expltcrn

expltcrn

Sub-Acute, SNF,ICU,AL,Triage, Cardiac

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All Content by expltcrn

  1. Kaiser Call Center Questions

    expltcrn replied to Genista's topic in Telephone Triage

    Have you explored the ability to keep both while making a decision? Just a thought. The other thing to consider, is that once your are in the Kaiser system, you can request a transfer if advice...

  2. I want to leave nursing....now what do I do?!

    expltcrn replied to np7797's topic in Nursing Career

    My very smart young daughter, who has ADHD and had some trouble in focusing at school, blossomed and excelled in a class taught by one of the best elementary school teachers I've ever met. She was...

  3. Kaiser Call Center Questions

    expltcrn replied to Genista's topic in Telephone Triage

    You go through an intensive 6 week training with set algorithms that are proprietary information, and you do test scenarios with other students/nurses and the instructor. Toward the end of the...

  4. When a resident won't follow the rules

    expltcrn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Have you tried buying him a ticket to Hawaii? I've heard some stories

  5. 60-day recert calendar

    expltcrn replied to Ryourchoresdone's topic in Home Health

    i just ordered this gadget myself. waiting for arrival hc1022spoasis compliance compassthe oasis compliance compass is compatible for use with the new oasis-c. information contained on the oasis...

  6. Did i handle this situation correctly???

    expltcrn replied to marielina85's topic in General Nursing

    You did the right thing by calling the MD. Yes the patient does have the right to refuse, agree/disagree with medical care/medications, etc. - especially when they are self-responsible. However, had...

  7. Called into the office, told I'm a slob.

    expltcrn replied to danceswithsnakes's topic in General Nursing

    Wow. A hard topic. I've had my battle with weight too and have felt frumpy and dowdy many a time. But, I did find that when I wear my suits on those days, I feel the immediate power pick up, which...

  8. LIttman Brass/Black stethoscope Stand out?

    expltcrn replied to cicatrixx15's topic in Scrubs, Uniforms, Gear

    They are beautiful in person, but unfortunately will not guarantee loss. Any good looking Littman gets taken from me I've lost 3 special editions, cardiology, etc. and they even had my name...

  9. Taking work home

    expltcrn replied to achot chavi's topic in LTC: Directors, Assistant

    It is indeed challenging to try NOT to bring work home when you are an LTC Manager or someone who is non-floor as one of you mentioned. Unfortunately, I am one of those who DO take work home whether...

  10. In your experience have you seen this happen?

    expltcrn replied to Smith-Lee's topic in Geriatric, LTC

    Sorry, it's been a while since I have been on. It may just be a California nomenclature. It is usually either the DON or Administrator who is designated as the Abuse Prevention Coordinator, as part...

  11. Recent grad, orientation issues - advice request

    expltcrn replied to murphyle's topic in Emergency

    It sounds like by this time you've already had your meeting. I hope all went well. If there is still time to give you some advise, this is what I would say - having personally experienced the...

  12. LPNs need co-signer for verbal orders

    expltcrn replied to KatieNoelLPN's topic in LPN, LVN Corner

    If your company is Medicare-certified, it needs to comply with the Medicare Conditions of Participation. This is what it says: 484.18 Condition of participation: Acceptance of patients, plan of...

  13. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC: Directors, Assistant

    You are most welcome. Glad to

  14. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC: Directors, Assistant

    Some of them yes, so they relish picking on the DON

  15. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC: Directors, Assistant

    The other thing to remember is that the State Surveyors are people too. So, we are talking 1) Plenty of room for error/misrepresentation; 2) They have their own agenda (we don't always know what it...

  16. What is your biggest nursing pet peeve?

    expltcrn replied to ferfer's topic in General Nursing

    here is the sbar synopsis. sbar was developed by kaiser permanente of colorado, and has been increasingly adopted by hospitals through the united states. sbar is used to report to a healthcare...

  17. In your experience have you seen this happen?

    expltcrn replied to Smith-Lee's topic in Geriatric, LTC

    A string of awful actions: Actual patient harm? Yes - bruise and skin tear Failure to Notify the responsible party? Yes - you found the concerns during your visit, not calls initiated by the facility...

  18. Learn To Say It Correctly!!

    expltcrn replied to SheriLynnRN's topic in General Nursing

    I've heard "old timers" disease for Alzheimer's from an older gentleman whose wife was diagnosed with it. He said, "At least I think that's what they called it, and I'm a getting old so I suppose I...

  19. What is your biggest nursing pet peeve?

    expltcrn replied to ferfer's topic in General Nursing

    Listening to nurses who call the doctor without using SBAR or a similar presentation format: i.e "Doctor I am calling because the patient has a fever" - that's it, period - no history, other vitals,...

  20. RN Licensing question

    expltcrn replied to honey57434's topic in General Nursing

    Besides you are protected by

  21. Abandoning Patients

    expltcrn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Bad nurse - bad person - must not be allowed to continue to practice just to endanger more

  22. Writing Clarification Orders

    expltcrn replied to TrixieKat's topic in LTC: Directors, Assistant

    in california, snfs are not allowed to having standing orders. a new order must be obtained after reporting a change of course to the physician for things such as skin tears, etc. at any rate -...

  23. Applied for ADON and DON is a new nurse

    expltcrn replied to BoomerRN's topic in LTC: Directors, Assistant

    Perhaps. Were you able to spend enough time to gauge the DON's interest in keeping her position and her desire to learn? I only ask that because I was one of those too, trained to be a DON right out...

  24. skilled charting

    expltcrn replied to travel50's topic in LTC: Directors, Assistant

    Skilled Charting - At least daily to make evident to any Fiscal Intermediary why you are being paid to provide skilled services to the patient. If they are skilled, but also had a change of...

  25. Tips for Jump-Starting Dying LTC

    expltcrn replied to kwvath's topic in LTC: Directors, Assistant

    Well, it looks like you have now been doing it for a month? How is it going so