pennyaline

pennyaline

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All Content by pennyaline

  1. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    Gotcha!

  2. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    LOL! Poor

  3. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    I understand. It's tough when the family wants what it wants. However, I still can't see how the desire to keep her from packing him off to Florida justifies giving HIM all of those psychotropic meds...

  4. State showed up today.

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    Bless you, sister. I hear

  5. State showed up today.

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    The form they come with is called (or at least it was called when I was a DON) an OSCAR, and you can get the one for your facility from the state. It reflects data as reported on your facility's...

  6. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    Aw, that's too bad for both of them. Still, it doesn't mean he can't go home with services that will help out both of them, as in snow shoveling and winter maintenance stuff. And it doesn't adequately...

  7. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    Working in LTC has made me VERY cynical. And since the OP, not someone new to this forum, states that it's PT that's getting in the way, I have to believe that this started as a reimbursement issue....

  8. What happens if you find a med error on MAR/TAR?

    pennyaline replied to Plagueis's topic in Geriatric, LTC

    Even when MARS and TARS are on computerized systems, it is still required to have signed recertification orders on record. If an order is received during the last days of the month and entered...

  9. Help with Elopement

    pennyaline replied to SuesquatchRN's topic in Geriatric, LTC

    Is he private pay or Medicare? PT is only waiting for his payment source to run out, and I'm sure your administrator is too. Be that as it may, the guy obviously wants to go home. It's time to take...

  10. Pay Raises

    pennyaline replied to Riley3's topic in General Nursing

    It's not about supply and demand. It's about reimbursement and the bottom line. Maybe they'll be begging for nurses in a year or two, but management remember the lessons they learned during low...

  11. Medical staff rude to my brother;complicated;advice please

    pennyaline replied to burberrylover's topic in Patient, Colleague Relations

    Yes, but why? Why bother once the extent of the condition is known AND it is known that the patient wants nothing done to extend life? Moreover, it is possible that the obstinate caregiver would...

  12. Medical staff rude to my brother;complicated;advice please

    pennyaline replied to burberrylover's topic in Patient, Colleague Relations

    To the O.P.: I am very sorry that you are going through this. According to your own posting, you were not involved in what transpired, weren't there when it happened, and are not a nurse. With that...

  13. Help! Feeling frustrated & overwhelmed!

    pennyaline replied to Shyred's topic in Geriatric, LTC

    I talked to one of the nurses who failed to insert the foley into the stomach. She got stomach content on aspiration, but the tube was misplaced all the same. The resident's doctor, who happened to...

  14. Help! Feeling frustrated & overwhelmed!

    pennyaline replied to Shyred's topic in Geriatric, LTC

    Yup, we used to place foleys blind for G-tubes all the time, before the trend shifted to PEGs placed with imaging. I never had a problem or complication after inserting a foley for tube feedings, but...

  15. Is This a HIPPA Violation?

    pennyaline replied to TeleNurse30's topic in General Nursing

    If there is value in reviewing this patient's course "as a learning experience," then let it be the job of the unit manager, Staff Development or QA to present it as one. Otherwise, it's seems to be...

  16. Help! passing meds in isolation rooms?

    pennyaline replied to x_coastie's topic in General Nursing

    Trash in isolation rooms is handled and disposed of differently than general facility trash. Red bagged trash is incinerated, completely, so anything you dispose of in an isolation room will be...

  17. D.o.n addicted to narcs

    pennyaline replied to logical_jackieo's topic in General Nursing

    In the places I've worked, in more than one state, narcs had to be removed along with their respective count sheets and co-counted and co-signed by the person removing them and the nurse who held the...

  18. Is This a HIPPA Violation?

    pennyaline replied to TeleNurse30's topic in General Nursing

    By the OP's description, yes, it was a violation. The nurse in question was not working that shift, was not involved in the code, and apparently had no need to know. And it's HIPAA, not

  19. what should I do? Need major help with a terrible situation that I am in with my prof

    pennyaline replied to raindrop's topic in General Nursing

    That you blame the Writing Center for screwing up your grade is a bad sign. It is a student's responsibility to write and submit papers that meet the criteria established by the professors who assigns...

  20. Annoying or showing determination???

    pennyaline replied to ilovenursing2009's topic in General Nursing

    If you are applying to a new grad program, I assume you are nearing graduation. If you are still a student, you have an advisor. If the HR department sent the e-mail with no further instructions, then...

  21. Annoying or showing determination???

    pennyaline replied to ilovenursing2009's topic in General Nursing

    Who sent the e-mail saying that your portfolio had been submitted? Who is acting as your advisor? What does your advisor say to do? It sounds as though the admission protocol is to start with...

  22. Do you need an order to give the flu vaccine?

    pennyaline replied to MikeyBSN's topic in General Nursing

    Not every pharmacist holds a doctorate, and having a doctorate in pharmacy does not automatically award prescribing privileges. Pharmacists are licensed to dispense, not to prescribe. If a pharmacist...

  23. I Just Have To Say

    pennyaline replied to Vito Andolini's topic in General Nursing

    https://allnurses.com/nursing-news/woman-sues-after-439137.html

  24. Report DON for illegal drug use

    pennyaline replied to Easydusitks's topic in General Nursing

    There is enough. There is an accusation of malfeasance, and that will be enough for the licensing board to initiate an investigation. THEY will decide what if anything needs to be done, and THEY will...

  25. Report DON for illegal drug use

    pennyaline replied to Easydusitks's topic in General Nursing

    Make a complaint to the licensing board in your state. They WILL investigate and decide if disciplinary action is warranted. I once worked under a DON who was not only actively using...