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How much does my insurance cover?
There are many nuances between insurances, too many of them, too many details. That is why offices even have one person dedicated to dealing with Insurance reimbursements and all. Coming up with a list would require full knowledge of every plan your institution accepts, it would have to be constantly updated and it would be a great potential for inaccurate information, that would leave patients angry. A friend of mine asked his dental office if he would be covered for a certain procedure, they said yes, but when he received a bill for 3000 dollars and no coverage.....the office had a hard time fixing the problem and ended up giving a great discount. He was lucky to get a discount, as most institutions make you sign a document saying you are responsible for any care not covered by insurance. The best way is for the patient to ask his/her own insurance. Not the best way to do health care, I agree, but that is all we have in America. I would never say to a patient that a service is covered, as I can not know for sure. Be careful and cover yourself. And for financial forms upfront... the also would be great, but our system cannot even agree on how much to charge on anything. Because of pricing secrecy, institutions usually do not tell you for example, how much is going to cost you to have a baby, or have an MRI etc. If your institution can come up with a menu with pricing that could be done. Acctually, that is what all institutions should do. Afterwards, have you ever ordered food or bought a car without knowing the price first?
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mismanagement of diabetes in hospital
OP is right. I have seen and have experienced myself all of the misconceptions and really bad information nurses and the healthcare personal have about diabetes. Just to mention a few: patients being offered a lasagna, and a large bowl of carrots with a regular soda for lunch (result: patient was irate and could not comprehend how a hospital could serve such unbalanced diet). pt admitted for nausea, glucose at 170 given dextrose 5% 100 ml/hr.( I understand they are afraid o lows, pt was NPO, but can you just check the sugars more often? result.. sugars went sky high!). another....patient complaining of nausea, type I, sent back home with no work-up. Came back 1 hr later, dehydrated and in full blown DKA. You can beg for a endocrinologist, but nothing is ever done. Although once, I was admitted myself and the doctor told me to keep using my own insulin and sliding scale since they did not have Novolog on the floor(I really appreciate that and give applause's to this smart and nice doctor). That proves not all of our healthcare are stuck in the past of diabetes, or do not understand it.
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Need advice, situation getting bad
You need money right now. Apply to restaurant jobs. Take the BSN out of your resume for jobs that do not require a degree. (managers tend to think you are going to find a nursing job a week after you start working and leave them). Try administrative assistant, office jobs. Getting money immediately is more important than finding a nursing job!!! We have become "old new grads". It is like our diploma isn't valid, or never existed. unfortunately that is the reality at the moment. but you never know, sometimes doors close, and better doors open for you. You might find out that there are other careers out of nursing that you will find very rewarding and better. Also, you could try "work force One". Find the nearest office around you. They can help you with your resume and interview skills, they also offer other services free of charge!!! All the best to you.
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C-Section spinal - Why husband asked to stay outside?
I have heard, not in the USA, they stopped allowing family members at al because they were having to deal with non-patients fainting and causing a lot of trouble in the OR.
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Growing Up Unvaccinated
I wonder if insurance companies will cover these type of ultra preventable illness on unvaccinated children who become hospitalized. I can see vaccines being a requirement in order to be insured in the future.
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Bachelor of Science vs. Bachelor of Nursing degree, does it matter?
as far as I know, institutions only want to see that BSN after your name. you can have a Phd. in Biochemistry and a ADN, and it does not seam to matter to them. I think the best shot is to get the BSN, you will need it sooner or latter. Bet of luck!!
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Insulin Error
I would have called the doctor for a dose adjustment. Cover yourself, unless there were an specific order saying to hold all insulin. Sometimes reducing 2 or 4 units is enough to regulate, not causing hypoglycemia or hyperglycemia.
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Taking away chairs from nursing station
I do not think there is a link between better charting and chairs. And that the administration is just trying to make an impression on "customers". Administration thinks that patients thinks that a nurse who seats is doing nothing. But if they want to treat patients like customers, they better increase the staff number, so tasks can be delivered in a timely manner, patients who need a trip to the bathroom do not have to wait one hour for someone, and discharges are made when promised. Not to mention delivery of meds to nurses, food trays etc. I once was a starving patient, who waited 6 hours for a sandwich. I had spent 2 days without any food (stomach virus), when I got better, I was starving hungry. I am sure my nurse was working on it, but was unable to make the kitchen deliver her what she needed. So little things like that can leave a bitter taste on a customer and they will likely not come back, but taking chairs away will do nothing unless everything else gets done faster!!
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Taking away chairs from nursing station
Hospitals are trying to really incorporate the hospitality business model. As someone who spent years in this industry, I can say that what they are trying to do is to make a "good" impression on the patients, changing patient perceptions. I mean.... it is like when you go to a restaurant, you do not expect your waiter to be seating. The dynamics of being a nurse is the same as being a waitress. I have been both. We deliver service and cause an impression on our "customers". I do not agree that taking chairs away will make a difference in patient's perceptions, and until they find a way to have us charting on I-pads... taking entire computers to each room is counter productive. And for the previous posts that said administration is reserving seats only for doctors and case managers....hummmm, their turn will be arriving soon when absolutely all chairs will be gone!!!
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Petition for new nurses
Many new grads want to work in home care, public health, SNF and nursing homes, but guess what???? these job postings require at least one year of experience, preferably in a hospital. I am tired of hearing people telling new grads to look for work in places other than hospitals. You have to apply everywhere, yes. But please, don't say that new grads are only interested in hospital positions.
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Kaplan helped me pass RN boards
Kaplan has a very effective study plan. Everyone in my class who did Kaplan passed the NClEX on their first try. The questions are very similar to the real questions, and when you take the real test you feel comfortable because it looks exactly like the practice tests.
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Why can't you get a job?
Same thing here! After countless applications and a BSN, I am employed. But not as a RN. I work for a financial institution as an administrative assistant. I still have some hopes to work as a nurse, but that hope is fading. I will probably end up working in finance and real estate. Not a bad option if I can make at least the same pay as a nurse.
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NSLIJ Critical Care Fellowship October 2013
I can't find it either.
- Do you ever hold Lantus?
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Were you guys allowed the use of a calculator when you took your dosage test?
Yes, my nursing school allowed us to use a simple calculator, but you had to show off your rationale (calculations) on paper along with your correct answers.