Neats

Neats BSN

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All Content by Neats

  1. As a LNHA I had a patient who was in hospice for over a year. The last time of recertification she was declining and we anticipated her to be gone by the end of the year. This resident has daughters...
  2. Unfortunately in todays environment we do have a lot of people who have personality disorders. We need to recognize this is an axsis II diagnosis and these are the hardest people to deal with but it...
  3. Buy your own laptop?

    Unless they are wanting you to complete your documentation in house on their computers I would not use your own personal lap top or cell phone. HIPAA rules are there for a reason and you will have...
  4. Patient care tech's install IV?

    It is different from state to state some allow for this type of skill while others do
  5. FOMO & anxiety. Need advise.

    I have face book with my spouse, we do not get on all the time, if I had grandchildren I more than likely would because my daughter lives outside WA--DC and I live back west. We keep track of friends...
  6. This is the major reason why I stopped being a manager. It is not only the patients, family and regulators, it is the staff as well. I managed a nurse who wanted me to include how well they could...
  7. I have hired over more than likely 300 nurses in my career and I have never once asked what their GPA was. I did ask if they have a license and to prove they do. Same goes for ancillary staff or for...
  8. Transitioning from paper charting

    I have implemented this program a lot first do not be afraid, the instructions are easy. After you get the hang of it remember that a person can get real comfortable with knowing where to click and...
  9. interview help

    I was the Pharmacy Prior Auth Nurse for a major insurance company and we have always used licensed nurses. Non-licensed staff usual review for items less than $1000.00. You should be familiar with...
  10. Call light misuse and abuse

    I have had patients like these and we would care plan and make rounds to ensure this patient is taken care of. If there is an emergency then that is another story. The patient and family would be...
  11. Hoping for a miracle

    I will more than likely get some nursing backlash for this reply but here goes: Nurses with back issues are a dime a dozen. I do not mean to mitigate the seriousness of back injuries but a lot of...
  12. Being married for over 30 years I can tell you it can be difficult but not impossible to maintain a marriage. My husband was military and most of the time I was like a single parent. It was tough on...
  13. What's next after correctional nursing?

    I think correctional nursing does open up doors it is just where you practice at. Some prisons have hospital like environments and some have types of office based ambulatory nursing. Your skills can...
  14. Do/did your children suffer.....

    We too raised our children to be self sufficient between me a nurse and their dad a special forces/delta force ranger, our kids did not get away with a lot. My mantra to them was unless you are...
  15. Universal Deathcare.

    Oh one of my favorite soap boxes. I have lived in Europe and grew up in Canada. I have experienced socialized insurance first hand. I also have worked in the geriatric setting so again have...
  16. Need advice on ethics

    The HIPAA Privacy Rule applies to the individually identifiable health information of a decedent for 50 years following the date of death of the individual. The Rule explicitly excludes from the...
  17. Handling remarks/comments

    MY one redirection come back is I am here to address your healthcare needs, your kite said you are having stomach pains (what ever they need) and I address what their needs are. If they continue their...
  18. Marketer Conflict as a DON

    I would just tell her to send in the request in writing so everyone is on the same sheet of music. Anything she asks for I would say I am so very busy can you fax it in so then we all can understand...
  19. First time nurse supervisor position??!?

    First so happy for you on your new position. Now here are some tips to help you succeed in a management position 1. Be yourself and have good boundaries 2. I would introduce your self to the staff....
  20. CNAs and Nurses Referred to as "Girls"

    I think it is the ages we work with in a facility. Skilled Nursing Facilities use to be called Nursing Home and prior to that they were home for the aged also known as almshouses. These first homes...
  21. Was she yelling or did she raise her concerned voice. Is this her routine communication? As many years of manager experience I have been firm fair and consistent. My voice is already big as...
  22. Chart Auditing and education

    I think if you look at the definition of scope of practice between a RN and LPN and for that matter unlicensed assistive staff. Some of the fundamental differences when it comes to all work other...
  23. Concern

    I agree with a lot of other replies I would not say anything about the tremendous leadership skills you have in yourself as far as this rehab time. You are to be congratulated and should never be...
  24. In my healthcare career I have worked with a lot of passive-aggressive nurses/healthcare staff. I just ignore them and move along. I also am very clear, firm, fair and consistent with these people. I...
  25. Suspension

    Technically it is not illegal however you can be terminated for any reason as long as it is not discrimination. I hear a lot of well, it is just not a good fit. That is a reason. As a nurse manager...