Boog'sCRRN246 RN

Utilization Management

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All Content by Boog'sCRRN246

  1. Boog'sCRRN246

    Jane Watsons Theory of human caring

    My hospital uses her model of care. She actually was just there to lecture not too long ago...the lecture included ringing bells and chanting. I love being able to chart that I've used "mysticism" and...
  2. Boog'sCRRN246

    Nurse Rounding

    I guess once the patients are done with their therapy for the day it would be feasible. I had a two hour span today where I only saw my patients working with their therapist because that is how their...
  3. Boog'sCRRN246

    Unit Design Blamed for Increase in Falls

    What good is a bed alarm if there is no staff to respond to
  4. Boog'sCRRN246

    Question about pay!?

    Definitely not
  5. What a leap. I hope you're not trying to group yourself with HIV patients and drug addict patients as those are legitimate conditions. Getting busted for hooking up in a parking lot doesn't spark a...
  6. I don't know that any of us have compassion for someone who couldn't manage to, oh I dunno, GO SOMEWHERE PRIVATE before attempting to get it on. And that has absolutely no bearing on our practice of...
  7. Boog'sCRRN246

    can't find the prioritization answer

    I think many posters need to go back and look at the time frame that was given. FIVE MINUTES. A drop from 18 breaths/min to 12 breaths/min in only five minutes is pretty
  8. Boog'sCRRN246

    White uniform

    Nude, flesh-toned, buff...whatever matches your skin
  9. Boog'sCRRN246

    Not getting report/hand off on patients

    What is this report book you speak of? Why can't you just give a verbal, nurse-to-nurse report? Seems kind of
  10. Boog'sCRRN246

    Providgil for stroke pts

    I work in inpatient rehab and both of our physiatrists prescribe Providgil for post-stroke patients, as well as Ritalin and sometimes Zoloft. Ritalin is used the most often and I've seen a good result...
  11. Boog'sCRRN246

    You know whats annoying...

    It's not just you. When I first started on my floor, I was blamed for anything and everything that was missed or done incorrectly. Most of it was paperwork nonsense that was "taught" to me just in...
  12. Boog'sCRRN246

    Teaching as a new grad?

    In my clinicals, we had our clinical instructor, but we also had an adjunct clinical instructor. The adjunct joined us for a few hours each clinical to be of assistance if needed. Some of them were...
  13. I think the person in question was probably a "medication technician", which requires no degree, just a 60-hour (more or less) course with maybe eight clinical hours. Huge difference between that and...
  14. Boog'sCRRN246

    Floating?

    At my facility, you don't float until you're off orientation for six months. I wish all that was given for refusing to float was a write up - where I work, it's a 3-day suspension without
  15. Boog'sCRRN246

    Can you be a CNA and a LPN in Florida?

    Your CNA certificate stays active until you choose to renew it or let it expire. You'll still need to be current on your CNA CEUs, if you choose to renew. And if you hold a CNA certificate and a LPN...
  16. It can be calculated two ways: Ex: $16 x 8 hours = $128 $1.50 x 8 hours = $12 Add them together = $140 Or $17.50 x 8 hours =
  17. Boog'sCRRN246

    Removing a tic from a patient

    At the risk of sounding really dumb, I have to ask...did they mean a "tic", as in Tourette's syndrome, or a "tick", as in the small arachnid
  18. Boog'sCRRN246

    Giving the wrong meds.

    On my floor, med errors aren't handled punitively. We aren't written up or disciplined per se. Med errors are always handled as learning opportunities...unless someone tries to cover up the error....
  19. Boog'sCRRN246

    Horrible time at clinicals

    It's okay. I think your last instructor sounds a little over the top in her reactions. Clinicals are nerve-racking to begin with, but when your instructor isn't approachable and just barks orders or...
  20. Boog'sCRRN246

    nursing etiquette question

    If it's rehab, maybe the family member needs to be involved in the care. Of course, that all depends on the patient's discharge disposition. I'm not sure what you mean by "slow stream" rehab floor,...
  21. Boog'sCRRN246

    Hanging Fluids

    Go to clinical, try it that way, then come back and let us know what happened. I'm kidding ...you'd make quite a mess pulling the cap off a full bag of fluids and trying to spike it while it's...
  22. Where I work, having a specialty certification will you get more hourly ($1.50/hour) than having a BSN
  23. Boog'sCRRN246

    Sitters: A Thing of the Past?

    Anytime I hear in report that one (or more) of my patients has a sitter ordered, I just roll my eyes. Our staffing department covers sitters infrequently at best. Altered mental status, confusion, and...
  24. Boog'sCRRN246

    Unappreciated by the patient's family

    It's not a true rehab unit then. To truly be a rehab unit, the patients have to get 3+ hours of PT/OT/SLP...with a PT/OT/SLP. I hope their not trying to pass 10-15min with a therapist off as...
  25. Boog'sCRRN246

    What is it about turning 50 that makes you obsessed with your bowels?

    I'm not even 30 and I'm already slightly bowel-obsessed :uhoh21: Not sure what to expect by the time I hit