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Paul Alexander ... who lived in an iron lung for most of his life, has died.
For those of us that missed it the first time....
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Pay per visit vs hourly/salary
Take your daily salary, $500 for example, and divide it by the PPV. How many visits per day would you need to do to meet/exceed your salary. Is that doable? If you needed to do more visits to make the same money, that's not a good deal. Per visit often works best when the visits are close, and very brief. For example med fill and BP checks in an independent retirement hotel.
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PT fall without injury
A brain bleed can be slow and without immediate manifestation. Plus, why did they fall in the first place? We don't know the patient's history or code and treatment status. Call the doctor, let them make the decision.
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Being Video Taped by pt/family
A public place, and a place accessible by the public are not the same thing. Unless you are providing care in the parking lot, or on the sidewalk both you and your patient have a right to privacy.
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Gave meds to wrong patient
It's scary that one person described this as a near miss, and another recommends not reporting a potentially life threatening error. Not reporting it is a huge disservice to a patient. It's extremely dangerous when a patient takes a dive suddenly, and the doctors don't have the knowledge needed to safely bring the patient back to a stable state. You make a mistake, you own up to it. The patient, and the profession, deserve nothing less.
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How to Answer Question on Renewal Form
It sounds to me that you are indeed practicing nursing.
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Contraband found upon admission detox/ recovery
Before throwing out their illegal property, ask "we found what we suspect to be illegal substances. Would you prefer we turn it over to security/police, or can we just dispose of it?"
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Should I take the job even knowing it's unsafe?
Agreed. The longer OP is unemployed, the less desirable she'll appear to potential employers. This applies not only to nursing but all employment. And there's what, 2 years of new grads that just graduated by the time the maybe interview comes around. It's dangerous to wait even longer for something so vague. It's unfortunate that new grad programs often require zero experience, but some will allow up to 6 months. Probably better to go with the sure thing. First job doesn't mean it has to be your dream job.
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lorazepam with morphine
It's appropriate in the hospice setting because the rationale of giving both in a terminal patient is to decrease suffering and respiratory depression. This is s less of concern compared to the acutely ill patient.
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Can chart audits be a HIPAA violation?
Nope. Pain management is a big deal to the feds. They're looking for pain assessments, and if meds are given, is pain being reassessed after 1 hour. This was a huge thing where I last worked.
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Insurance
Are you an LVN, or an Attorney? Very confusing. In any event, it's unlikely to be both a patient And an employee in a mental health clinic. It appears to be a violation of boundaries to me. Who wants to be giving mental health advice to an employee co-worker. Also, it would be extremely difficult to keep your privacy issues intact
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Is it normal for nurses to enjoy hunting??
Growing up in a very Urban environment, haven't had too many opportunities to fish or hunt. When I was a child we did go on vacations and go fishing and I do know how to clean a fish but that was decades ago. At one time I did want to learn to hunt, but that never happened and I don't know how I would feel if I actually shot an animal. I do have absolutely no philosophical objections to those that do hunt, and feel it. Perhaps people would benefit by learning that their meat doesn't just come prepackaged in cellophane from the grocery store.
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Life Changes
I just saw this now. Viva was someone I really enjoyed communicating on this board in years past. I feel so sad hearing of her passing, and wish her family all the best.
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Calling all crusty old bats ‘?
I joined in 2007 but like a cicada, I would periodically dissappear and re-emerge every few years. It used to be much more active years ago, and a lot of fun. Wasn't the break room one big combined section back then? I liked that better. I remember the Pearson view trick was a huge topic with new grads, and they freaked out from having to wait a whole 3 days to see if they passed. We did 2 full days of scantron testing, and waited 3 months for results. I could object over being called a COB, but after retiring after completing 40 years, I think that I'll just be quiet.
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Medication Error
Retired nurse here. Every nurse has done one of the following: 1. Has made a medication error. 2. Hasn't yet made med error. 3. Doesn't realize when making a med error. 4. Is lying about never making a med error. Most errors are the result of system errors contributing to human errors. If every nurse who ever made a med error was done away with, there would be no nurses. Errors need to be reviewed for causation: labeling, lighting, work environment, knowledge, overwork, fatigue, cutting corners, etc The trick is to learn from your mistakes..