fromtheheartRN

Interesting. What about cases that involve discrepancies with SOC functional status? In order to improve STAR ratings and reimbursement?

Ha! I have been doing OASIS for six plus years. All the sudden, in last six months, when my company's STAR ratings go low, I have been doing EVERYTHING wrong! Get tons of returned corrections that I do not agree with and have never gotten before. Rat...

I have worked for my current employer for over 6 years. Started out being guaranteed salary with expectation of obtaining at least a certain amount of points. Expectation was ONE Saturday a month and ONE Sunday every two months, rotation of on call f...

It certainly wasn't what I signed up for. Worse than the hospital schedule now. Used to be good and flexible when I started. Things have definitely changed. I document sometimes until 9 PM almost every night and wake at 4 AM just to manage case manag...

I was put in charge of Nurses Week celebration on our unit. I am up for the fun, but I need ideas. I have some myself, but I always let my small ones turn into giant undertakings! Is there anyone here who enjoyed a memorable celebration on their u...

I posted this request in Cardiac Nursing, but no replies yet. Also no threads show up when I search. I would appreciate any help with this subspecialty exam--I am taking it soon! Have the study CD and the blueprint. I am reading my med-surg book, lo...

I have been an RN for three + years. At the same hospital-same floor since graduation. I love bedside nursing and am always looking for ways to grow and learn. I am certified in my specialty and I am a relief charge for our 40 bed unit. I have always...

Yep--cover your ass The way it relates to tests is mainly when an MD orders them for reason CYA only.

RAD = Reactive Airway Disease (newer umbrella term for asthma/COPD) OK--What is CYA? -regarding tests.

I was just mentioning to hubby last night that I needed a new scope--I have severe tinnitus AND hearing loss (result of job in a former life). I have been using a Master Cardiology-which has served me well until lately-I guess my hearing loss is gett...

I had another colleague tell me about a situation, and I'd like some feedback--good-bad-indifferent--I'm open. The nurse was called into the unit director's office, handed some EKG strips, and two regular, common meds (not narcs--or even a med that w...

Need more feedback, please

crump: verb: In ambulance jargon, to die on the way to the hospital, has been used to describe computer crashes in hospitals too. Example: The driver is hurt pretty bad, he'll probably crump on the way.

CVA= cerebral vascular accident SAH= secretion of antidiuretic hormone ICH= intracranial hemorrhage IICP= increased intracranial pressure

I agree with Tazzi. The ER I worked in prior to my current job did exactly that. It is a huge task to take on when you are attempting to show and convince that adding a float nurse will improve patient safety as well as be cost effective at the sam...

Thank you! Perfect---I do not know how I missed these resources on aacn! MUCH help!

This "break issue" is NOT just ER! It is part of the nursing culture. Getting a lunch break on my floor is the EXCEPTION and not the rule. And things will NOT change if we all run around (and ourselves into the ground) and keep taking it with the s...

Also, I find it very helpful if I ask the ER RN--or the ER Charge if it would be possible to at least get a patient admitting history prior to floor transfer. Sometimes we are lucky enough to get this if the ER has a "resource RN" hanging out down t...

I am a recently new charge nurse on a tele floor. What an eye-opener it has been! I will try to give a few reasons about the "magical shift change influx of admits." AMH, we have a bed board where we can see each pt who is waiting for a bed in the ...

Too funny! Thanks for the chuckle!

Yeah, me too. I had 6 on Saturday. DC'd 4 (two were SNF's). Two new admits -so really 8 total. Ended with three and took my tech to be a sitter with one of the new ones. (see prev post Pt #1).

I was thinking about pursuing this specialty, but now that I have read the eligibilty requirements (spec 5 years RN experience), with just two years RN exper, I have to wait another three for eligibilty? And how can someone obtain 2000 hours of legal...

Thanks for the info! I must have picked up the AALNC site by accident when looking for the education required to become a LNC. Have a great day!

Fifty or less? Impossible (my keyboard not allowing me to use forward slash) 1) ETOH 6mg ativan Q2h not touching DTs. 4 IV infilt. Two pulled out. Wrist restraints applied. PICC team too busy. CIWA Q1H now. 2) Nice man need to ready for cath lab-abnm...

We usually have 3:1 without a tech. Do our own blood draws, orders, and ECG monitoring. 5:1 with a tech. Sometimes the tech can do all the delegatable stuff, sometimes can do little more than VS and baths. The other day we were short staffed and I ...