moonjumper

Make sure you keep the referring MD informed before you make any moves. I had a patient last year whose home and self was covered in her feces, her cat's feces, it was all over. After speaking with the patient it was evident that she was unable to take care of herself due to a mental condition. I placed a call and spoke with the MD and reported the conditions, and he elected to have her picked up by an ambulance squad and admitted to the hospital, and after several days of inpatient testing she was sent to a long term psych facility. That's just my moonjumper

Thank you for your reply caliotter, and I have known for quite a while that this is what she would like to have happen - me being fired. However, - is what she did false documentation? She went into the pt.'s chart and filled out inaccurate information. I'm confused on that part. Thanks so much. moonjumper

Hi All, I have a situation where the nurse administrator returned a med sheet to me for corrections. I fixed the med sheet and resubmitted it (we are totally online). The same med sheet got returned to me again the next day saying that I did not fix anything. Unfortunately, I went to the administration side of our charting and looked at the audit trail, and saw that 15 minutes after I resubmitted the med sheet with corrections made, the nurse administrator went in and changed all of my med entries to incorrect ones (including dosages), and then returned it to me again saying that I did nothing. In black and white with every single entry date and time stamped, she has been caught red-handed . Is this considered falsifying of documentation? What do you suggest is the next few steps I need to take? Thanks in Advance. Moonjumper

Hi, Hopefully some of you more experienced HH nurses can give me an idea as to what is going on at my HH agency, as I am fairly new to this company and new to the HH field of nursing. The company is undergoing some changes, there was a new nurse manager who was hired right after me, and all kinds of new rules and policies and procedures are being created - some probably as we speak. Today I received an email from this nurse manager asking me for my log in screen names and the passwords to go with it, she said it was the policy to keep these on file. At least one of the other nurses received this email as well. She (the nurse manager) already has the capability to go in and change my charting, and she has done so - and everything I chart can be seen from her administrator account, and she changes it from there. When I submit something, it has an electronic signature on it in my name... anybody got any ideas why she wants this? Would any of you do this? What kind of liability am I putting on myself? I am so worried from all of this stuff I cannot even begin to tell you. Thanks so much!

Hi lilbutterfly, I graduated in May 2008, and worked a couple part time jobs and had a elementary school boy...what I found helped me the most was to google a lot of the "concepts" and to read it in plain english, then go back and skim over the texts and add in the medicalese lingo, once I had grasped the concept in regular people language. Try it, it might work for you too. Good luck! moonjumper RN

hey nursing grad, repeat after me, "i will not give up". k? i graduated nursing school at the end of may 2008, and i took boards on july 29th, so i'm still a semi-new rn. on the last day of school last year, the instructors held an informal gathering about tips for passing nclex, and the most important thing i learned from that was depending on how you did on the exit exam (ati for me), that's how many questions you should answer in preparation for boards. 100-90%, answer a 1000 questions, 90-80%, answer 2000 questions, and so forth. the next thing i did was buy a months worth of online nclex questions and borrow a box of nclex rn cards. one month before boards, i started studying, but before i began each study session, i would visit one of the websites below (inserting links) that details how to break down the nclex question so that you can understand what you're being asked. nclex tips and strategies nclex forum - study tips, guides and podcasts i had 2 study sessions each day for 30 days, but the day before i took boards, i assembled my nclex taking outfit, cooked a huge turkey dinner (in the end of july) because i was "thanksgiving" that this journey was almost over, watched a stupid movie with my son and didn't study or answer one question. next day, i got up, looked at the two websites, got dressed and went and kicked nclex's behind. machine shut off at 75, 35 minutes after i took my seat. if i can do it, so can you. now.... go be brilliant!!! moonjumper, semi-new rn

Hello... Calliotter3, Suesquatch, bluegeegoo2, Jess1983, Chaya, WarEagle4Life and achot chavi...a million thank you's for your replies... To clarify, the place I worked this summer was a rehab as well as LTC, and I worked the rehab side...g-tubes, trachs, you name it, they had it. The places I'm considering are also rehab type places with all those things as well. There were several suggestions in your posts that I will follow up on. I don't really know much, but I do know this...life is short, and there needs to be a balance...maybe I should start doing something that improves my WHOLE life, and not just hang in somewhere that I can't stand because it will look good on my resume... having my cake and eating it too...I like the sound of that. Mucho Gracias fellow Nurses! Moonjumper, RN

Hi all, I have a dilemma, and I'm hoping to get some points of view from the been there done that crowd... Background is I'm a fairly new RN grad from a 2step college, LPN first year, RN the second. This summer before taking RN boards, I temped for a few months at a LTC/Rehab facility...it was busy busy busy, the patient load was overwhelming and the orientation consisted of about 2 whole days, not all in one chunk....BUT...I loved the residents, the other nurses, the management and the ancillary staff and the atmosphere, and I was getting a handle on the routine. Fast forward several months after passing boards and being hired for a med/surg floor in a hospital. I'm still in orientation and things are coming together fairly fast, but I really do not like the 12 hour shifts, the feeling of being trapped on the floor, and the fact that just as I'm coming to know the patients and their needs...poof they're gone home. Add to all this I'm supposed to flip to nights soon, which I do not want to do...thought I could handle it but my personal life has changed and I'm a single mom...and I've got a problem. Every day I think about the LTC and the people and wish I was back there, or somewhere in a LTC. What I would like to do is go get a job in a LTC...I don't think I'm cut out to be a hospital nurse, and I know that my mom responsibilities and home life would be better off if I do go to LTC/Rehab, the money is about the same or more, and there are lots of opportunities for advancing. What do you experts think? good move? bad move? Stuff to think of that I haven't thought of? Also...I'm still in school, taking psych classes while researching nursing schools for a MSN, so a 3-11, 2-1030pm would be great for the next year or so... Thanks so much in advance! moonjumper RN