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HIPPIECHIKRN

HIPPIECHIKRN

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Content by HIPPIECHIKRN

  1. HIPPIECHIKRN

    Wexford health care in corrections

    Hi, does anyone have experience with Wexford as far as their management of a correctional site? My current company lost their contract and the winner was Wexford. Any info is appreciated.
  2. HIPPIECHIKRN

    Wexford health care in corrections

    Well, Wexford lost the bid and we still have CMS. I think the thing with using PTO to make up time if you are late is universal in corrections. It's the same here with CMS. It has something to do with the contract with the state.
  3. HIPPIECHIKRN

    I think I just ended someone's career

    If someone hasn't already said it let me say that she cut her own career short. Don't feel sorry for someone who so flagrantly disregards their own safety not to mention patient safety. Feel sorry for the patients who did not get their pain meds and are suffering!
  4. HIPPIECHIKRN

    Wexford health care in corrections

    Allegedly the "offer letters" are coming to the sites and not to your home. Those letters also have the info to enroll in their health insurance (which they have yet to let you know how much it is gonna be). The woman also kinda explained their 401K participation. If you do not say "yes or no", you will be automatically enrolled to have 4% taken out of your pay and invested in the funds they see fit. No Matching Fund. She warned the crowd not to call her because she cannot get your money back from the government once the deduction had been taken. Alas, we will see...
  5. HIPPIECHIKRN

    Wexford health care in corrections

    I know right? Plus the lady that spoke to our group really turned me off. She was kinda condescending and loud. She didn't really give us any promising info about the company. "Just be on time!... Don't call me crying about your money. I care about my money! You are all adults!..." Maybe that's just her personality. I just didn't get the feel of "Welcome to our company!" I am waiting for the "offer letter" to see if this is worth it. By the way, I just heard about the situation that CMS underbid Wexford. That's why they are protesting. I think the State was fed up with CMS.
  6. HIPPIECHIKRN

    Wexford health care in corrections

    Well....technically they are out but, they are protesting the award of the contract. Wexford did an "orientation" at our site this week. We have to wait for "offer letters" in a couple of weeks to see what our wages will be. We will see.
  7. HIPPIECHIKRN

    Wexford health care in corrections

    No, we are just as short staffed as ever. At least at my site I haven't noticed any new nurses. Especially new grads which besides orientation have to be trained!
  8. HIPPIECHIKRN

    Wexford health care in corrections

    We got a "transition" packet today. It outlines the benefits of Wexford and basically introduces the company to us. There are good and bad points to this transition. I may start looking for a new job just in case. For example, they offer 15 days a year of PTO, not including holidays. Currently with CMS we get 26 days a year, but that includes holidays. Wexford automatically will deduct 4% of your pay to go into 401K,but you can opt out. But I didn't see anything about matching funds. We will see.
  9. HIPPIECHIKRN

    Wexford health care in corrections

    It seems like everything is up in the air. I will be updating my resume just in case. My co-worker says that you have to "apply" to the new company for your job. I guess since they underbid CMS by 9 million (what I heard), they may be making some staffing cuts. We will see.
  10. HIPPIECHIKRN

    Wexford health care in corrections

    I hadn't heard that, but funny thing is I got a notice from CMS in the mail today to "remember the dates" to sign up for benefits in October for 2011. Are you in Maryland?
  11. HIPPIECHIKRN

    Anyone working for CMS?

    I currently work for CMS and they just lost the contract. I don't think the company itself is that bad. It's the management locally ie:ADON, DON and HSA. Our infirmary lost the ability to have T3 in stock because our DEA license is expired. How did they forget that? We often work short in our area and the ADON states she just cant "find" anybody. Sometime help shows up a little late and we learn that the fill in person was called that morning. Mind you, this is to fill in when someone has put in for vacation. The vacation request goes in A MONTH AHEAD OF TIME!! As far as the company promoting from within, that's OK as long as they are qualified. Sometimes it is just a body to fill the spot. Rumor has it that Wexford health got the new contract. Anyone have experience with them?
  12. HIPPIECHIKRN

