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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 nursing is not your cup of tea.

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 BSN trained, but found teaching to be her passion.

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 program, you may start being able to take precepted call...

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

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 compliance link: http://www.med-pass.com/shopping...

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 you not called the MD (who unfortunately sounds l...

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 then translates to confidence and looking like I a...

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 engraved on them.

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 or not I planned to do it. However, whenever I wa...

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 of the required elements by regulation for an Abus...

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 horrors you've had with not so good outcomes after speak...

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 care, and medical supervision. © Standard: Confo...

You are most welcome. Glad to help!

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

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 is; 3) They will respond to your body language and ...

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 provider a situation that requires immediate action, to...

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 to you Bruises and skin tears of unknown origin sh...

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 probably already have it too and don't know it." I...

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, assessment findings, etc. I heavily teach, preach ...

Besides you are protected by ADA>

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

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 - clarifications are indeed meant to "make clear" prior...

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 of nursing school when I could not even be legall...

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 condition, antibiotics, or other circumstances requiring e...

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