Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. I currently work FT for Senior Bridge (not under other agency contracts as some others have mentioned) and have for 2 years now. Senior Bridge occasionally contracts with an agency if for some reason...
  2. Nova's Masters in Health Law Degree

    I'm in process of applying for consideration for Nova's Masters in Health Law Degree. I had seriously considered the LNC courses but cost wise is comparable. I also see where I could utilize this...
  3. Face-to-Face Rule

    We've already implemented it and so far seems to be doing ok. Some tweaks needed of course. Marketer has one form they must get and if they individual hasnt been seen then we make the appt for them in...
  4. staying organized with hh

    My office is all paper also. I place on the facesheet who I am assigning for PT/OT, the CM RN name, along with any other ancillary services they may be getting. I either fax or put in the nurses box...
  5. Recent Federal Background check for your job maybe? I know mine is coming up 2011. I have never been asked about my military service with exception on a job application if I ever served. Unless there...
  6. I left dialysis to return to clinical areas and found it was very difficult (at least in my area). Most of the hospitals didnt consider dialysis as "bed-side" experience therefore wouldnt even...
  7. How much per mile??

    My agency pays .41 cents/mile so consider yourself
  8. Handovers - Dialysis

    We had a Ledger as you suggested and wrote out daily any abnormalities, changes or specifics related to any pt that was out of just the routine daily "conveyor belt" tradition lol. Problem usually is...
  9. RN jobs outside of bedside nursing

    Workers comp case management companies; home health case management, check also as previously mentioned research nursing such as Covance and others in your
  10. If it's the first time I have seen a pt I usually inquire who and how they have been doing a particular procedure - first to determine what they already know and if being done properly by the...
  11. How do you sign?

    Just for the every day stuff I sign my name and RN but with official reports or 485's (medicare stuff lol) I sign with my BSN. I also sign my BSN with any chart or legal reviews I do. I'm old school...
  12. Would you do this???

    Wow, we have a 9-10pm cut off for all visits.......if later than that they go to ER if needed. We dont allow our nurses out after 10pm at latest, even the on-call. If we get a pt who needs it that...
  13. HELP!! Like decorating a board for an upcoming skills fair for our field staff is on the very top of my priority list at the moment particularly since I'm behind in everything else dealing with an...
  14. IV/Venipunture "Decorative Board"?

    And your right. The whole thing is childish and just trivial to me. I got better things to do that repeat kindergarten activities. Actually getting out into the field lowers my stress level. I am...
  15. IV/Venipunture "Decorative Board"?

    I'm limited on supplies as they dont keep IV tubing or fluids in our supply. I have butterflys with some short tubing and venipuncture supplies such as vacutainers. That's about it. Most my patients...
  16. IV/Venipunture "Decorative Board"?

    Thank you so much!! Ideas for the board is the thing they are pushing on for the moment but I'm just overwhelmed with the "mom" issue at the moment that I cant even think straight .Any ideas for the...
  17. IV/Venipunture "Decorative Board"?

    Already did that course. Didnt get me too far (reason for this post). Yep definitely have the grey hairs and ulcers on the way lol. After 30 years of being an RN think sometimes people have completely...
  18. RUNNNNN!!

    Fulltimes can say no with my office if they hit thier units for the week. They are not required to take on the extra unless they agree to do so. Then I have to find who is short on units on another...
  19. Supervisory visits

    If pt out of town we DC. What if he needs care while out of town? Then what. We D/C then readmit on return. Yes sometimes homebound patients will go to family homes for a week or so to tie up loose...
  20. LUPAs and reimbursement

    Consider with lupas there are times it cost more in the long run for the company as by the time they pay the disciplines that did manage to get in the door and the processing, etc that goes with it....
  21. How often do you go to the office?

    Ours are required if any paperwork it must be turned in on a daily basis. Case Conference meetings are done with everyone weekly up until this summer then we moved to every 2 weeks and probably...
  22. Question about leg cramps

    Initially we tend to go on auto that the cramps are related to fluid removal which in most cases it is. Also to consider is other issues such as CA+ levels, etc. I'll never forget a pt that one of the...
  23. starting IV's, pesky valves, just a rant

    Well said Deebles, I agree and this is after 30 years of it
  24. Would you ever own a motorcycle? YES or NO?

    earlier I mentioned my oldest son loosing 2 of his dearest friends and he still rides. Like others have mentioned you have just as much chance of losing your life other than a motorcycle. My youngest...
  25. Accidental Diversion - Need help!

    As others have said a hard lesson learned. But in the future if anything like it should happen again. Believe me it will, it may not be the same exact situation but crap happens. I always immediately...