    VERY POOR JUDGEMENT

    We recently had a pt. that went out for a cystoscopy and needle bx. of his prostate. When he returned to our facility he had a foley cath in. (He's had it since March but the approval for procedures and f/u is really slow)The inmate was able to tell me he expected to have some bloody urine after the procedure and he was going to drink lots of water as the MD. had told him to. Foley draining fine when I left work at 5pm. When I arrived to work the next morning @ 8 AM, a roomate of the pt. came to tell me that he was sick. The post cysto pt. said he had not drained urine all night. Night nurse said the pt. didn't complain of discomfort until late in his shift. He said he'd called the MD on call and was told to let the dayshift MD/PA see the pt. Mind you, we have a fill-in MD who was not coming until afternoon and this RN knew it. He said he was trying to get some "action", but the on call MD would not give an order. He also stated that there was no order to "flush" the catheter. I went to the supply closet and got a new catheter. Sure enough, there was a big,fat clot on the end of the old foley. I wound up having to irrigate the new foley to get it to drain. The drainage was a dark burgundy bloody urine that had been sitting in his bladder all night. During my shift I had to irrigate it a few times to keep it draining. When the MD came in at 1PM, the foley was still draining bloody urine. I got a total of appx 3000 ml drainage on my shift. My question is: Would anyone out there just wait for an MD to show up whenever or would you have taken action yourself? If I could not have corrected the problem, I would send the pt. back to the ER. Is it because he's an inmate he doesn't deserve care? The night nurse even wrote a verbal order in the chart to have the pt. seen by dayshift MD/PA.
  13. HIPPIECHIKRN

    VERY POOR JUDGEMENT

    Nope. The nurse stuck to his guns that he did not/could not get an "order":uhoh3:
  14. HIPPIECHIKRN

    LPN role in the Infirmary

    I work in a 21 bed infirmary in a state prison as an RN. On my shift there are 2 RN's and 2 LPN's. Until recently we divided the patients into 3 groups with the other RN floating to assist with care on the floor plus handling paperwork for consults, making appointments, supplies etc. In effect, she acted as a charge person,per se. Recently it was decided by our DON, sho has never worked in our unit (I have only seen her in the unit twice, walking through), that the floor should be divided in half with a "team" of 1 RN and 1 LPN per team. The RN is to do all documentation, assessments etc. Which leaves the LPNs to do vital signs and adm. meds. Prior to the DON visit the LPN would have her own team and be responsible for all care for her patients and write her own notes. Of course, the RN would do assessments on any admissions to the unit. The LPN's had become pretty independent with patient care and documentation. Now the only thing they do is vitals and pass meds and sit and talk to each other in their language. One is on the phone constantly with personal calls. When I asked her to transcribe orders from an admission I had she hit the roof and became very upset. For what they now do I would rather have a CNA to help with patients who need bathing and changing (we have a few total care, long term type patients). They can do vital signs and finger sticks and I can pass my own meds! Our current LPN's won't even answer the phone if they are sitting right next to it! Any help with making the "team" more cohesive and not just making the RN run even more during the shift?
  15. HIPPIECHIKRN

    LPN role in the Infirmary

    You are so right Katkonk. I will approach the ADON at our site to help with the matter. She is usually hands off, but it is her job to counsel and discipline staff. I know that when you are hired you sign the job description. I know sleeping is not on the list. :)
  16. HIPPIECHIKRN

    Wonder how often this happens

    Our infirmary patients love to stay with us because the doctor will order practically anything they want. We have a pt. that had a hand fracture that was repaired with K wire 2 weeks ago. Before surgery he was on percocet. Now he gets oxycodone BID with percocet Q6hr. He will wake up exactly at the sixth hour to request his meds. We eill have a heck of a time getting this guy off meds and back to population.
  17. HIPPIECHIKRN

    LPN role in the Infirmary

    ulbalrite, you guys sound really busy. I would love to work as the RN with you. I work day shift and my LPN will go to sleep in a chair when she is done with vitals and meds. We only have 21 pts but some are acutely ill and require attention. By the way, is your RN a newer nurse than you? IDoes she know that she is ultimately responsible and you guys are working on her license? At least that is how it is here. If something is not done or messed up the RN is responsible.
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