rn_patrick NP

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 if someone else from that facility is reading thi...

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 vitals" is not that big a deal. Corporate SNF or LTC ar...

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 we really need to do this every day." I have been t...

"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 really cares about.

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 days after admission, then once a week, UNLESS on ...

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 vitals not being indicated daily. That is what their fa...

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 alone.

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 way?

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 the patient is too agitated to do vitals. The iss...

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 it.

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 going to a new program. Turns out the owner of the g...

I think hospitals pay the best. Like that rate posted above.

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 row.

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 can get overwhelmed at times. The numbers you quo...

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 package comes to about 85/hr. (Or I failed my neg...

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 don't buy one of those 30 CEU online classes and get...

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 work.

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 State and so forth. These have all been for Hospitals,...

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 warrant. Even possibly going through a border, or ...

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 vacation for a bit and it may be a way to help.

Thanks Mary Jean.

The agency you applied to may never work with you again.

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 everyone, every month. I'm hoping the person who a...

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 up that it is random or that they are not targeti...

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