nancynurz

Latest Activity

1. Nurses struggling with mental illness

   nancynurz replied to Severina's topic in Nurse Disabilities

   Just need to plunk down my 2 cents here :) Any and every person who is breathing meets the DSM-IV criteria for SOMETHING-- night terrors, various forms of insomnia, nicotine addiction, caffeine...

2. You know it's going to be a bad visit when....

   nancynurz replied to hoolahan's topic in Home Health

   Doesn't the CMS stress use of objective observation on the OASIS? How many patients tell you "Oh, I can shower juuussstt fine honey" but when you ask them to show you how they get in and out of the...

3. Not feeling to good about a co-worker

   nancynurz replied to susanna's topic in General Nursing

   If you want to play it low-key, what about the old "It takes two to argue" approach. If she gets absolutely NO response other than "Thank you for your insight; I'll take it into consideration" it...

4. A new drug to help stop smoking, AND lose weight AND fight drug and alcohol abuse...

   nancynurz replied to Monica RN,BSN's topic in General Nursing

   Not impressed by the "cannabis dependence" implications-- this is a psychological dependence and no pill can alter your belief that you need it BUT I wonder if it has any potential for AIDS and...

5. Home Health Care/ Organizations

   nancynurz replied to LisaG21's topic in General Nursing

   Call your state ombudsman. I know there are times when the nursing home has to take him back. They cannot discharge him without making arrangements for further care needs-- your dad was dumped! If...

6. You know it's going to be a bad visit when....

   nancynurz replied to hoolahan's topic in Home Health

   The "sweet" elderly and blind IDDM tells you that they used to work in a funeral palor and "see" (OK, here it comes . . .) dead people. Not only are they visible, they are audible. I have seen too...

7. ? about personal responsibility

   nancynurz replied to MQ Edna's topic in Psychiatric

   This has always been difficult for me. I can understand the high number of substance abusers in psych-- if you have the choice to experience side effects like blunted emotions, weight gain, diabetes,...

8. Day in the life of a Psych Nurse?

   nancynurz replied to littlebitt's topic in Psychiatric

   I currently work as a behavioral health home care nurse and I entered nursing in a communtiy mental health center. This was pure luck-- single mom, new grad, 8-5 M-F, on-call q6 weeks and all major...

9. Evenings and weekends

   nancynurz replied to BrightEyes's topic in Home Health

   I started working home health on weekends and finally took 1/2 days on Friday-- there is little hope of contacting doctors for anything not considered urgent outside office hours. Plus, recerts can...

10. undermedicating pain in the elderly

    nancynurz replied to ktwlpn's topic in Patient Safety Issues

    The longer you stay in the hospital, the more risk you have for noscomial infections. Plus, I know I just plain feel better in my own home and on my own schedule with my own food

11. latex is this a sign of being allergic to it?

    nancynurz replied to Godswill's topic in General Nursing

    I knew about the pineapple reactions, but the tomato/ salsa thing was new. Hmmmmm, I had a horrible reaction to one brand of salsa but thought it was justsome odd spice. About 3 years ago, I put on...

12. Perplexing question- Diagnosis Order HELP PLEASE

    nancynurz replied to Monica RN,BSN's topic in Home Health

    Hooboy! I have no idea where I got SN is primary from :imbar I've had it placed in my brain and gold-plated, so now I've gotta train myself back out of it! Even the Palmetto GBA manual CLEARLY...

13. Perplexing question- Diagnosis Order HELP PLEASE

    nancynurz replied to Monica RN,BSN's topic in Home Health

    http://www.cms.hhs.gov/oasis/usermanu.asp This is where I get my information. It states in the manual that nursing takes precedence over PT, you can show it in black and white. There is also a list...

14. Perplexing question- Diagnosis Order HELP PLEASE

    nancynurz replied to Monica RN,BSN's topic in Home Health

    If nursing is a skill, the nurse has to "complete" the OASIS and the primary diagnosis is the one driving nursing service. Order for skilled services by priority are: SN, PT, OT, then ST. PT can...

15. Add

    nancynurz replied to mizlulu's topic in General Nursing

    I wan't diagnosed until 6 years after I got my BSN and passed the Boards. I am able to multi-task better than I can focus on one task, I can bounce from one crisis to another and fill more than one...