crissrn27 RN

nursery, L and D

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All Content by crissrn27

  1. crissrn27

    "I" careplans

    crissrn27 posted a topic in MDS Coordinator Information

    Anyone using the "I" careplans at there SNF? I am interested in changing ours from the medical model to this, but not sure how exactly to do it. I have written a couple of careplan narratives in the...
  2. crissrn27

    facility responsibility to the obese

    crissrn27 replied to onthemark's topic in General Nursing

    Even with diabetics the patients have a right to eat whatever they want. All we can do is educate and give appropriate diets. If they order takeout its on
  3. crissrn27

    coding isolation

    crissrn27 posted a topic in MDS Coordinator Information

    I am back in the MDS game! I guess I am not obsolete after all, lol. So, of course, I have questions with these changes. I have a resident on isolation because of a c diff infection that was found...
  4. crissrn27

    coding isolation

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    So why have this item on the MDS at all? If contact, droplet, etc don't meet the criteria then the only people who could code it possibly are the ones in swing
  5. crissrn27

    coding isolation

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    Spoke with another person higher in the company yesterday about this. She says, and I quote "we never code contact isolation because it is just standard ppe". I am just not getting this! Why don't...
  6. crissrn27

    coding isolation

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    This resident is recieving all services in her room including
  7. crissrn27

    I've been gone for a year-obsolete?

    crissrn27 posted a topic in MDS Coordinator Information

    I went out in June of last year just as we were gearing up for 3.0. I was on bedrest for 26 weeks with my son and after he was born discovered they had replaced me so I have been home with him for...
  8. crissrn27

    Post-op pain managment

    crissrn27 posted a topic in Pain Management

    What do most docs do for post op ortho pain? I was talking with a friend of mine about one of the docs that is popular in our area and his pain control methods. He is a real jerk, #1, but that...
  9. crissrn27

    Back to work after a loss of pregnancy...

    crissrn27 replied to Elvish's topic in Ob/Gyn

    Elvish, I am so sorry for your loss. You know I lost a little girl in Oct. at 18 weeks so I know how hard it is. I went back to work WAY too soon thinking it would help take my mind off my loss. I...
  10. crissrn27

    what can be done????

    crissrn27 replied to marielina85's topic in General Nursing

    Some residents are tricky tricky! I'm not sure how this one LOL I used to have would turn her sensor off and pull her chair alarm off but she did it repeatedly. And fell
  11. crissrn27

    Incompetent

    crissrn27 replied to LouisVRN's topic in General Nursing

    My 12 y/o son has anaphylatic reactions. Back in June he had an episode. I was so shaky and crazy that I accidental injected his epipen into MY thumb, lol. I was a wreck. I can handle minor things...
  12. crissrn27

    Animosity between L/D & Postpartum

    crissrn27 replied to IrishItalianRN's topic in Ob/Gyn

    I always thought this was a nurse thing but my husband works in production and they have the exact same thing with cursing involved! They have the shift thing, and problems between mixing and...
  13. crissrn27

    In house on call?

    crissrn27 replied to cosmicmama's topic in Ob/Gyn

    Not sure about the labor laws but I do know if I had to stay in house I would be getting my regular hourly wage..........not on call pay. I wouldn't mind working while there but I'm not wasting 12...
  14. crissrn27

    EMLA Cream with Circs

    crissrn27 replied to rickdon19's topic in Ob/Gyn

    If I ever grew a winky and someone wanted to cut it I'd want GA too. Ok, so maybe not. I've had D and Cs with nothing and it wasn't that bad. At the small hospital I worked at the majority did just...
  15. crissrn27

    big babies...

    crissrn27 replied to futurenurseheather's topic in Ob/Gyn

    I had my DS at 10lbs 4 oz over an intact. Maybe I shouldn't tell people that, lol. No GD for me, either. Just big babies.......smallest was 8lbs 10oz. The largest I've seen personally was 13lbs...
  16. crissrn27

    Vaginal Delivery May Be OK After C-Section

    crissrn27 replied to SmilingBluEyes's topic in Ob/Gyn

    The only rupture I ever saw was in a repeat c-sec. Tiny window with a little finger poking out. Both were fine. She was a 4 timer though. I think the OB strongly rec. no more pregnancies for her....
  17. crissrn27

    tPA Question

    crissrn27 replied to punkstar's topic in Emergency

    That is interesting. I get them after all the damage is done (SNF), so didn't know initial a CVA wouldn't show on a CT unless hemm. I guess I assumed that a clot or such would show at that
  18. crissrn27

    tPA Question

    crissrn27 replied to punkstar's topic in Emergency

    I don't understand this. Why wouldn't you see the clot on CT regardless of how long it has been
  19. crissrn27

    When a baby is born....what does your hospital do?

    crissrn27 replied to DutchgirlRN's topic in Ob/Gyn

    I had an 18 week IUFD of my little girl in Oct of last year and I have to say I wouldn't have minded hearing the lullaby. I never went through that intense anger though (or at least haven't yet), so...
  20. crissrn27

    Could I like OB even if I'm an "all natural" kind of girl?

    crissrn27 replied to lalalalexi's topic in Ob/Gyn

    Being in your situation a couple of years ago I found that it wasn't the mothers wishes I had problems with, it was the medical staff. They mostly did zero education into the benefits/risk of AROM,...
  21. crissrn27

    down coding?

    crissrn27 posted a topic in MDS Coordinator Information

    So, I was supposed to have Meyers and Stauffer in last week, but got postponed. My question is, do you guys down code for them (or the agency that comes in to try to take the tiny bit of money you...
  22. crissrn27

    down coding?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    AHHHHHHHHH!!! So what are you guys doing, real practice? At this point I am down coding, and explaining in my raps, but this just doesn't feel right. The system is supposed to work, you do an...
  23. crissrn27

    Forced to Engage in an illegeal Act!

    crissrn27 replied to Truth66's topic in General Nursing

    That is just crazy, you have to have an RN coordinator. They will pay for that big time in the future. I have worked with great LPN MDS nurses, but not one of them would sign R2b or V1 where an RN...
  24. crissrn27

    Forced to Engage in an illegeal Act!

    crissrn27 replied to Truth66's topic in General Nursing

    I am an MDS coordinator in NC and here is how the RAPS done by an LPN are handled. The LPN can collect the info, put it on the RAP, sign the actual RAP, then on the front page of the RAP the RN must...
  25. crissrn27

    down coding?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    Thanks guys, so I guess this one is controversial. I am in NC, btw. Still not sure how the process is supposed to work effectively (ie, assessment, raps, to careplan) if you are not coding what the...