Shellsie

when we went live on the computerized charting we put into place a "PCM coodinator" who does chart audits daily along with teaching class, updates, etc.

ok....let me start off by saying i have 7 tattoos.....when i was hired....i had 7 tattoos....when i am in my nursing scrubs only one is visible ( it's on the back of my neck). i think that any person who gets tattoos/piercings needs to be aware of the fact that no matter how "free" and "equal" our country is people are still judged by appearances...why do you think everyone gets dolled up for job interviews? It's to make an impression. Do you think i would have gotten hired if i had long snake tattoos going down both of my arms? probably not. so yes i think its wonderful to express yourself...but its better to do it on your own time if you want to work in a professional environment.

there is hope! for Meditech nursing module anyways...there is something called CMI (clinical monitoring interface) where the monitors in areas like icu, or and pacu will automatically download the vitals into the computer. all the nurse has to do is verify its a real vital and not the "fake ones" that get taken when the cuff slides down around the patients hand or their leads are off. :)

our meditech system is based on "standards based documentation" which is kinda like charting by exception. it works pretty efficiently i think :)

an RN must do the admission assessment. If the LPN is doing primary care on day shift and is doing the initial assessment for the day an RN can cosign the assessment. on night shift if an LPN does the assessment at night it doesnt have to be cosigned because it is a "reassessment" does that make sense?

does anyone use any online documentation? meditech or otherwise? how is it going and is it helping the nurses?

how about a patient that says they have a "high hernia" (hiatal hernia) hehe or they take their pink pill "twiced a day"

when the patient comes into the triage room the triage nurse applies the band

LPN's take verbal and telephone orders all the time here in florida......matter of fact in most long term care facilities there are very few RN's on the payroll

guys, i think if you get your feelings hurt by someone correcting your spelling you need to grow a little thicker skin......hehe i could care less that i spelled HIPAA wrong and someone corrected it....it's just a message board right?? and for the record i think there are plenty of valid "medical" discussions" going on....ive actually come here to ask all you guys for help finding information :) and i think a little comic relief is needed sometimes ok im done ~jumps off my little soapbox~

wow...never thought my little HIPAA (feel better now?) comment would cause sucha ruckus....hehe and i dont care how its spelled i just know what it means and that i dont wanna screw with it :chuckle

i would like to say i commend you for your actions in calling the doctor for the new abdominal pain. your scenario started out much like one i lived with my family member just over a month ago....my young (47) relative was in rehab following a CVA and his nurse chose to ignore his new pain complaints and just gave the narcotic...... well lets just say that he arrived to the ER with no b/p and wont be with us this christmas... so whatever anyone says to you ....you trust your nursing judgement no matter how new of a nurse you are or if it is in a rehab/nursing home setting. and like i said im behind you and what ive delt with recently has given me a different outlook

HIPPA HIPPA HIPPA hehe i cant tell you if i took care of a celebrity :chuckle

I was an admission nurse for over a year but switched because it got monotonous. admits would get to the floor and id get there and meet and greet and assess and get history and start iv's and give stat meds (if available). it was nice because someone was there right away and if the patient was in any distress coming in as a direct admit i could get them settled. also if things were slow upstairs i would go down to er and ask them which ones were coming up and id go ahead and start their paperwork. i think it was a help to the staff and i could help with other things on slow admit days. i worked monday through friday 12p-8p but i usually came in early to help on the floor.

this is so funny to me....kinda like those sexy little nurse dresses people wear at halloween or in "dirty movies" hehe... first thing i think is "you cant do compressions in that thing!" :chuckle