Maerzie

Maerzie

Med-Surg, I.C.U., C.C.U.,E.D., O.B., Ger

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All Content by Maerzie

  1. I have been retired for awhile,(2006), but still, it seems insane that ADN's make more than Diploma RN's, who have had so much more practical experience, if they were hospital trained. ADN's get such a minimum of practical experience in this area (M...
  2. What is the grossest thing that's happened to you???

    I've been spit at, and had an elderly male reach for my private areas, but the actual GROSSEST thing I can remember was stopping at Penney's on my way home from work, and realizing I still had poop all over my shoes, from cleaning up after an inconti...
  3. ADN or BSN: What's the Big Deal?

    I was fortunate in graduating before all the foolishness occurred. I had my education in a hospital-based Nursing School, and received my nurse diploma, becoming a Registered Professional Nurse AFTER I passed my state boards, which are very high req...
  4. Trying to give a less painful IM gluteal injection

    I have never heard of separating the needle from the syringe. I usually just assess the site in the upper outer quadrant of the gluteus, spread the skin taut with your thumb and forefinger of your non-dominant hand, eye up your target spot, as you "...
  5. What gauge needle for subq heparin do you use?

    Any small SQ needle is fine, but I've always used a #25 gauge (short) needle.
  6. Very nasty, unhelpful remark from an obviously dangerous nurse, who already "KNOWS EVERYTHING!" I'm ashamed to say she sounds as if she's a Newbie, from Wisconsin, by her moniker. No seasoned nurse, worth her salt, would ever be that snarky!
  7. Is money everything in this profession?

    Far too many administrations have become greedy toward the nursing professional needs. I had my last place of employment try to push me out with set-up, crooked, malpractice-type traps, so they could fire me and not have to pay my retirement pension...
  8. Reassess yourself after you are fully recuperated and back to normal. Life happenings, like Major surgery, can knock the wind out of anyone!
  9. Whenever any unknown procedure or piece of equipment comes up, ask your D.O.N., or an experienced co-worker, to demonstrate and watch you accomplish same, before the need arises and you are alone. When I first started my practice, even CPR wasn't in...
  10. Nursing-Social Life

    In 40+ years of nursing, I had moved several times, and I never had a problem "fitting in", or, with cliques. You obviously have to know what you're doing, however. I have worked with (taught?) new "supposed RNs", making as much, or, almost as much...
  11. Responsibilities of Home Health Nurses

    Just got back from Talledega, so haven't been on for a while. I sort of like this comraderie(sp?) NursieMe
  12. Responsibilities of Home Health Nurses

    Hi Melissa- A Home Health Nurse does almost everything that a hospital nurse does. Sometimes more, because the facilities are only what is or is made available in the home. Primarily, we do the assessments of systems, wounds, I.V. sites, meds, any ...
  13. Getting the Labs there on time?

    I cover 100-250 mile radius daily, and, like Hoolihan, I plan my labs as my first patients of the day, take them in to the nearest lab, (regardless of the extra mileage), and the go on to my other patients. Except in winter, I always have an icepack...
  14. Integrity of Administration?

    I have my BSN + Master's credits, but I have refused all recent administrative positions because the position is synonomous with loss of integrity and ethics. I have seen such rotten administrative dictates in the past few years it would make any r...
  15. What degree does your administrator have?

    I forgot to add: Some people are just suckers for titles, and will tolerate anything to have a label that sounds important. One of our hospitals hires a position entitled "Assistant Administrator." In reality the position consists of being DEMOTED...
  16. What degree does your administrator have?

    In my agency, there is no administrator, just managers. I have more education and experience than any of them, but I can't stomach the unethical requirements of administration. I've "been there; done that!" Usually they put MANY requirements for t...
  17. No Pay for Record Time??

    I was just reading the posts under "What's Your Caseload Number?" and found that many agencies are requiring their nurses to do their record time WITHOUT pay!! WHY is this happening to professional people? For the same reason a husband beats his wif...
  18. No Pay for Record Time??

    What a shame, Renerian, that good nurses get pushed out because of rotten administration. Home health has so many good points it's a shame the management games have to toss us all around. I also agree with a post written a different day or in some n...
  19. Home Health Admission Time

    I'm just looking for some input as to how long the complete home health admission takes various nurses. I'm talking about ENTIRELY!! From beginning paperwork, assessment, any treatments, Oasis, and all the remaining paperwork. Our organization's ex...
  20. Home Health Admission Time

    wenron- This is more like the times it is taking our nurses also. I suppose a person can do a sloppy job a lot faster, but a good assessment plus all that paperwork takes a LOT of time. Most bosses arrived at their positions BEFORE OASIS days, and ...
  21. No Pay for Record Time??

    Well, Jayjay, it looks like Canada will then beat us to the punch by all the nurses deciding to be independent contractors! That way, the greedy administrations making all the profits will be dancing to the tune of the nurses instead of the reverse,...
  22. what qualifies?

    Yes, Cardio-Trans, it seems like the nurses(?) who decide what will get paid and what won't qualify have never really been practicing nurses. And they certainly don't know anything about critical thinking! Lots and lots of degrees, important posit...
  23. No Pay for Record Time??

    Good Girl, karbyr!! We need more nurses with this kind of spunk. Good luck with whatever's happening for you right now.
  24. what qualifies?

    kcrnsue- Medicare doesn't pay for "only venipuncture" SNV's. If you can't document any other skilled need, your teaching the patient the importance of continuing to go to get his venipunctures is about the last skill your office will be reimbursed f...
  25. No Pay for Record Time??

    P.S. Also, make sure the agency or company gets put on report with the labor relations boards so they are watched for these shenanigans in the future. We MUST speak up when these things happen. Let's not have any more WIMPY nurses!