Boog'sCRRN246 RN

Utilization Management

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All Content by Boog'sCRRN246

  1. At my facility, each insulin vial has its own little booklet of bar code stickers that corresponds with the bar code on the vial. We draw up, verify dose, and co-sign in the med room, then place the sticker on the insulin syringe.
  2. 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 "miracles" in my patient encounters It's all a l...
  3. 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 schedules were. I don't interrupt therapy sessions...
  4. Boog'sCRRN246

    Unit Design Blamed for Increase in Falls

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

    Question about pay!?

    Definitely not enough.
  6. Boog'sCRRN246

    I'm getting terminated from my first nursing job

    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 lot of compassion in me. Sorry. Hope you learn from ...
  7. Boog'sCRRN246

    I'm getting terminated from my first nursing job

    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 nursing.
  8. 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 significant.
  9. Boog'sCRRN246

    White uniform

    Nude, flesh-toned, buff...whatever matches your skin tone.
  10. 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 inefficient
  11. 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 with it.
  12. 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 passing. I think it took about six months before my f...
  13. 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 fairly new nurses. Is it possible she is functioning...
  14. 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 a Medical Technologist/Technician.
  15. 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 pay.
  16. 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 license, you'll always be held to the standard of y...
  17. 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 = $140
  18. 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 creature?
  19. 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. When something carries the potential for punishment, ...
  20. 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 dismisses valid questions, they're even worse. Some...
  21. 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, but where I work, if the patient is expected to be g...
  22. 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 hanging on the pole.
  23. Where I work, having a specialty certification will you get more hourly ($1.50/hour) than having a BSN ($0.50/hour).
  24. 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 impulsivity don't rank on the list of sitter prio...
  25. I'm surprised management didn't take it a step further and have centrifuges and other lab equipment installed in all the housekeeping carts (they are big enough, after all)- labs could be run on the spot and on the go.