thinkertdm

thinkertdm

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All Content by thinkertdm

  1. HIPAA - PHI infraction?

    thinkertdm replied to kacy6595's topic in HIPAA Challenges

    In order for HIPAA to be in effect, doesn't there need to be two things? Like an identification of some sort (such as a name) matched to protected health information? Surely you aren't claiming that...

  2. Nurse's getting younger

    thinkertdm replied to Keepstanding's topic in General Nursing

    Maybe the nurses aren't younger, maybe you are just older. Don't mean to be snarky, but I'm sure when you started, an older nurse said the same exact thing about you. Also, you seem to equate...

  3. One carpal spasm question-please guess

    thinkertdm replied to Blackcat99's topic in General Nursing

    Technically, it's not a "Babinski reflex". It's a plantar reflex, and it's a Babinski sign when the toes curl up. It can be a sign of a central nervous system lesion, or can be a normal variant in a...

  4. Do you find this article insulting?

    thinkertdm replied to cacentralvalley's topic in General Nursing

    Happy hospitalist is an ignorant SOB who believes that as a physician, all others are beneath him. He may have valid points, but his pomposity hides any point he tries to make. In his little world,...

  5. Is this a HIPAA violation?

    thinkertdm replied to studentCL2009's topic in HIPAA Challenges

    It's not a HIPAA violation, because the patient isn't identified. I believe HIPAA violations happen when the patient is identified. That's why case studies can have patient initials in journals....

  6. Injury of Unknown Origin

    thinkertdm replied to HurricaneCasRN's topic in Geriatric, LTC

    I think that you are right, technically, it is "unknown" because it is, well, unknown. However, that label is used when there isn't a plausible explanation of the event. You had one. The abuse label...

  7. A hospitalist's clash with a PA and NP

    thinkertdm replied to TheSolemnHospitalist's topic in General Nursing

    So, despite all your so-called advanced training, you are intimidated by someone taller than you? Why is this even relevant? Unnecessary tests=insurance fraud. I'm sure some bean counter somewhere...

  8. Can you prick a diabetic too hard?

    thinkertdm replied to esunada's topic in General Nursing

    Short of stabbing it into the bone, you can't really do it too hard. This person was just being a baby. Also, check the finger (or ask the patient) to find one that is least used. If I forget...

  9. Is it okay for a CNA to call herself a nurse?

    thinkertdm replied to Mrs. SnowStormRN's topic in Patient, Colleague Relations

    While I agree that physician assistants should not call themselves doctors, they are NOT "assistants"- certainly not on the level of a CNA calling herself a

  10. how long until nicotine and byproducts are flushed from your system?

    thinkertdm replied to ashleyisawesome's topic in General Nursing

    They probably aren't more supportive because most smokers have quit numerous times- or have no plans of quitting at all. Nicotine is one of the most addictive substances known, and it's very...

  11. just a health question..

    thinkertdm replied to malicexmirage's topic in General Nursing

    Respiratory

  12. Fed up with the "rules"

    thinkertdm replied to Been there,done that's topic in General Nursing

    I feel for you, I really do. But if you don't like their rules, you don't have to play. Take a walk. And by that, I mean, quit. You can do

  13. Placebo's & Trust

    thinkertdm replied to DJ-Adia's topic in General Nursing

    Wow- the only nurse in the world with the name of

  14. Did you get their bath done? Seriously?

    thinkertdm replied to Bezoars's topic in General Nursing

    So...it's just nurses who have to do more with less? Who have to prioritize on a daily basis? Have increased expectations of them by supervisors? Who work for an organization that has to make a...

  15. Lateral Violence Research

    thinkertdm replied to SnowShoeRN's topic in General Nursing

    Chances are that it was reviewed by an IRB, probably both at the NIH as well as whatever hospital is doing it. Extremely strict guidelines were probably described (and implemented) to ensure the...

  16. Did you get their bath done? Seriously?

    thinkertdm replied to Bezoars's topic in General Nursing

    Exactly! Don't think of them as people in pain, think of them as just obstacles keeping you from doing the important stuff. Who needs a bath when you have important boxes to check off on the EMR?...

  17. blood pressure cuff allergy

    thinkertdm replied to rdsxfnrn's topic in General Nursing

    Interesting... wouldn't that preclude any sort of contact dermatitis type stuff? How long does it last for? Is it bilateral? Is the same arm every

  18. blood pressure cuff allergy

    thinkertdm replied to rdsxfnrn's topic in General Nursing

    It's also possible that there is an allergy to either what people use to clean it, or (more likely, since I don't think they get cleaned very often) the collective goo from other

  19. What DO we do...really?

    thinkertdm replied to DREAMSDOCOMETRUE0610's topic in General Nursing

    He is an ass. You did what you thought was needed, not what he expected. You just didn't use that "thing", you were drawing on x number of years of experience and training to make sure he wasn't...

  20. Fever and Headache

    thinkertdm replied to springgarden's topic in Nursing Student Assistance

    Don't let other people fool you- they are both the same! No, I'm just kidding. A headache is when your foot hurts, obviously. A fever is when your head

  21. Why do hospitals care about health care costs?

    thinkertdm replied to chiuli's topic in General Nursing

    Insurance only pays pennies on the dollar for most things. A procedure that costs $15 will only get maybe $5. Do you ever check your EOB's? Hospitals are there to do one thing- make money. Like any...

  22. A Violation of Hipaa?

    thinkertdm replied to subliminalvermilion's topic in General Nursing

    Do you get training in HIPAA? Because most of the people on this board (like in real life) have no idea what it entails. Did your discussion involve protected health information? Probably...

  23. HIPAA help

    thinkertdm replied to 2greeneyes's topic in HIPAA Challenges

    Basic research saves the day! http://en.wikipedia.org/wiki/HIPAA HIPAA=Health Insurance Portability and Accountability

  24. ICE " in case of emergency " apps worth it ?

    thinkertdm replied to Trekfan's topic in Emergency

    It sounds like a great idea, but think about this: how many different models of phones are currently in use by people? Literally hundreds, if not thousands. It would be impossible to train a...

  25. How does a LP cause herniation with increased ICP?

    thinkertdm replied to TooterIA's topic in General Nursing

    Lots of things are rare. Doesn't make them any less important to know, as well as the mechanism. I don't get the hate directed toward understand how something