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herring_RN

retired registered nurse
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  1. More information and opinion. I quoted a fraction of the information needed to begin understanding single payer healthcare.
  2. herring_RN

    California RN to tele PT ratios

    I think you are correct. Before the ratios our hospital had telemetry and step-down patients on the same unit. After they created a step-down unit where so called "stable" patients requiring mechanical ventilation, pulmonary artery catheter or arterial line, non titrated Dopamine and other vasoactive drips are staffed at three or fewer patients per RN. "Stable" patients with continuous cardiac monitoring are classified as Telemetry patients and staffed at four or fewer patients per RN. Acuity can decrease the number of assigned patients for other reasons than severity of illness. A patient with decreased ability for self care or with a high potential for a fall or self harm often needs more tome than a four patient assignment allows so the assigned nurse may need only two or three patients, OR a sitter or other additional nursing staff would be appropriate. Link to the ratio regulations: https://govt.westlaw.com/calregs/Document/I8612C410941F11E29091E6B951DDF6CE?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)
  3. I know Representative Karen Bass. We once worked at the same hospital. She was an LVN before becoming a physician's assistant (PA) and then an instructor in USC's PA program. She also worked with us in our struggle to finally achieve safe nurse-to-patient ratios in California. She is as personable as she seems. She one of those smart, hard working, and high energy leaders. It is great to have Representative Underwood in congress now too.
  4. herring_RN

    "Like" Limits

    I clicked "like" because I was glad the member posted a study, but when I clicked "disagree" my Like turned red as if I didsliked the post. Then I couldn't click "Like" again. So left no response at all. Maybe I'll just respond with a quote and type what I mean.
  5. herring_RN

    A statistical death

    Although numerous studies have statistically shown that the hospital nurse staffing ratios mandated in California are cost effective and associated with lower mortality too many refuse to provide sufficient nurses to ensure that patients receive needed nursing care.
  6. herring_RN

    "Like" Limits

    Thanks. I also plan to only click "disagree" when posting why I disagree.
  7. herring_RN

    Welcome Home!!!! - Home Sweet Home

    GLAD WE HAVE OUR ALLNURSES.COM BACK. Thanks for the welcome!
  8. Thank you for this! I didn't know about her. I did find some photos of her.
  9. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    I think if most Americans really learned and thought about it they would support a single payer system, expanded Medicare for all of us. All of us including elected politicians and those who lose the election too. For people between jobs, babies, children, and young adults. Not just 80% coverage for us old people. We won't have to spend as much when we eliminate the advertising costs, shareholder dividends and/or speculation, and enormous insurance company executive compensation especially stock options.
  10. Thank you Farawyn. I think nurses should be aware than some people are intersex. All people are not one gender. Some people are intersex. I know two of them. One is a family member. The midwife who delivered her at home 80+ years ago registered her a male. She didn't know this until she applied for Social Security when she retired from her job. She was born with a clitoris that now looks like a little boy's penis. She married a man and had four children. She is a woman with an unusual anatomy. The other person confided in me that he didn't know until puberty. I don't know what he looks like because he neither told no showed me. He told me of the confusion, depression, and mental anguish for several years until deciding to remain a man. I've cared for a few intersex people. I don't know whether or not they knew. It wasn't on the chart. I cared for one transgender woman. I saw that in the chart after having given her a bedpan and noticing nothing unusual. She had adult children. She was once their father and is now their "aunt". She is good friends with her ex wife who calls her "sister". It seems very odd typing this, but my patient seemed like a normal woman with a nice family.
  11. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    My daughter doesn't get a subsidy for her Bronze plan, she pays almose $250.00 a month. She has the nearly $6,000.00 in savings in case of an expensive illness or accident. If she has to go to the hospital she will not have to pay more than a maximum of her deductible minus premiums and deductibles already paid. Without insurance she would have to pay whatever the hospital charges. Of course she is hoping not to get sick oe injured.
  12. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    A silver plan for a 30 year old in Los Angeles working full time for $9.61 /hour ($20,000.00 a year) costs $82.00 a month. He or she would have a $500.00 yearly deductible and $50.00 brand name drug deductible. Possible total yearly out of pocket for premiums and copays is $2,250.00. A shop and compare to find information on different plans for a person's age, income, and location. Even though the link says, "Bad Request' it works for research purposes. Bad Request
  13. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    My dermatologist only takes Medicare. Before I was 65 she gave me a detailed receipt to mail my insurance company for reimbursement. Much of her practice is cosmetic that insurance doesn't cover. I know a family practice physician who does the same. Most of his patients are old enough for Medicare. he took over his father's practice and owns the building his office is in.
  14. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    FAQs about Affordable Care Act Implementation May 11, 2015 ... Plans and issuers must cover without cost sharing at least one form of contraception in each of the methods (currently 18) that the FDA has identified for women in its current Birth Control Guide.(12) This coverage must also include the clinical services, including patient education and counseling, needed for provision of the contraceptive method... ... The plan or issuer may not impose cost sharing with respect to anesthesia services performed in connection with the preventive colonoscopy if the attending provider determines that anesthesia would be medically appropriate for the individual... Frequently Asked Questions - The Affordable Care Act Implementation Part XXVI
  15. herring_RN

    Why I cannot hate the Affordable Care Act (ACA)

    I agree with you. It is not easy. That is why I stayed with more few people as they called doctors listed as accepting the plan. One woman made many many calls to be told, She is not accepting new patients at this time." After the first two she asked if another doctor in the practice was taking new patients. Finally she had an appointment for the free yearly preventative care visit. She now had a primary doctor. If she gets sick she can go to one of our best hospitals where he is on staff. Of course she hopes not to need hospitalization. I made sure to show each person who was happy for my help to point out the urgent care clinic they can go to if they can't get an appointment when sick. In my area the plans I know send a booklet with all available primary practitioners and hospitals. An updated list is on line too. I wouldn't help a person call a practitioner who is not in the plan, but many accept the insurance who are not taking new patients. Two people I know have the same doctor who is new to to his city. I'm just saying that sometimes nurses can help our friends, neighbors, and family members access care. If they want the help.
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