Lacie

Lacie BSN, RN

jack of all trades
Member Member Nurse
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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 we are down on staff. If FT then it is a salaried ...
  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 could be more rounded in regards to versitility in the...
  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 the home on the SOC with our form. Also ensuring ...
  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 copy of the IE from PT/OT. I keep my calenders well...
  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 were criminal charges either civilian or military ...
  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 consider an interview. Although I have almost 30 years ex...
  7. How much per mile??

    My agency pays .41 cents/mile so consider yourself fortunate:rolleyes:
  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 having time to do it as most chronic dialysis unit...
  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 area.
  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 caregiver. If I see teaching is needed then that's where I...
  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 and did the generic BSN so worked my tail off for i...
  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 frequently and it's medicare well it's out of pocket ...
  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 elderly mother with recent cervical surgery(last week...
  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 fortunate to have a great group for my team and love e...
  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 have to pay out of pocket for anything IV if given ...
  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 board would be great. Something quick and to the po...
  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 forgotten what "help" means withing the work plac...
  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 team to cover and IF they will accept it. If you are...
  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 ends most of the time. But we never put anyone on a ...
  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. They may make a little bit in the end but they stil...
  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 staying at that from now on. Fortunately my nurses commu...
  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 techs were loading up on the saline only to find ...
  23. starting IV's, pesky valves, just a rant

    Well said Deebles, I agree and this is after 30 years of it lol.
  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 son hadnt had his drivers license 2 months before ...
  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 called the charge and my immediate sup soon as I d...