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SKM-NURSIEPOOH is a BSN, RN and specializes in LTC/Peds/ICU/PACU/CDI.

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SKM-NURSIEPOOH's Latest Activity


    Telecommute Nursing

    My goodness, I can't believe that there isn't a response to your question as of yet. Well, 1.5 yrs later, here's my response (don't know if you're working from home or not but maybe someone else might be interested as well). I've worked remotely from home (telecommute) for UHG and did so exempt (salaried). They really are big in work/life balance and don't expect ppl to work beyond what is expected of them (40 hrs). This company employees ppl from around the globe so yes, you can live on the West Coast and work for an East Coast office...you would just have to adjust your start time to accommodate that office's hours (or they might allow you to start at 8am Pacific time which is 11am Eastern time). UHG offer competitive PTO bank from day one, have great health benefits to include vision/dental, and offer great 401K match and stock options. Hope this answer helps - good luck in obtaining a telecommute position! Cheers Moe
  2. Since you have UR and outpatient nursing experience, you might consider outpatient CDI which is hot right now. You are familiar with E/M process as a psych nurse, UR, and documentation. You can check-out the ACDIS website as they've just developed the CCDS-O certification for outpatient CDI. Some insurance companies utilize the UR nurses for both concurrent and retrospective audits and look to them to also do clinical validation reviews as well as CDI specialists (which is more needed in CDI as sometimes queries are asked inappropriately because conditions are uncovered incidentally but have no clinical significance or barring on the inpatient stay as there's no follow-up evaluation, monitoring, or treatment). I've seen CDI fall under the HIM and/or UR department umbrellas so it all depend on the hospital or consulting firm to determine the qualifications for inpatient and outpatient CDI. The insurance company and RAC auditor companies will train UR nurses for CDI or RAC audit reviews as these require clinical validation. Good luck in your quest in the CDI arena. Cheers! Moe

    Private Duty Workers In Hospital

    also, check with your facility's policies regarding private duty personnel & staff personnel's responsibilities. i would think that the facilities' staff are ultimately responsible for the overall care of patients. for example, what if the patient has a private duty rn, would they be responsible for doing meds/treatments? would they dispense medications to the patients that are non-formulary (or belonging to the patient)? or would that responsibility belong to the onsite/facility nursing & pharmacy personnel? it would seem to me that any and all care is ultimately under the responsibility of the facility's nursing personnel. remember...whatever is not documented is not done. if you, in fact, either supervise or perform adls & pass medications, then you will document it & it will stand-up in court. if you haven't observed or perform said tasks, then legally...it wasn't done. hope this help ~ cheers, moe

    Difference between LPN and RN knowledge?

    hiya totoro! the problem oftem steams from rn instructors telling rn students the on going *myth* that lpns just act/react without thinking critically. they often will interchange lpns with uaps & not even refer lpns *as* nurses! while i was in my bsn program, one of the ob instructors had the gull to state that any monkey could be trained to do what lpns do! needless to say, i told her that she wouldn't appreciate it if doctors state the same thing of rns...why the disrespect? it turns out that many of the rn instructors themselves where taught this so-called *myth* while they were in school. many have no clue/idea what the lpn curriculum even consist of. sadly, they just here this *myth* & run with it. that being said, their rn students go away with this superior attitude because it's being taught to them in their respective rn programs without just cause. of course lpns are taught the critical thinking, delegating, care plans, patho, etc. the biggest difference is that each area of instruction isn't as long or in as much in-depth. the same subject matter (with the exception of bsn courses like community nursing, leadership courses, nursing informatics, nursing research writing, nursing stats, & critical care) are taught to both lpns & adn/diploma nurses...just that adn/diploma courses are spread-out much more over time. yet adn/diploma nurses sit for the same entry level nclex-rn that the bsn students sit for...even with six to nine months of the "other above mentioned courses" not taught to adn/diploma students. that doesn't mean they aren't able to think, function, & react in the same manner that rn-bsns...right. so again, why the quickness to discredit the educational levels of lpns? cheers :cheers:, moe

    Difference between LPN and RN knowledge?

    i have a question for ya gauge...how is it fair or even possible to allow students with prior bachelors degrees in other fields to be allow to go through an advance program & obtain a bsn degree in one years time without having any prior nursing knowledge/experience of at least a lpn? and in some cases, these same students go through an advance bsn and direct msn entry program without again having any *prior* nursing knowledge/experience. if such students are "allowed" to enter said advanced degree programs, are expected & can complete their bsn programs within one calendar year & their msn within two...why then is it so hard to accept that some lpn programs are more advanced than others? why is it so hard to believe that lpns can learn and understand the nursing process within that said year of education/training? cheers :cheers:, moe

