Bug Out

Bug Out BSN

VA-BC, CRNI

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About Bug Out

Bug Out is a BSN and specializes in VA-BC, CRNI.


Latest Activity

  1. mobile IV therapy RN

    Whether it is safe or not entirely depends on the company and type of clientele they get. Some companies screen their customers and others will take anyone with a pulse and money to burn. Always...
  2. Smoking residents in LTC

    Michigan has the Dr. Ron Davis Law which prohibits occupational exposure to tobacco smoke. Residents of the nursing home are allowed to smoke in outside designated areas and can be supervised or...
  3. Healthcare in Mexico

    I have not been impressed with French healthcare to be honest and have similar stories from France. I don't think you can say it is very good when you do not track and report basic things like SSI,...
  4. Healthcare in Mexico

    The healthcare in Mexico is interesting to me in that there is a wide variety of care provided and generally, you get what you pay for. It's easy for tourists to judge the healthcare based upon the...
  5. Healthcare in Mexico

    I toured a new "state-of-the-art" hospital in Germany. As I walked through a hallway with about a team of 10 we paused to watch a surgery that was occurring. See, the ORs were only large enough to...
  6. Double lumen

    You flush with normal saline and then instill the heparin. The heparin is intended to remain within the lumens of the catheter between flushes with the theory that it will prevent occlusions. In...
  7. Wrongful Termination

    While I am sorry this happened to you I can find nothing obvious in that story that constitutes wrongful termination. Wrongful termination is a legal term that varies by state but generally...
  8. Never seen a nurse just stop caring and treat their job flippantly and lose respect for the importance of the little things? I see it nearly on a daily basis in my specialty. Only difference is...
  9. Remote RN Case Management Question

    My SO works in this area in a leadership role. There are stories of this with remote positions in all industries. I can tell you though that these companies are not even remotely close to being...
  10. Especially some of these accounts that are brand new with very little post history that seem to revolve the same basic
  11. PTO As A Nurse

    Wherever I worked you would accrue PTO at a specific rate per week/paycheck. Now I could take days off outside of PTO, I just would not be paid. Some places were strict however that PTO must be taken....
  12. Life Changes

    I remember your posts from many, many years ago. I always appreciated your insights and pithy comments, you will be remembered and
  13. Safer staffing? Your wish is my command.

    Agreed. Hospitals bear a significant amount of guilt. The problem though is that they are doing what the system wants them to do and hospitals simply remind our elected officials of that. If our...
  14. Safer staffing? Your wish is my command.

    There are good reasons why the DRGs were introduced in the early 80's and why nursing was lumped into the bed rate. Control expense. A way to control cost was to provide facilities incentives to...
  15. Home health work from nurses home?

    I never did it from my home but maybe 20% of my patients would want to meet somewhere more convenient than their home or cleaner or whatever. I have performed services in offices, schools, and even...