KarenGeorgeBSRN

KarenGeorgeBSRN

Executive, DON, CM, Utilization

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All Content by KarenGeorgeBSRN

  1. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Dear ?, Thanks for proving my point! Have a great weekend! Karen

  2. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Dear Travelers! Enjoy. The truth is I linked after posting to another topic where your topic was posted. Found it interesting. The corporation I work for just refuses to hire Travel nurses due to...

  3. REAL Pain or ADDICTION?

    KarenGeorgeBSRN replied to captain morgan's topic in Hospice, Palliative

    Hi Ray, Neurontin was never FDA approved for nerve pain; in fact the side effects are so severe for those with NIP we do not recommend it for regular use; these include suicidal ideation, irreversible...

  4. From real good to real bad overnite

    KarenGeorgeBSRN replied to Hospice RNCM's topic in General Nursing

    Steve, I encourage you to stay the real test is "if you are a solid nurse and responsible" then wait it out, and let it happen. Medication techs are a real waste if all they do is pass medication; in...

  5. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Dear Heidi, You said a NA wrote you up; since when does this count without a licensed nurse either a witness to or signing off on? Your life is not over, and you cannot give up; perhaps this type of...

  6. Help am New DON FOR LTC

    KarenGeorgeBSRN replied to nursemid02's topic in LTC: Directors, Assistant

    Dear Grace, I wish you all the best with your book, and yes we can learn a task or intervention; anyone can it is a matter of being taught, followed, and re-integrated. Anyone but anyone can learn an...

  7. Have I displayed drug seeking behavior??

    KarenGeorgeBSRN replied to elthia's topic in General Nursing

    Hi All, Breaking an acute cycle is relevant; meaning a class II injected or IVP might have saved you from further pain and broken the cycle. If you do have NIP (nonmalignant intractable pain) find a...

  8. dilaudid

    KarenGeorgeBSRN replied to CoffeeRTC's topic in Pain Management

    Good Morning! Based on respirations, speak to the physician about decreasing the time of Duragesic patch change. An inverse relationship is noted; many on hospice care are cachetic and lack SQ fat;...

  9. Roll Call - Introduce Yourselves, Texans!

    KarenGeorgeBSRN replied to TheCommuter's topic in Texas Nursing

    Good Morning Ya'll!! I lived in Midland, Texas (West Texas) for 9+ years and returned to Richmond, Virginia to take care of a sick child for 7 months! Boy it did not take me long to realize I am a...

  10. moving to Texas

    KarenGeorgeBSRN replied to sassy ayen's topic in Texas Nursing

    Hi Sassy! Welcome to Texas before you even get here! You will love our state; if you drive the speed limit (smile) it takes three days to cross from one point to the longest distance. Indeed many in...

  11. Moving to Texas is not a good deal for nurse

    KarenGeorgeBSRN replied to John123's topic in Texas Nursing

    Dear John, Without taking a vote here I am sure most of us agree that you might attempt your future elsewhere. Texas is a wonderful state; those of us who live here, and are professionals know this....

  12. From real good to real bad overnite

    KarenGeorgeBSRN replied to Hospice RNCM's topic in General Nursing

    Dear Steve, No this is standard practice entirely! I have several specialties and have run a NIP network for close to 10 years (nonmalignant intractable pain) but consider myself a "generalist" and...

  13. Help am New DON FOR LTC

    KarenGeorgeBSRN replied to nursemid02's topic in LTC: Directors, Assistant

    Dear Grace, and all! You are absolutely correct; remember the survey situation is to find "negative" not encourage anyone for doing positive. Rarely will you hear a surveyor say "I really like the...

  14. From real good to real bad overnite

    KarenGeorgeBSRN replied to Hospice RNCM's topic in General Nursing

    Good Morning! In LTC an ADON can be a LPN or LVN as long as they have a 4 year BS in Nursing as myself on board. This is common practice. Steve you likely belong to a large system; there are several...

  15. REAL Pain or ADDICTION?

    KarenGeorgeBSRN replied to captain morgan's topic in Hospice, Palliative

    My recent reply on another TOPIC and this is truth! Re: Drug seeking or real pain? How do you tell? permalink Good Morning! One of the most difficult concepts for a nursing professional who is...

  16. Drug seeking or real pain? How do you tell?

    KarenGeorgeBSRN replied to JudyPRN's topic in Pain Management

    Good Morning! One of the most difficult concepts for a nursing professional who is brainwashed into thinking of "drug seeking" as a medical term is the differentiation between "tolerance" and...

  17. Drug seeking or real pain? How do you tell?

    KarenGeorgeBSRN replied to JudyPRN's topic in Pain Management

    Dear Temple, Thank you for reading; this is one of the most difficult parts of modern medicine today and when they state "pain kills" it is truth. Peace out! Karen

  18. Moving to Texas is not a good deal for nurse

    KarenGeorgeBSRN replied to John123's topic in Texas Nursing

    Dear John, In Texas we are able to speak properly including in clear statements. Do you realize how large our state is, and your research information or conjecture. Karen

  19. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Ladies!! The statistics are the proof I am not the enemy and they also prove your statements are entirely wrong. Perhaps if you took off your wings and stayed put you'd learn that you owe this to the...

  20. Help am New DON FOR LTC

    KarenGeorgeBSRN replied to nursemid02's topic in LTC: Directors, Assistant

    Wonderful commentary! We must accept though that due to the shortages, nurses will come in with experience in other areas and depend upon those like us; who have done systems work, and know the...

  21. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Dear ?, There is a lot of hostility in what is statistical fact. It is not my right to judge what the figures show. Furthermore I am a nurse; I just happen to represent the side of nursing where...

  22. Help am New DON FOR LTC

    KarenGeorgeBSRN replied to nursemid02's topic in LTC: Directors, Assistant

    Hi all, I'd like to reply to this openly. LTC is the wave of the future despite historical horror stories, and negative experiences. An experienced nurse with good documentation skills, and...

  23. Help am New DON FOR LTC

    KarenGeorgeBSRN replied to nursemid02's topic in LTC: Directors, Assistant

    Good Morning! If you have no system and no training "yet" then create a system as another writer announced that commands respect. The first time you walk into interview (whether they know or do not...

  24. Hospital cancelled my contract!?!

    KarenGeorgeBSRN replied to mrupp3's topic in Travel

    Good Morning! As an Administrative nurse dealing with budgets, and what we all know is cost-effective care for the recipients of nursing care, there is a monetary crisis in the "health care industry"...

  25. Drug Seeking Behaviors?

    KarenGeorgeBSRN replied to JLN1129's topic in Patient Safety Issues

    Hi there, Clients on Methadone typically are drowsy after taking their dosage; that does not mean they are "high" and if the physician wrote the order for 4 hours on the fast acting you do need to...