pennyaline

pennyaline

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All Content by pennyaline

  1. Urgent question about policy for bedrails as restraints in ICF DD facility

    pennyaline replied to arckangel6983's topic in General Nursing

    Those items ARE restraints and cannot be implemented simply because families want them. The facility is not ALLOWING patients to fall by removing side rails and geri chairs from routine use. Restraint...

  2. State survey

    pennyaline replied to kappykatlpn's topic in Geriatric, LTC

    But even with that bureaucracy to face down, if the facility's got its paperwork right and its ducks in a row, winning an IDR is a simple matter. It's all in the details... and using the survey team's...

  3. State survey

    pennyaline replied to kappykatlpn's topic in Geriatric, LTC

    Don't kid yourself. "They" and the survey process matter very much and can cause a great deal of grief for facilities burdened with persistently negative

  4. State survey

    pennyaline replied to kappykatlpn's topic in Geriatric, LTC

    How long ago was this survey done? Has your facility received the final report from the State? Survey teams do make mistakes and misinterpret information. In their report they must specify where the...

  5. Vacation - We need to find our own replacements

    pennyaline replied to StNeotser's topic in General Nursing

    I have seen many hospitals and facilities try to get away with this. It is a multifaceted problem, but an easy one to deal with. Somewhere in your policy manual, it states how much notice your...

  6. Threatened to be Fired for "patient safety" issues.

    pennyaline replied to crimson and clover's topic in Patient Safety Issues

    When I first started in nursing in the 1980s, questions and comments such as the ones this NM made were not prohibited. "Do you have children" and "Do you plan to have children" was asked of me more...

  7. Oldest Nurse

    pennyaline replied to KY RN's topic in General Nursing

    I know that sometimes workers put off retirement for financial reasons, or want to keep working to fulfill the need to be productive and contributory, but I think working three twelve-hour shifts/week...

  8. Was this ethical?

    pennyaline replied to animal1993's topic in General Students

    Please consider too the cognitive impairments that often accompany MS. Sometimes, their reasoning and judgment is seriously effected by their disease. At my facility, most residents with poor or...

  9. Air embolism during hemodialysis

    pennyaline replied to stellina615's topic in General Nursing

    One thing you must always remember is that there are no silly or stupid

  10. Stress/Panic Before Going to Work

    pennyaline replied to rn-n- 2005's topic in Emergency

    Off the top of my head: Sounds to me like you're on the right track looking for a job with less stress. Take your ED experience and break into ICU, OR/PACU, surgical center... Life is too short to put...

  11. Texas Petition for Declatory Order

    pennyaline replied to AlphaDogma's topic in Licensure: Criminal History

    Haven't had that happen, but here's my best guess: They'll address it on a case by case basis, using the information you provide them about the event, do a background check, make sure you were...

  12. Research on NCLEX-RN Preparation

    pennyaline replied to victo019's topic in NCLEX Exam, Programs

    Knowing that I had graduated with good grades and good evaluations, then the thorough review of the examination prep book, made me confident enough to relax and realize that if I kept my wits about me...

  13. Squeamish

    pennyaline replied to jetsabel621's topic in General Nursing

    Post-Anesthesia Care Unit... the recovery room in the

  14. When a patient is dying, am I expecting too much?

    pennyaline replied to ShayRN's topic in General Nursing

    Shay, if I came down hard on you, hon, I apologize. My point was that you were expecting far too much and you were being incredibly judgmental with both the patient and her family, and I still believe...

  15. When a patient is dying, am I expecting too much?

    pennyaline replied to ShayRN's topic in General Nursing

    I didn't say you WERE angry. I said you ARE angry. As you wrote your post, your anger was seething and it showed in your choice of words and tone of voice. Let's look again at the last two paragraphs...

  16. When a patient is dying, am I expecting too much?

    pennyaline replied to ShayRN's topic in General Nursing

    You are angry. And you are being incredibly unfair to this woman's daughters. If they don't understand or react to terminal illness, death and dying the way we think they should, they're not doing...

  17. documentation and getting MD orders

    pennyaline replied to rnto?'s topic in General Nursing

    Night shift staff is perfectly capable of taking the responsibility for what it does. THEY can call the docs, THEY can get their own orders, and THEY can accurately chart the behaviors. Getting calls...

  18. Does it bother you when CEOs etc. get "excellence in care giving" awards?

    pennyaline replied to mama_d's topic in General Nursing

    Wow, am I jealous of those of you with responsive administrators. Where I am, and in most places I've worked in the last ten years, the administration and corporate hot shots walk through once or...

  19. So upset got passed for charge

    pennyaline replied to Emilysmom2, RN's topic in General Nursing

    Although I've functioned as charge nurse on every shift in most places I've worked, I guess I'm confused about what a "charge nurse" is. I was charge on the night shift because I was often the only...

  20. Dosage calculation

    pennyaline replied to justt139's topic in Nursing Student Assistance

    You're in the wrong forum, but I'll try to help you out. I won't solve the problem for you, but I'll get you pointed in the right direction. I'm guessing your are a student :wink2: It's a basic...