crissrn27 RN

nursery, L and D

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All Content by crissrn27

  1. crissrn27

    doppler at 16 weeks

    Maybe not her medical care but I know for me, knowing, even though it was bad, was better than the anxiety of
  2. crissrn27

    doppler at 16 weeks

    Thanks elvish. It was...........a
  3. crissrn27

    doppler at 16 weeks

    Sadly, when they did the US it was a fetal demise. Having just had a 15 week loss myself, I am sad they didn't do an US right away for this mom. My friend is also speaking with her supervisor to try...
  4. crissrn27

    An OB's Birth Plan

    Congrats!! I'm glad your birth turned out the way you hoped. Did you ever send a letter to that
  5. crissrn27

    doppler at 16 weeks

    I'm not sure what the big deal is with the ultrasound, and the moms not to worried, as she believes what the OB is saying. I think all the nurses have asked the OB for at least a bedside, but they...
  6. If you really don't want to share the news right now wait until something comes up that you might have to question/refuse and only tell your supervisor. You really don't have to share personal info...
  7. crissrn27

    Horrible hospital experience!

    The patient (or the family, if the pt is in too much pain/distress/confused, etc) is who is supposed to "run the show". The nurses in the OPs post couldn't run anything except maybe the Colgate...
  8. RN in the building 8 hours a day, including
  9. crissrn27

    Readmission Scenario

    What skilled service are you picking him up on on day 2? Was it not present on
  10. crissrn27

    House Dr. doesn't allow hospice in facility

    At this point your MD isn't meeting the pts needs and you need to go up your chain of command to report this, ASAP. Is this fool your medical director? If he isn't, give the director a call and ask...
  11. crissrn27

    Staff Ratios at Nursing Homes

    I would LOVE 5 per CNA and 15 per nurse but that would be wonderland. I think what would be actually doable with all residents being cared for appropriately would be 7-8 per CNA and no more than 20...
  12. crissrn27

    Charting Frequency Long Term Care Medicaid

    When a LTC medicaid resident is in an assessment period I place a white sticker with the ARD date on the spine of their chart. I usually do all of the ones for the next month in the last week of the...
  13. This is a question that has come up recently at our SNF. How long is the SNFs liablity to accept a readmit? Say a resident went out 3 months ago, and the hospital wants to send them back. If a bed...
  14. ooohhh, where to start, lol. First you have to careplan all the things that you said you would on the RAPs, then things like DM, anemia, etc. Any kind of behaviors, wounds, moods, medications with...
  15. The question for the day, lol. I have a resident that came back in after a 90 day hospital stay, has been in and about about a dozen times. He has had a PEG for a while, not sure how long. He was...
  16. crissrn27

    skilling after a G-tube

    Hi, thanks! Even though this was almost as confusioning! The main thing is that it remains if you continue to remain in SNF bed and recieve a skilled service with no 60 day spell of wellness, you...
  17. We use American health tech. Its OK, I've worked with a few systems and it seems they are set up alike. Of course, haven't used all of
  18. crissrn27

    flu plans

    Supposedly, I'm responsible for the swine flu plan at my facility (MDS). They are supposed to be sending a list of things we need to do especially for swine. Don't know how it could be any different...
  19. crissrn27

    OMRA

    Back again! Apparently, my brain is having a hard time getting back into MDS gear after 3 years in Labor and Delivery! So heres the situation. I had a resident that was working with PT and OT, they...
  20. crissrn27

    OMRA

    Thanks everyone.....no problem Nascar, you know all us MDS nurses have thick skin. So when 3.0 comes out we will have to do an OMRA in this same
  21. crissrn27

    "Twins By Surprise"

    Maybe she didn't have a midwife in the area? If for some reason I decided to have a baby at home it would be unassisted b/c there are ZERO midwives here. Nurse midwives work at the hospitals in the...
  22. crissrn27

    OMRA

    I wasn't actually thinking let me grab us some $$. Thanks for the answer, but being called a money grabber just rubbed me the wrong way. Its not like I put it in my pocket.......I wish I got a...
  23. crissrn27

    care plan notices

    Does anyone know of a specific reg that says the SW (or whoever does the notifications) have to send a letter out about the careplan date? Our SW does phone calls and some of the team are unhappy...
  24. crissrn27

    care plan notices

    Thanks guys........glad to know that there is no actual reg. I personally am just happy to have a SW that will notify families of anything and I'm not about to complain about it being on the...
  25. All of that ran through my mind at the time, but I have only been there a short time and couldn't figure out how I should handle