Kyrshamarks BSN, RN

Member

All Content by Kyrshamarks

  1. Kyrshamarks

    The Health Insurance Marketplace: What We Learned and How We Can Educate Our Patients

    Kyrshamarks replied to Michael M. Heuninckx's topic in General Nursing

    AGAIN I WILL SAY AS NURSES WE HAVE NO PLACE NOR DUTY to educate people on their health plan choices. It is not in our job description or expected duties. Furthermore on this litigious society, you...
  2. Kyrshamarks

    Patient's rights dilemma

    Kyrshamarks replied to newgraduategal's topic in Patient, Colleague Relations

    The PICC is a billable item. It transfers ownership upon placement in the body. If you can bill for a product, it is the patients upon placement or when added to the
  3. Kyrshamarks

    Patient's rights dilemma

    Kyrshamarks replied to newgraduategal's topic in Patient, Colleague Relations

    Smoke free places can enforce for their employees, but not for patients. The hospital cannot threaten to discharge them AMA. That would be a MAJOR EMTALA violation if they did discharge a pt for...
  4. Kyrshamarks

    Patient's rights dilemma

    Kyrshamarks replied to newgraduategal's topic in Patient, Colleague Relations

    Actually he can be allowed to leave AMA without PICC removal. If you held someone against his will to do a procedure it is battery and kidnapping under the
  5. Kyrshamarks

    Patient's rights dilemma

    Kyrshamarks replied to newgraduategal's topic in Patient, Colleague Relations

    If there is an area designated for smokers...whether on camous or right off, pt's do have the right to smoke. It is not illegal to smoke and he is within his rights under the law to say I am going to...
  6. Kyrshamarks

    white boards in patients room

    Kyrshamarks replied to Shoiness's topic in General Nursing

    I hate the darn things. Even when I have been a pt I did not like
  7. Kyrshamarks

    Miserable RN

    Kyrshamarks replied to berhaelee's topic in Patient, Colleague Relations

    Is there a Kindred facility in your area? try them if there
  8. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    darn
  9. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    the gloves are going to be contaminated period. take off gown and glove same time. I have used the bio hazard tyvec suits many many times. you can also in zip them and remove with the gloves at the...
  10. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    that theory goes right out he window in real life with a pathogen like ebola. you do not want to expose any uncovered skin and risk catching it. touch your ppe after exposure without gloves is pure...
  11. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    dreaded double post. ..continue on nothing to see here
  12. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    gloves are not the first thing you remove. you want to contaminate yourself? The first thing is the gown, by grabbing from the chest and pulling it away from your body, pulling the sleeves onside...
  13. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    what surprises me is the blanket trust that nurses are giving the government and the CDC in general. they have proven themselves time and again not the be honest or trustworthy. The CDC does not...
  14. Kyrshamarks

    Nursing and the Ebola Virus

    Kyrshamarks replied to 0.adamantite's topic in Disaster Preparation

    CDC: Airborne Ebola possible but unlikely |
  15. Kyrshamarks

    I'm panicking! Now I can't resign!

    Kyrshamarks replied to perfexion's topic in General Nursing

    In this modern day and age, Email is a correct way to do an official contact for things like resignations. many places prefer it this way because it takes no file cabinet to store electronic...
  16. Kyrshamarks

    Would you do this...? Thoughts....

    Kyrshamarks replied to amoLucia's topic in General Nursing

    Fat fingers..small keyboard on phone with the much hated auto
  17. Kyrshamarks

    Would you do this...? Thoughts....

    Kyrshamarks replied to amoLucia's topic in General Nursing

    an ng tube is simply a tube to the stomach. it can be used to either empty gastric contents or can be used to feed a person. a "feeding" tube is like a fob Hoff or similar tube and is normally soley...
  18. Kyrshamarks

    Butterflies

    Kyrshamarks replied to FineAgain's topic in General Nursing

    At one Hospital I worked at, we switched to an IV cath that had wings just like a butterfly. I know they are still in use at facilities. Are you sure that the cath is not
  19. Kyrshamarks

    unbundling charges

    Kyrshamarks posted a topic in General Nursing

    Children's Hospital of Milwaukee has started to unbundle nursing charges from the room charge. They are now billing insurance companies for nursing hours. In case you are interested in knowing how...
  20. Kyrshamarks

    unbundling charges

    Kyrshamarks replied to Kyrshamarks's topic in General Nursing

    The reimbursement rate depends on the company paying. Some just pay it and others fight the charge, which we help do, but the average discount is only 38% off the amount. The procedures are covered...
  21. Kyrshamarks

    unbundling charges

    Kyrshamarks replied to Kyrshamarks's topic in General Nursing

    They are getting reimbursed for these charges. I help a friends company that does medical bill review for small ppo and ipo's. I review many high dollar cases on a prn basis and see these bills and...
  22. Kyrshamarks

    Anybody here ever found a GF or a future wife as a "murse" at work?

    Kyrshamarks replied to PlentyOfMurses's topic in Male Nursing Students

    As a guy who has been nursing waaaaay too long, I can tell you my male coworkers and I HATE the term
  23. Kyrshamarks

    chiropractor employee taking blood pressures

    Kyrshamarks replied to sam1971's topic in Patient, Colleague Relations

    Just because the state nurse practice act says it is a protected title does not mean that the averge joe public is covered by that rule. Only those with a nursing license are compleled follow those...
  24. Kyrshamarks

    Taking pictures on nurses without permission

    Kyrshamarks replied to ninjago's topic in HIPAA Challenges

    Unless it is a public place, and most hospitals are not, you have every right to privacy and not be photgraphed at work. There must be consent between you and the photographer, be it written or...
  25. Kyrshamarks

    POA/HIPAA violation

    Kyrshamarks replied to Caelynn's topic in HIPAA Challenges

    I think the big question is if you were on the clock or off the clock when doing this. I f you were off the clock then you were strictly acting as her POA and have a right and access to her records,...