Nurse Ratched RN

Geriatrics/Oncology/Psych/College Health

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All Content by Nurse Ratched

  1. Nurse Ratched

    How do you dispose of retractable lancets?

    I would say that the manufacturer's instructions on say, a Vanish-Point syringe, would specify proper disposal technique. All I can tell you is that our facility policy is all sharps, retractable or...
  2. Nurse Ratched

    How do you dispose of retractable lancets?

    I would say that the manufacturer's instructions on say, a Vanish-Point syringe, would specify proper disposal technique. All I can tell you is that our facility policy is all sharps, retractable or...
  3. Nurse Ratched

    National Foundation Questions Ohio Board of Nursing Policy

    Let's let this one lie, folks. It's a legitimate topic. Personal attacks will get it
  4. Nurse Ratched

    Should I get malpractice insurance NOW!?!

    Nonetheless, $89/year is pretty cheap for my peace of mind, imagined or not. Paying my annual premiums online
  5. Nurse Ratched

    afraid of losing my liscense

    This thread has circled the drain. It hardly casts correctional nurses in a favorable light.
  6. Nurse Ratched

    How does an atheist deal with death?

    Jen, I started working in geriatrics when I was 16 and an atheist. I'm still an atheist, just...older now lol. Between that and a couple of years on oncology, I've seen a lot of death. I don't...
  7. Nurse Ratched

    Should I get malpractice insurance NOW!?!

    I presume that getting insurance now for something that happened before would be pointless - the health insurance equivalent of a pre-existing condition that wouldn't be covered? I'll leave it to you...
  8. Nurse Ratched

    Understaffing? Your opinion

    I think I wouldn't be taking that job . Seriously - the other problem is that they are telling you the staff you are *supposed* to have in a given shift - so that's your best case scenario and will...
  9. Nurse Ratched

    RNS as social workers. What?

    Not at all unusual to see an RN filling a case manager type of role in my neck of the woods.
  10. Nurse Ratched

    Does age matter?

    If mentally and physically capable, no problem at any age. Mentally capable should also include the ability and willingness to see things from a new perspective, but that's not age-specific . I do...
  11. Nurse Ratched

    Canadian Politics -- I hate myself

    Happy election day, Canadians :). Wishing for the best outcome for your country (whomever that may be!
  12. Nurse Ratched

    I Was Right

    That stinks - I am sorry. I don't want you to freak, though. You *will* take it again and you *will* pass. Warm thoughts your way. Be bummed today and tomorrow start looking at what needs to...
  13. Nurse Ratched

    Corporate Compliance help

    http://oig.hhs.gov/authorities/docs/cpghome.pdf This stuff :). Makes my brain melt just thinking about it. I'm going to move this thread to Home Health Nursing - hoping someone who works in an...
  14. We get people in our office following up after an ED visit, and I'm always amazed that they wound up in the ED. We even had one gal recently who came to our office for a chronic problem, then went to...
  15. Nurse Ratched

    Need info on colposcopy-please help

    I should probably start a new thread, but is the standard now to go straight to colpo for an ASCUS pap smear? Is anyone routinely doing HPV digene tests? Here we offer our pt's the option, altho...
  16. Nurse Ratched

    26 year nursing career/ 25 year old preceptor!

    I understand, Ruby - as a somewhat younger nurse, I always feel a little funny "orienting" someone who has probably forgotten more about nursing than I'll ever know :). I'm sure she's a little...
  17. Nurse Ratched

    incident reporting

    It's also important to know that these are in-house documents (usually for risk management purposes and prevention of future similar incidents) and should not be referenced in your nursing...
  18. https://allnurses.com/forums/showthread.php?t=68585&highlight=medicaid There is a thread on medicaid abuse going elsewhere. Let's try and keep this one on track. Thank you
  19. OK - dumb question - I understand that you can't refuse to treat someone in the emergency room. Can you refuse to see an obvious non-emergency like the
  20. Nurse Ratched

    Please help with paranoid family member

    I'm so sorry for your situation. Since you use the word "paranoid" I'm going to answer assuming a clinical diagnosis of paranoia. I would question if she's paranoid *and* delusional (I suspect...
  21. Nurse Ratched

    About those really "hateful, crotchety" patients...

    Ditto :). The cranky LOL's are my absolute favs, too. Tickles me to no end to get an elderly pt who is reported to be demented, combative, intractable, etc., and a little kindness turns them into...
  22. Nurse Ratched

    Prior Auth mania

    I get good success with Allegra/Zyrtec IF the pt has tried OTC claritin and failed. Vioxx - forget it unless the pt had all but burned a hole is his stomach from 800 mg ibuprofen tid. Wellbutrin for...
  23. Nurse Ratched

    About a LTC MD who is BAD NEWS

    if this is something that is currently being investigated, then it is really not appropriate for a publicly viewable bb - not to mention could be considered slanderous or libelous. i'm locking this...
  24. Nurse Ratched

    Need help with nurses notes

    http://www.corexcel.com/html/documentation.title.ceus.htm Here's a good little course in the basics. No charge to take it - only if you wanted to get
  25. Nurse Ratched

    Need help with nurses notes

    PIE - guessing - problem, intervention, evaluation? We use SOAP also. Charting by exception at the