rn_patrick

rn_patrick NP

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All Content by rn_patrick

  1. RN's skipping vital signs

    rn_patrick posted a topic in Patient Safety Issues

    Hello. I'm an APN/NP working at a Psych Hospital as the psych attending. Let me tell you what's happening and can you tell me if I am overreacting? I wanted to edit this down so it's not quite obvious...

  2. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    I don't think anyone is lazy. Like I said in my initial post I was asking am I overreacting for my more at risk patients to want vitals daily. Obviously the feeling here is "something small like...

  3. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    I have been doing #1 with specific nurses and techs. Which has increased compliance on my high risk patients. Which is really all I wanted. Since writing this, I did go to RN management and ask "Do...

  4. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    "Thanks for taking the lead on this..." I'm going to go back to him and ask if he just wants me to drop this or to work this up. I asked the question since I may be pursuing something that nobody...

  5. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    That one person with the A1C of 11-12 is on Lantus. I'd be fine with her getting VS daily. I can't find a set of solid guidelines "This is how often you do vitals..." I'd be happy with Admission, 3x...

  6. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    I'd like a source on that. Especially when I read that failure to assess and failure to report a change of status is one of the leading reasons RN's get sued. Overall I agree with you about the...

  7. Falsely accused of falsifying documentation: What should I do?

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    Do you have malpractice insurance? If so contact them. I know with NSO part of the policy covers board representation. If you Google dealing with a claim from the BON everyone suggests NOT going it...

  8. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    I've tried that. I was more thinking as a staff nurse I would not disregard orders or at least document why I could not obtain the vitals. Maybe all RN's don't feel that

  9. RN's skipping vital signs

    rn_patrick replied to rn_patrick's topic in Patient Safety Issues

    I can usually get the patient to do the vitals for me. We also have a new RN who is more motivated and is able to get them also. I very much as a former staff nurse at a different facility appreciate...

  10. Insulin Administration

    rn_patrick replied to chemdawg's topic in Patient Safety Issues

    It's been a while but everywhere I have worked you waste it in the sink. The real risk is contaminating the whole bottle with something and not catching

  11. A Fishy Healthcare Operation?

    rn_patrick replied to psych.nurse's topic in Patient Safety Issues

    There are really strong anti-kickback rules for reasons like this. I used to service as a Psych NP several group homes owned by one Woman. Suddenly I lost many of my patients because they were all...

  12. Psych no salary/pay

    rn_patrick replied to IDNP's topic in Nurse Practitioners, NP

    I think hospitals pay the best. Like that rate posted

  13. Psych no salary/pay

    rn_patrick replied to IDNP's topic in Nurse Practitioners, NP

    Which is part of their model. Start people and have them move on in a year. Get more. Repeat. My patients are on their 4th provider in a

  14. Psych no salary/pay

    rn_patrick replied to IDNP's topic in Nurse Practitioners, NP

    Im doing community mental health again. You commented on another post a while back. Maybe you work in a hospital so the facilities can pay more. Maybe you are a rockstar? I like a slower pace since i...

  15. Psych no salary/pay

    rn_patrick replied to IDNP's topic in Nurse Practitioners, NP

    1. Are they covering anything? Group Malpractice or letting you buy into their Health Insurance (The second one if you are older is the big one). 2. 130 is really up there for psych. I'm locums and my...

  16. Voluntarily Surrendering My License

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    NJ publishes the BON actions against Nurses. Many of them are for not doing the CEU's as required because "Nobody ever gets audited..." Well people do get caught and have not done any of them. Then...

  17. How does a jury or media feel about NP firing patient over a bill?

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    What about providing medication past the 30 day window if they cannot get services? In my area Psych Prescriber appointments can be 2-3 months from initial intake with social

  18. Co-worker Impersonating a Nurse - Am I obligated to report this to the BON?

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    Everywhere I have worked the facility has done extensive due diligence in checking that I actually have the licenses and background I say I do. Copies of diplomas, licenses, verification with the...

  19. Will a littering ticket stop me from taking NCLEX and getting my license?

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    Exactly. Outstanding warrants might come up on a facility background check, or a landlord background check. Plus if you get pulled over for anything the officer has to bring you in for an outstanding...

  20. Working/Volunteering after this Hurricane

    rn_patrick posted a topic in General Nursing

    Was wondering do hospitals use more travel RN/NP after something like the Hurricane right now in effected areas? Not trying to be an opportunist, but I am a traveler who can work, but has been on...

  21. Working/Volunteering after this Hurricane

    rn_patrick replied to rn_patrick's topic in General Nursing

    Thanks Mary

  22. Can I break a hospital contract early?

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    The agency you applied to may never work with you

  23. Asked by Supervisor to Take a Drug Screen

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    I'm not the person who asked the question. I wanted to make that follow up statement if they choose to elaborate if possibly there is profiling. Due to expense I can't see the company paying to test...

  24. Asked by Supervisor to Take a Drug Screen

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    It's not in the OP's question. Like you said if it's policy you have to do the UDS. I just wonder if part of their frustration is it's not really random. You would hope HR would have something to back...

  25. Asked by Supervisor to Take a Drug Screen

    rn_patrick replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    I am curious, are you the only one being tested every month? It's "random" but we just only test certain people every