moffist

I am wondering if any other Foreign nurses have had this problem. I was educated in the UK in the early 1980's and am unable to get transcripts as my Nursing School shut down and did not keep any records. I went through the CGFNS process, who did man...

I have been in Case Management in the hospital for 5 years. Just took a job as a Telecommute RNCM. I will be training for 6 months in house. Can anyone tell me a typical day for a RNCM working for insurers. Also, when they say you have to have a dedi...

Our hospital is piloting having RN case managers in the ED. Yesterday for the first time I had to order a hospital bed and wheelchair for a Medicare patient. This was an unbelievably difficult procedure ending in failure. There MUST be a better way t...

I am working for HMA a TPA. Yes still in the honeymoon phase but never enjoyed hospital case management this much OR felt so supported!!

I have now completed 3weeks in my new job. I am very excited with my prospects of tele work. I now know I just need a room with a door that closes (does not need to be locked). Great company who are working hard to make sure I succeed in this role. D...

First this was a chronic condition. Secondly her pain was controlled by po meds. She needed the speciality bed because she was unable to get out of an ordinary bed easily. MD decided HH then OP PT was all she needed. There is no such thing as a 23 ...

Lol yes I meant busy!!! I am a Case Manager. These are patients that do not meet criteria to admit!!! 23c Obs not appropriate

We were discharging to an ALF but patient was unable to get in and out of a normal bed. Needed a hospital bed temporarily. For a safe discharge we needed to order a bed to be at the ALF before the patient arrived. BUT with the new CMS rules I had to ...

I work in a very small hospital and we are trying to improve our nursing procedures. Lippincott Nursing procedures and protocols (book and online) have been suggested for us. BEFORE we make that investment I wondered if anyone uses this on their floo...

I have just started at a new hospital and was very concerned with a heparin drip we were running. It was started at 2330 and no PTT/INR was taken again. Pt. had a peripheral IV and a single PICC. They started the heparin through the PICC and then Lab...

Thanks Diane. It is just a general inspection. So sounds kind of like Joint Commission visit. Not been involved in either but I appreciate your reply!!

This will be the first time I have worked when there is a DOH visit. What should I know?

Looks like my family and I are moving to Portland Oregon. I am a British trained nurse currently licenced and working in Med Surg Digestive Diseases. I went through and passed CGFNS. 1. Does anyone know how difficult it is to get a licence in Oregon...

Absolutely and that is what I did. Followed the dr order and drew the blood anyway!!! Great replies everybody and thanks!!!

Well I'm grateful for all the replies. I guess if hospitalmpolicy says DO NOT DRAW COAGS then I have no choice but to follow it. It may be outdated but that is the hospital policy. I will talk with our educator about this policy. Also is hospital po...

I did the draw. adjusted the heparin drip as per nomagram. Pt was gradually going unconscious and dr wasn't sure why. I haven't been back yet to see the outcome!!! I realise heparin is compatable with other drugs but with an overdue PTT, a heparin dr...

Not all PICCS are flushed with heparin. My last hospital policy was NOT to flush with heparin but to put to saline lock!!! NEVER drew coags if heparin was used. Skews the results they claimed!!!

It's a small hospital and no one would try. they all refused. It was the doctor who said flush the PICC.I still say that skews the results!!!! Even with double or triple lumin!!

Ok the heparin was running through the PICC when it was suggested I run the antibiotic with it. No 2nd peripheral by then. My last hospital 's protocol said NEVER draw coags from a PICC (single, double OR triple) after initiating a Heparin drip. You ...

I have recently moved to the Seattle area and was offered a great job. However they are only offereing me 9 days orientation. I feel this is not enough. I moved from Mi where we did electronic charting to here where paper charting rules!!! I feel ori...

I just had a telephone interview with a recruiter at Swedish and considering it's great reputation I have to say that was the most difficult unwelcoming experience I have ever had. I heard they were good to their nurses being a Magnet hospital but no...

I have an interview scheduled with Valley General. Not seen much on the boards about this one!!!! Anyone want to share any info on this hospital?

Hi Nursedani08 Where in Mi are you? I am in Grand Rapids at the mo but will have moved to Wa by end of Sept. Now a question to those already in Wa I have applied to Overlake and Evergreen. My husband will be working in Redmond/Kirkland area and we ar...

I am a British Nurse working in Mi but about to relocate to Washington DC (or that sort of area). I have a Green card and hold a Mi license. I have worked N=Med surg for 4 years here. I am a Charge Nurse and preceptor. what are my chances of being hi...

Any foreign nurses out there. I am an English trained nurse who has gone through CGFNS and now hold a Michigan RN licence. I have been working in Michigan now on Med/Surg GI GU for 5 years and am a Charge nurse. We are looking to relocate to Va and I...