Jump to content
merlee

merlee

Member Member Nurse
  • Joined:
  • Last Visited:
  • 1,246

    Content

  • 0

    Articles

  • 13,702

    Visitors

  • 0

    Followers

  • 0

    Points

merlee has 36 years experience.

merlee's Latest Activity

  1. merlee

    Is anyone else losing spouse coverage?

    You say that your husband is retired but not eligible for Medicare, then I am assuming he is under 66ish. Could he possibly return to work? I am only asking.
  2. merlee

    Legal Nurse Consultant

    Excellent article with very pertinent information. Thank you!
  3. merlee

    A feeling of impending doom

    I never received any extra pay for being a preceptor. Sometimes the assignment was a bit different, but not always. One placed I worked had a clinical scale for pay, and those of us who were willing to be preceptors were higher on the scale overall. So my base was a bit higher overall, al the time. But if the admin was willing to pay for this, and then took it away - wrong. And how can someone who has not proven their competence be appropriate to train the next one? See one, do one, teach one only works if you are actually competent in the procedure. Scary.
  4. There certainly needs to be a Fall review committee on your unit, or in the facility. 20 falls this year?? Wow. Scary.
  5. In over 30 years of direct patient care, I can count on one hand the number of times I have done a favor where money or off-duty time was involved. One was actually in nursing school! and not my patient, either. I came on my own time, in the evening, to shave a patient that had a broken arm, not yet set. He was my age, and the break was from a cancerous tumor. As I left, his dad gave me 10 bucks that I tried to return. When I was a home health nurse, I had a patient whose daughter did his grocery shopping. She rarely brought him any fresh fruit or veggies. He was a very angry man, very depressed, constantly complaining. One day, I passed by a fresh produce stand and bought a basket of peaches and took him a few. It was like bringing him gold nuggets. His entire demeanor changed toward me AND his HHA! He understood that this was an anomaly, and never expected anything else. But he felt like I listened to his complaints, and was so happy. We need to be very careful when 'crossing the lines' because we can inadvertently put ourselves in a compromising situation. A quick run to the gift shop or cafeteria may turn into an expected activity. Be very careful about your choices.
  6. WHAT WE NURSES HAVE BEEN SAYING FOR YEARS BETTER STAFFING = BETTER CARE BUT WITHOUT THOSE RESEARCHERS CRUNCHING THE NUMBERS NO ONE EVER HEARS US. B E T T E R S T A F F I N G = B E T T E R C A R E There has never been a doubt.
  7. merlee

    MSN (not CNL) as a bedside nurse- thoughts?

    My comment has consistently been - - who wants to spend 40-100,00 bucks on an education to work weekends, nights and holidays, ad infinitum? If you do, then so be it. But is there compensation for your education? Best wishes!
  8. merlee

    2020 BSN law

    Sigh. In the early '70's we were told that a BSN would be mandatory by 1985. Or 1992. Or 1999..... Still hasn't happened. There are, however, as noted, some facilities that are attempting to go all BSN. This reminds me of a wave of 'primary nursing' facilities in the 80's where there was no ancillary personnel. Until they realized how much cheaper things were when aides did certain tasks.... Oh - and the doors would close on all the LPN schools, the diploma schools, the ADN programs..... It's all about the Benjamins! Personally, if I spent 50-60-80 thousand bucks on my education I would be loathe to work weekends and holidays forever for less than 35-40 bucks an hour. Let's see when that happens in a wide variety of geographic area! Oh - and that union idea? Not if I am a 'professional', dearie.
  9. merlee

    HIPAA - where you least expect it

    So why can't the pharmacy person bring the groceries? Or maybe even though they are the same company, the products come from different locations?
  10. merlee

    The Humorous Nurse Speaks

    When I was a nursing student during the Jurassic Age, my surgical follow-through was having a cholecystectomy. The doctor explained that they would be removing her gall bladder. She had no questions for the doc, but as soon as he left, she asked me how she would pee if they took her bladder away. It took me a moment to realize what she meant, and I gave her an anatomy lesson. She was very much relieved.
  11. merlee

    Head, meet desk

    In an extreme situation, we once put a patient in our clean utility/storage room. There were also 2 in the hallway.
  12. merlee

    Signing out medications for my manager.

    No. No. NO. NO. No. No access? No meds. Just that simple. This IS a time that your license could be at risk. NO. NO. NO. Run away when this person comes near you at the cart. Best wishes.
  13. merlee

    BID strictly every 12h or just twice a day?

    BID of 'regular' meds is usually 9A & 5P. So there should be at least 8 hrs between those doses. Ask for clarification.
  14. merlee

    Is My Nursing License At Risk?

    I agree with commuter - the vast majority of disciplinary actions have to do with actual illegal actions - from diversion to passing bad checks to dui's. Falsification of records is now being caught more often in these days of electronic charting. Rare is actual patient care issues, and certainly not a missed B12 shot! The only two people I knew that had action against their licenses - one was diversion, and the other had a meth lab in her house! What I really resent is when a management type threatens a nurse by saying they will report her to the BON for some minor screw-up on the floor.
  15. Unless it was sutured, it seems extreme to write an 'event' report. Get your docs to write a 'replace NGT prn until further notice' order. This should cover you, and avoid the need to write up event reports.
  16. merlee

    One lead off

    What?
×

By using the site you agree to our Privacy, Cookies, and Terms of Service Policies.

OK