OldPhatMC

OldPhatMC

Hospice, Rehab

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All Content by OldPhatMC

  1. Pharmaceutical companies are crooks!

    OldPhatMC replied to klone's topic in General Nursing

    What your paying for is for someone to put the medications together and test them for risk to pregnant women. You're paying for someone else to take the fall in case of a birth defect. If a doc were...

  2. Can you recommend a medication?

    OldPhatMC replied to russianbear's topic in Patient Medications

    In hospice nursing we make evidence-based recommendations all the time. Many attending physicians are not well versed in hospice care and they actually ask for recommendations. If they don't like it,...

  3. Concealed Carry for Caregivers

    OldPhatMC replied to ClaraRedheart's topic in General Nursing

    Head shots require placing the round in an area about 1/3 that of the chest "kill zone". They're hard in a controlled environment like a combat pistol shooting course, and nearly impossible with a...

  4. Concealed Carry for Caregivers

    OldPhatMC replied to ClaraRedheart's topic in General Nursing

    Former cop here. There is no way a single person with a weapon could have countered the shooting in San Bernadino, or even in many of the shooting that have occurred over the last year. Having a gun...

  5. How much compassion is necessary to be a Great RN ??

    OldPhatMC replied to trhumper's topic in Men in Nursing

    Something that wasn't mentioned is that it's not just the family that needs your compassion. It's your team members as well. Your preceptor was probably in a place where he/she would liked to have...

  6. Where does the job end?

    OldPhatMC replied to MomRN0913's topic in Home Health

    The Department of Justice was working on the issue of home health nurses being shorted pay for working off-clock. As has been pointed out by others, it is illegal to for an employer to insist on this,...

  7. Is this holding me back?

    OldPhatMC replied to mikala3's topic in General Nursing

    I agree that you should have the skills. IV skills save lives. Been there. Even better, having the advanced skills that go with midlines, PICCS, all the many med ports and dialysis shunts would make a...

  8. Guidance for a new case manager?

    OldPhatMC replied to MarcyRN's topic in Hospice, Palliative

    Great questions: 1. What I LIKE to wear is business casual. Draws less attention, more comfortable, doesn't scream NURSE. What I DO wear is scrubs. Both have their advantages. 2. Worst part of the...

  9. Patient refusing Hospice

    OldPhatMC replied to jammycakesRN's topic in Hospice, Palliative

    needshaldol has said a lot that, as a hospice RN of several years experience, I think needs to be clarified for the readers: The medicare billing: Medicare gets billed at a standard rate. They pay at...

  10. Do you identify yourself as a nurse when you or your family are a patient?

    OldPhatMC replied to Brian's topic in General Nursing

    I used to identify myself as a nurse, but since I wasn't a member of the Emergency Department cool kids club I got treated with very variable levels of respect in the ED. So now I conceal it if at all...

  11. NPH insuln

    OldPhatMC replied to fallrisk2008's topic in Patient Safety Issues

    I've had this experience with patients. NPH insulin is variable in its effect from person to person, as well as variable in its effect on a person based on their activity levels. I'd normally give...

  12. Snow- at what point do you call out?

    OldPhatMC replied to EMSnut45's topic in General Nursing

    Students, being non-essential to patient care shouldn't be forced to come in. When this happened to me in nursing school, any day where the campus closed also was a day they canceled clinicals. We did...

  13. Snow- at what point do you call out?

    OldPhatMC replied to EMSnut45's topic in General Nursing

    When it comes to being a health care worker, I've always favored death -- my own -- as the only real reason to call out. My only exception to that was the time I was down in the cardiac unit -- it was...

  14. Difficult familily members (VENT)

    OldPhatMC replied to Spritenurse1210's topic in General Nursing

    Oh she's an INTERN. She doesn't have permission to either speak to nurses or raise her eyes from the floor unless her R3 is present! Seriously, the comments about involving them in care and open...

  15. PharmD student - pursue FNP afterwards?

    OldPhatMC replied to BSNtoPharmD's topic in General Nursing

    Aren't they adorable when they're young? First of all, the doc-in-the-box type clinics are usually placed in the higher volume pharmacies. I think its unlikely to impossible to manage both the...

  16. How long should I work before taking ACLS?

    OldPhatMC replied to mich321's topic in General Nursing

    I entered nursing school with ACLS and PALS as it is required for EMT Intermediates in my jurisdiction. And that's my key point. It's more a matter of willingness to master the material than a level...

  17. Commonwealth Nursing Program

    OldPhatMC replied to ninipanini621's topic in Virginia Nursing

    I'm not surprised but I am saddened to hear this. I think that ultimately it's going to be hard for JTCC to service online students over a wide area and they will give first preference to students in...

  18. ?'s about NVCC

    OldPhatMC replied to Mom2Cassidy's topic in Virginia Nursing

    The answer is correct. What you have is a ratio comparison of: (1/200)/150 = X/1 for the right side you invert and multiply to divide the (1/200) by 150 -- (1/200)*(150/1) = 150/200 giving you:...

  19. Nightingale Pledge and Nursing hats at pinning ceremony....

    OldPhatMC replied to Tony1790's topic in Male Nursing Students

    Nothing at all wrong with living in purity, but perhaps honesty, personal integrity, or maybe commitment to the patient and our professional ethics would be more important to the professional practice...

  20. I'm 39 and want to become a nurse.

    OldPhatMC replied to quinnsite's topic in Male Nursing Students

    Well, I became a nurse at 50 and it hasn't killed me ... yet. You're not too old.. in fact, you're in an age bracket where people will not consider you worn out and incapable. Bluntly, there is age...

  21. Where Are All the Virginia Nurses? I Have a Question... Please...

    OldPhatMC replied to Nurse!Nurse!Hello?'s topic in Virginia Nursing

    First of all, define "Northern Virginia". If you're talking Arlington/Alexandria, I can tell you that I'm getting a lot of solicitations for RNs for charge in LTCs. As you get to the suburbs, such as...

  22. Commonwealth Nursing Program

    OldPhatMC replied to ninipanini621's topic in Virginia Nursing

    I think we're getting into thread creep here, but my short answer is that BIO 141/142/205 is a better choice than NAS 161/162. As well taught as NAS161/162 can be -- I strongly recommend taking the...

  23. Commonwealth Nursing Program

    OldPhatMC replied to ninipanini621's topic in Virginia Nursing

    As I recall the CNP hadn't actually been eligible for NLNAC accreditation, so you might want to check that point out with whomever told you that. The program has to have a certain number of graduates...

  24. Commonwealth Nursing Program

    OldPhatMC replied to ninipanini621's topic in Virginia Nursing

    The only hard fact I can cite: the new Fall schedule makes no mention of CNP. Rumor mill: What I've heard is that the CNP was more resource intensive than Germanna could handle. That sounds...

  25. Free boob job hiring perk for nurses

    OldPhatMC replied to treetop2's topic in General Nursing

    Referencing ElderBoob™: I was doing an ICU rotation with a 70 something woman on a vent. Very sad circumstances, but it's hard to ignore how...ummmm... PRESENT the implants were. As a student, my...