jodispamodi

jodispamodi

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All Content by jodispamodi

  1. Many nurses do not chart?

    The doctors charting on epic is no different, I've often said I'd hate to be an LIP and have any notes come into question because what I've seen at my facility they are all just copy and paste, its...
  2. Going to be dismissed from BSN program

    write the letter, mention the challenging events, be sincere. In my state nurses who have taken a bsn program can take the lpn exam (speak to bon about that), also I'm noticing a trend with more lpn...
  3. Reporting for racial slurs/substance abuse

    In my state the BON requires that if you know a nurse is working while impaired you are mandated to report them. The keywords here are "know", since this was reported on a friends social media, it...
  4. Staff Nurses Who Refuse To Precept Or Teach?

    we have a nurse or two, or three (ok I'll stop counting) like that on our unit, I personally think it comes down to 3 things. 1. perceived job security (if I dont share my knowledge, no one can ever...
  5. Doctor upset by charting

    For me, having worked in pysch, I generally do quote verbatim, with the exception being a situation like this; in this case (and it would also factor in if the patient was a minor), but rather than...
  6. Many nurses do not chart?

    What type of charting are doing?, an admission assessment or a focused assessment? Are you writing comments after each entry? Are you writing a lot of notes? Are you charting throughout your shift or...
  7. Resigning

    Hazy Blue, no worries with the long post and I dont think its unprofessional, just one of the hazards with the internet is, its impossible to get the full picture, you know what situations you're...
  8. Resigning

    Post is long and confusing, but if your asking about writing a resignation letter usually that consists of just I'm leaving on x date. If you want to vent your opinions on their perceived failings you...
  9. Funniest/strangest dementia patient stories

    I remembered another one from ltc. Had a 90 yr old mid stage dementia patient, One shift he started talking about trains, getting on them, getting off them, the sound they made. It was just trains,...
  10. Fired from my first RN job after only 2 weeks.

    If I could like this 100 times I
  11. Non skilled home agency educators-help

    whether or not the agency requires an RN or not is a moot point, if you were hired as an RN you are held to that standard period. When I worked home health we had quite a bit of training in all the...
  12. Frustrated Patient

    Isn't this a question you should be asking the LIP's at your clinic? If you are concerned the patient has labs that might indicate subclinical disease or pathology you should talk with her providers...
  13. New grad-still wondering when to hold certain meds!

    for dialysis patients, if they have an early morning dialysis appt I tend to hold all their meds. if its later in the morning or afternoon I generally will call either pharmacy or the dialysis unit to...
  14. Hidden camera in nursing home, cries for help unanswered

    very sad, I have an elderly friend who lost her leg a year or so ago. She had a roomate who was constantly on the call bell, when my friend fell despite calling for help no one came to assist her for...
  15. Time and blood pressure meds

    Just a quick question, Our floor CNA's sometimes have VS done by 7:30, often I don't finish report or have meds pulled until 8:00, and then if I have someone with extra needs or whatever I find that...
  16. New RN, terrified of codes and emergencies

    Thats not always true, I've seen some who haven't even required cardiology f/u after they were worked up in hospital. My friends father at 86 years old was a full code, pulseless, apneic and...
  17. How do I become an independant rn in home health

    First off find out if your current agency has a stipulation preventing you from working with any of their clients for a period of time after either you leaving them, or the patient leaving them. All...
  18. Former employer wants me to redo documentation

    No no, no! If CMS audits his chart and determines he was not homebound you are the one on the chopping block. You have no responsibility to a prior
  19. DESPERATELY seeking for an advice!

    I think you might need to speak to a lawyer regarding or asking BON, what happens if you leave and they have no other nurses. Obviously theres a reason they have no other nurses, but legally you may...
  20. DESPERATELY seeking for an advice!

    I've worked for a few different agencies both as an employee and as a traveler, even the travel agency gave me a short orientation with another nurse. At all agencies I've had a nurse bag, trunk kit,...
  21. Time and blood pressure meds

    Thanks for your answers, Maybe I can use the hour on the more stable ones, or come up with a plan with the aide so I take them on some and they do others. I'm just trying to come up with a plan to not...
  22. Duty of care? Opinions please

    My opinion is this, They had a duty to act. Once they went in the home and saw the patient down they should've called 911 and provided whatever aid they could until EMS showed up. Sorry to say, but...
  23. How do I get over this feeling?

    I'm sorry for your losing your patient, no matter how many you lose, its never a good feeling. Document, Document, Document. The only thing I can say is in instances where I have had a doctor not call...
  24. Time and blood pressure meds

    Are you acute
  25. Entry into home health nursing

    Any experience is beneficial, just be prepared for a huge variety of patients, when I did home health my patients ran the gamut from very simple post op joint replacements to patient that had LVAD,...