a21chdchic

a21chdchic

Hospice, Med Surg, Long Term

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All Content by a21chdchic

  1. Reported Suspected Elder Abuse, now I'm terrified

    In my state, we are required by law to report suspected abuse. She did the right thing, but I also would have notified the DON or ADON as a courtesy, so they could initiate the in house investigation....
  2. Background checks?

    My college did not require background checks many years ago. But each of the five states that I am licensed in (BON) have required Background checks, 3 of those states required fingerprinting, and now...
  3. Felony Conviction

    We all have a skeleton or two in our closets that we are ashamed of, but live and learn, life goes on. But Felony conviction - ouch. That will be extremely difficult to overcome, and BON's are not...
  4. Psychiatric Diagnosis found on background check

    Some BON do not ask about mental health conditions. And you are talking about two different conditions here: 1) substance abuse 2) borderline personality disorder My questions to you would be: Was...
  5. Incompetent acts witnessed.Legal responsibilities?

    I have seen similar situations. Even seen people go through all of the 'proper channels', and they never did seem to get anywhere. Some people hire attorneys and invest alot of time, energy, and money...
  6. Bates Stamping - How do you do yours?

    What is the purpose of this Bates
  7. Please help, need advice... (Long post)

    Always be honest and up front about your actions. I don't believe what you did is illegal or even unethical, maybe not the best choice, but you are not the first or the last to have done the same....
  8. There will always be those people out there who are so spendthrifty that they will pay only what is necessary to get the bare minimum, and they will get what they pay for. And there will always be...
  9. Inquiry about US Salary for Nurses

    The amount an RN is paid depends alot on experience and the location, as in rural or in a city. The midwest and southern states do not pay as well as the west coast, and southwestern states. The...
  10. The local hospital in the city that I live in frequently assists Philipino nurses to get all of their 'paperwork' in order, and even assists with repayment of student loans, etc. to contract these...
  11. Help RE: Tuberculin test

    Keep all of your documentation of the positive PPD, and having recieved the 6 months of INH. I also have to get an annual CXR and documentation from an MD annually stating I am free of clinical signs...
  12. Welsh Nurse in SC !!

    I found the NCLEX to be a very basic exam. I took it some years ago, it was the last exam that was offered on paper. This test was broken down into 4 sections - i believe it was 3 hours for each...
  13. Flexible working hours

    It sounds to me like she should save herself some time and energy, and just find another position. All of the hub-bub over 13 hours? Nurses are not that hard to come
  14. MEDICAL EXAMINATION ... my story

    What are the vaccines are
  15. Comparison of US and UK pay

    If you were an RN with 14 years of experience, which band would you be
  16. Oct VMI course in Vegas?

    I'm also going in Oct. to Vegas VMI. Where you getting hotels at for a decent
  17. I Failed The Vmi Clnc Cert Exams

    I'm wondering--In the back of the Core Curriculum Book (VMI) are study questions. If you do well when answering those questions, will you do ok on the cert
  18. 30 y/o paraplegic dying from decubitus ulcer...

    When you work in Hospice you learn it is necessary to be brutally honest. It sounds like this nurse who was brutally honest did this patient great justice, and it sounds like she is experienced. She...
  19. Documenting hospice pt wound care

    All of my patient are in facilities, so they usually do wound care, however, once a week I assess the wound and do the care to assess the wound, healing, and evaluate the need for changes. Some wounds...
  20. RN supervisory visit Frequency?

    FYI - Medicare regs are federal regs, so the rules are the same in TX as they are everywhere else in USA. Q2 weeks for both LPN/LVN and CNA's.
  21. Something I've never seen!

    I have used baking soda on the outside of wound bandages for odor control many times, this usually works very well. Be careful to not get the soda on the skin. For fungating wounds, I usually use...
  22. How to decide visit frequency?

    I base my # of visits/week on how stable my patients are. All of my patients are in facilities, so the facility is the primary caregiver, and they are skilled caregivers (nurses), I visit daily for...
  23. What are hospice LPN's NOT allowed to do?

    In AZ, an LPN cannot assess a patient, therefore she cannot do admissions or case management. She can do most tasks, except for IV meds, etc. An Lpn in our Hospice may report her "observations" to...
  24. extubating for terminal patient

    OOPS, traumatic for the family.
  25. extubating for terminal patient

    Why was the tube placed? And how could anyone call this comfort care? Can anyone that has ever seen an intubation or cared for an intubated patient say that this is comfortabe? When the patient isn't...