Bug Out

Bug Out BSN

VA-BC, CRNI

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All Content by Bug Out

  1. mobile IV therapy RN

    Bug Out replied to Calicokitty8's topic in General Nursing

    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

    Bug Out replied to Avian c's topic in General Nursing

    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

    Bug Out replied to Emergent's topic in General Nursing

    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

    Bug Out replied to Emergent's topic in General Nursing

    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

    Bug Out replied to Emergent's topic in General Nursing

    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

    Bug Out replied to Miranda RN's topic in General Nursing

    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

    Bug Out replied to 724LPN2016's topic in General Nursing

    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. Radonda Vaught is charging $10,000 per speaking engagement.

    Bug Out replied to klone's topic in General Nursing

    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

    Bug Out replied to jenny3dean's topic in General Nursing

    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. Radonda Vaught is charging $10,000 per speaking engagement.

    Bug Out replied to klone's topic in General Nursing

    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

    Bug Out replied to PTO As a Nurse's topic in General Nursing

    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

    Bug Out replied to VivaLasViejas's topic in General Nursing

    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.

    Bug Out replied to Joe V's topic in General Nursing

    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.

    Bug Out replied to Joe V's topic in General Nursing

    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?

    Bug Out replied to PCORRAL's topic in General Nursing

    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...

  16. Safer staffing? Your wish is my command.

    Bug Out replied to Joe V's topic in General Nursing

    Everyone supports safe staffing until the legislatures have to find the funding for

  17. what class or text book for CRNI test

    Bug Out replied to wei wu's topic in Infusion, Intravenous

    You will definitely want the INS Standards of Practice. I read the Infusion Therapy textbook which helped. There are a couple different CRNI study DVDs/CDs as well. 70% of my studying was done with a...

  18. Training in Chest X-Ray Interpretation for PICC Tip Position?

    Bug Out replied to erwy's topic in General Nursing

    I was trained through our local INS chapter. Lynn Hadaway offers a course and I believe many of the major vascular access consultants offer courses. I have heard of people going through...

  19. Is being an NP worth it?

    Bug Out replied to daisychains11's topic in Student Nurse Practitioner

    My SO is a manager at an insurance company and I work for a company that services hospitals. We both work from home. I have generally found that working within a clinical organization, an organization...

  20. Dressing documentation

    Bug Out replied to Shannon Moss's topic in General Nursing

    Ah, makes sense. Typically falsifying records involves the deliberate or intentional altering of records, not mistakes. Mistakes happen. I am sure you know this but this is where documenting on...

  21. Dressing documentation

    Bug Out replied to Shannon Moss's topic in General Nursing

    Assess the dressing, does it look like it was just changed? What is the risk/benefit to changing or maintaining the dressing? Since you did not document the dressing and are doubting yourself it...

  22. Is being an NP worth it?

    Bug Out replied to daisychains11's topic in Student Nurse Practitioner

    I think a question you first have to ask yourself is what do you want out of your career and how much you prioritize things like fulfillment, income, financial stability, etc? On a very basic...

  23. Paid for drive time?

    Bug Out replied to Anonymous666's topic in Infusion, Intravenous

    I typically would be paid mileage if the patient was outside of the typical range (typically greater than 30

  24. Studying for VA-BC

    Bug Out replied to aWiiPeanut's topic in Infusion, Intravenous

    The VA-BC is a pretty simple test so as long as you work in vascular access right now. Keep in mind that it is supposed to be an interdisciplinary certification so much of it is practical knowledge....

  25. Question on confidentiality and HIPAA

    Bug Out replied to guest998179's topic in HIPAA Challenges

    The rules on who is and is not on the care team are much looser than what you are imagining. You were speaking to someone about the care of the patient seeking professional advice, that is 100%...