up that Everybody blamed Somebody, when Nobody did what Anybody could of done.

passing thru, What I've got posted at the nurses station: This is the story about four people named Everybody, Somebody, Anybody, and Nobody: There was an important job to be done and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry with that, because it was Everybody's job. Everybody thought that Anybody could do it, but Nobody realized that Everybody wouldn't do it. It ended up that Everybody blamed Somebody, when Nobody did what Anybody could of done.

FAQ's Q. What is Nursing? A. Nursing is the fine art of caring for patients who know everything. Nurses spend years of their life honing their clinical skills and expanding their knowledge base so that when presented with a clinical problem, the patient can tell them not to worry, they have something in the medicine cabinet at home to take care of that.... Nursing also requires tremendous skill in filling water pitchers and adjusting bedside televisions. Q. Do nurses always respect the Doctor? A. Absolutely (Tee-hee) Q. Nursing School is all about making beds and emptying bedpans, right? A. Yes. The primary function of nursing school is to instill a sense of pride in forming *perfect* corners at the bottom of the bed. In my years of nursing practice I've also taken pride in my bedpan emptying skills. All those lectures on physiology, biochemistry, anatomy, pharmacology, psychology and etc. were primarily to kill time between bed bath classes. Q. How do nurses keep their uniforms so white? A. I'd tell you but I'd have to kill you. Q. Are women in hospitals all nurses? Are all men Doctors? A. Yes. We do that so you'll know the difference. Q. Will the nurse fluff my pillow? A. Yes, he will. Q. Why do I always have to wait for the nurse to come into my room? A. There are two possible causes for the nurse not coming to the room immediately. First, you may not be using the call bell enough. Try hitting the call bell as soon as the nurse leaves the room. Nurses love the feeling of being needed that this evokes. Second, the nurse may not have enough patients to keep his/her attention focused solely on you. Please let the nurse know that you'd like his/her undivided attention for the entire shift. Q. How do nurses read Doctor's handwriting? A. Years of meditation and incantations. Experience in reading sheep entrails is helpful before trying our skills on Doctors' handwriting. Q. Nurse...what should I do? It hurts when I do this. A. Don't do that. Q. Why are Nurses frequently seen with pizza boxes at the Nurses Station? A. A Pepperoni Pizza supplies all of the four basic food groups, the dairy group, the bread group, vegetable group and the meat group. Q. Why are Nurses never actually seen eating the pizza? A. Nurses don't actually have time to eat; they just wish to be good role models for Healthy Nutrition. This FAQ is based on years of unscientific research and in no way should be taken seriously.

http://cctc.commnet.edu/grammar/spelling.htm

1. Has to work hard. 2. Has to work at great depths. 3. Has to work upside down. 4. Has no ventilation or air conditioned work environment. 5. Has to work in a high humidity environment. 6. Has to work at high temperatures. 7. Does not get weekends and holidays off. 8. Does not get time off after extra hours of work. 9. Has a hazardous work environment that often causes illness. Management Reply. Request denied for the following reasons. 1. Does not work 8 hours straight during any work period. 2. Does not answer immediately to all requests. 3. Co-workers often unsatisfied by job performance. 4. After a short activity period, falls asleep. 5. Shows no evidence of fidelity at the workplace. 6. Works better alone than with others. 7. Does not work at all unless pushed from behind. 8. Does not leave the workplace clean after finishing work. 9. Sometimes leaves work too early.

Removal of Arterial/Venous Catheter Sheaths by Registered Nurses This statement was adopted by the Board Of Nursing: A registered nurse may perform functions beyond the basic educational preparation, provided the functions are recognized by the Board as being within the legal scope of nursing practice and the nurse has successfully completed an organized program of study, including clinical practice. It is the position of the Board of Nursing that it is within the scope of practice of qualified registered nurses to remove arterial/venous catheter sheaths as directed by the physician in accordance with the following guidelines: 1. Authorization to perform the procedure limited to RNs certifed in ACLS (Advanced Cardiac Life Support) or comparable course, and with experience and documented competency in critical care nursing. 2. Successful completion of an organized program of study which includes didactic classroom instruction followed by supervised clinical practice. 3. Continuous electrocardiographic monitoring of the patient. 4. Physician physically present in the agency to respond to emergency codes.

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Reforms in Place? Remember, this has been several years in coming to the attention of the public and courts,what if anything did they do to assure "Quality of Care"? One thing is fire nurses that weren't "Game Players" or any caregiver that reported problems with their policies and procedures. https://allnurses.com/forums/showthread.php?s=&threadid=16925&perpage=20&display=&pagenumber=1

Read my post; https://allnurses.com/forums/showthread.php?s=&threadid=16925