JKL33

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All Content by JKL33

  1. JKL33

    Took A Gummy Which May Or May Not Have Had THC

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    ICD 10 (current version of International Classification of Diseases, from which one of the listed codes is needed to code a diagnosis) has plenty of codes that use the term "abuse" with regard to...
  2. JKL33

    Took A Gummy Which May Or May Not Have Had THC

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    The wording is certainly a bit awkward just in terms of language...mild and abuse don't go together, they seem like opposites. F19.980 Psychoactive substance use, unspecified, with psychoactive...
  3. JKL33

    Took A Gummy Which May Or May Not Have Had THC

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    I mean if someone is going to walk in and say that they are having a reaction to a THC gummy, then that's going to be part of the diagnosis. A diagnosis of straight up anxiety in the ED generally...
  4. JKL33

    Nurse Practitioner clinicals/practicum

    JKL33 replied to Bread&water16's topic in Student Nurse Practitioner

    You are a student so would have no business not collaborating until the end of the day; it would be inappropriate for both you and (especially) the patient. FTR, I'm sure there are a wide variety...
  5. JKL33

    Sleeping On Unit

    JKL33 replied to Aloe_sky's topic in General Nursing

    This kind of thing and some of the other info you've posted is why hospitals can make your head explode. Just so toxic. I support whatever legal things people do to not tolerate it. They will only...
  6. JKL33

    Hiding Discharges

    JKL33 replied to Ioreth's topic in General Nursing

    Well that's certainly some more information... They sound special. However...why is your manager making excuses for
  7. JKL33

    Quitting Before My Four Weeks Notice

    JKL33 replied to TryingtoThriveRN's topic in General Nursing

    Just wondering if there are states where it is ILLEGAL for a former employer to comment on anything other than dates of employment. My understanding is that commenting on a fact (such as "s/he...
  8. JKL33

    7 on - 7 off shift schedule

    JKL33 replied to SunDazed's topic in General Nursing

    Maybe she will quit and they'll get the opportunity to search for someone who wants to work your
  9. JKL33

    Which is the best job offer for New Grad?

    JKL33 replied to Ana Viktoriya's topic in First Year After Licensure

    Agree with the above, you do have to make your own decision. I can't resist giving my meager opinion, which is that ^ this malarkey reeks like maggot-infested rotting flesh and is a straight up...
  10. JKL33

    Sleeping On Unit

    JKL33 replied to Aloe_sky's topic in General Nursing

    "I acknowledge review of this false
  11. JKL33

    HIPAA Violations in Hospice

    JKL33 replied to hospicenurse269's topic in HIPAA Challenges

    Agree with @K.
  12. JKL33

    Hiding Discharges

    JKL33 replied to Ioreth's topic in General Nursing

    I don't disagree. That still isn't bullying. And the issue that the OP needs to worry about, the only issue amongst the issues here that s/he has the ability to change, is his/her own reaction to...
  13. JKL33

    Can I travel in L&D after only 1 year?

    JKL33 replied to newgrad_13019's topic in General Nursing

    Look for another job, refuse to agree to the abuse of rotating schedules, find new job, go on a nice lengthy vacation, then start new job. Repeat PRN.
  14. JKL33

    Hiding Discharges

    JKL33 replied to Ioreth's topic in General Nursing

    I did read the whole thing and don't mean to seem like invalidating your feelings but... Things like this are simple. No this does not sound like bullying. It sounds like you are one of...
  15. JKL33

    ER downward spiral

    JKL33 replied to canoehead's topic in Emergency

    Sorry to hear this. I am past the point where I would be willing to operate in a situation like that, despite always having loved taking care of ED patients. This is utter non-sense. I...
  16. JKL33

    Sleeping On Unit

    JKL33 replied to Aloe_sky's topic in General Nursing

    Forewarning: I have very little tolerance for bad coworker behavior like what yours did to you, but I think it's good to be no-nonsense in our own responses, too, so I hope my comments don't seem...
  17. JKL33

    "Discrepancies" In Epic Documentation

    JKL33 replied to Faithx14's topic in General Nursing

    Um....oh my goodness? The plot thickens, I guess. All I can say is "relieved" is only part of what I would be feeling. I would have a very serious word with which ever administrator is...
  18. JKL33

    Consequences of Breaking Contract

    JKL33 replied to bklyncat's topic in Nursing Career

    I agree with the above, consult your contract and lawyer if necessary. Not official advice, here, but practically speaking it's very likely the main thing that would happen would be a poor...
  19. JKL33

    Protecting staff retrieving GSW patients from outside

    JKL33 replied to skylark's topic in Emergency

    Oh I do think it's a completely acceptable answer. I really can't speak to whether admins would think so. TBH I think overall their pattern is make rules and state their expectations while leaving the...
  20. JKL33

    "Discrepancies" In Epic Documentation

    JKL33 replied to Faithx14's topic in General Nursing

    So that the med can still be documented when the processes that they demand (and will write people up for not doing)...don't work! Only use it if things are actually broken. And call pharmacy...
  21. JKL33

    7 on - 7 off shift schedule

    JKL33 replied to SunDazed's topic in General Nursing

    I think my talking points are more applicable than you think they are. Generally these situations, whether big or small, boil down to similar underlying motivations, principles and problems....
  22. JKL33

    "Discrepancies" In Epic Documentation

    JKL33 replied to Faithx14's topic in General Nursing

    Very excellent advice. Hope everyone reads it. Stop doing short-cuts and work-arounds to solve other people's problems while risking yourself or your patient in some way to do so. Just stop....
  23. JKL33

    Protecting staff retrieving GSW patients from outside

    JKL33 replied to skylark's topic in Emergency

    Just FYI, this is going to be problematic because these patients fall under EMTALA. I will be interested/impressed if someone posts that they have this policy. As much as I understand that...
  24. JKL33

    Feeling Overwhelmed as a Charge Nurse

    JKL33 replied to Marushyne's topic in General Nursing

    Take care of your patients and delegate the rest or get to it when you get to it or don't do it at all. I mean, that's what they will say when something goes wrong...that you should've used your...
  25. JKL33

    Crashing MSU pt with no ICU

    JKL33 replied to ladmire87's topic in Patient Safety Issues

    Here's one take: If you have a "mini resus room" you thereby have a de facto intermediate care care/ICU. Not an actual ICU, not the resources for an ICU, not the *STAFFING* for an ICU. What...