    LPN Petition to Take RN Boards

    hiya sandwitch883, just wanted to add that generic bsn graduates are also considered entry level for nursing & take the same nclex-rn as do aas/asn/diploma graduates. in fact, there are some advance placement bsn/msn for second degree graduates with no nursing experience considered entry level once they've passed the nclex exam & begin to work in their respective specialties. they just get to go through their respective nursing programs at an advance pace due to the previous non-nursing bachelor's degree. that's the confusion & debate that continues within the topic...what really *is* entry level nursing? some say that entry level is at the "practical/vocational" level such as lpn/lvns are; then there's the "technical" or associate/diploma level rns; while others (ana) suggest it start at the "professional" level, bachelor's & direct entry msn degree level for those with no prior nursing experience. cheers :cheers:, moe

    "Some Dude" sure gets around!

    once in every blue moon, there really *is* some dude that just up & strike! just check this out! the victim was sitting there, minding his own business...dozing on & off during the train ride when ~ cheers :cheers:, moe

    NJ: Nurse Indicted In Patient's Death

    i thought the same thing...why an autopsy? but once an accusation have been made, the attending md & family would demand one be preformed...if nothing else...to rule-out foul play. cheers :cheers:, moe

    NJ: Nurse Indicted In Patient's Death

    i was thinking the same thing. who's to say that the treating or primary nurse didn't put any paralytic medication in the iv tube...you know...higher up where it would take apprx 10 to 15 minutes to run through the line. the primary nurse could have done this to "set-up' the covering nurse for whatever reason or to euthanize the patient without being directly blamed. also, who's to say that the primary nurse didn't slip the drug in when they returned from their respective break, specially being that the patient went down shortly after they returned from said break? lastly, who's to say that a resident (or someone else) didn't go into the room unseen & added the drug to euthanize the patient. after all, there are all sorts of medical personnel that have access in the units. i read way too many medical fictional who done it written by robin cook/michael palmer, et. al...lol. but these type of people (that the fictional characters are based on) do exist & they hold all sorts of positions throughout the hospital (housekeeping, supply, food service, maintenance, ot/rt, msw, etc). how many times have we hard doctor/nurse trained individuals not currently working in their respective position for one reason or another (license suspension, not being granted a license cause they need to meet criteria in their respective states, especially if said professional is from another country). it is possible...unlikely...but possible. that being said, until more information is released, my position is the same as most here...i feel that something is fishy here! cheers :cheers:, moe

    LPN to BSN?

    try checking out the links here on allnurses.com. good luck - cheers :cheers:, moe

    Nurse fired for calling police

    woody, your logic makes my head hurt ! i mean...you keep saying: "....unless someone is being physically attacked..." ; yet *you* yourself *was* physically attacked (even thrown through a plate glass window/door) & you just left it up to your supervisor &/or security to make that 911 call? that makes *no* logical sense what so ever...sorry :zzzzz! the police need & should be called *before* any physical attacks occurs. one strike/blow could be just the thing which actually *ends* somebody's life! next you'll blame :argue: the victim for not getting out of the way fast enough ! just think about what you're trying to say woody - *please*!!! cheers :cheers:, moe

    LPN Petition to Take RN Boards

    oh my stars! i *am* truly sorry to read this story of yours bestsweetgal!!! this just makes my blood boil :angryfire!!! this university knows all too well that you'd had to start all over again at another university cause *none* of your previous nursing courses will transfer - none!!! :argue: jez...even those who failed a course (or two) are given a chance to set-out a year & return to retake that failed course over (most universities allow x2 failures before throwing the students out for good ). this school should make provisions for such occasions...may be a refresher course or a course on taking the hesi/nclex - *something* ! my god...all that time & money down the drain to protect their accreditation status...that just bs!!! i do hope things go well for ya - keep-up the positive attitude - you'll prevail in the end :kiss: cheers :cheers:, moe


    well, this *is* a first...lol!!! thought i'd never see the day ... cheers :cheers: , moe

    Would You Prefer a Male Nurse?

    interesting thread! that being said, i don't really care one way or the other (unless i personally know &/or work with a male nurse & they're privy to my medical record/personal body parts). but if my life depended on it...i really couldn't care less! cheers :cheers:, moe

    Is Kaplan overrated?

    and *confidence*!!! cheers :cheers:, moe

    I yelled at another nurse.

    *good*! and i hope that don was reported to the sbon too :angryfire! cheers :cheers:, moe

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