merlee

merlee

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All Content by merlee

  1. How do you handle patient information on security sign in sheets?

    merlee replied to Chi-townHomeRN's topic in Home Health

    You are not giving any info regarding the patient's healthcare. Simply a name without any medical information is not a violation of anything. If you are in a doctor's office the receptionist or...

  2. Assessment is finished, now what?

    merlee replied to Farmorethanrubies88's topic in Home Health

    You are not having a good orientation. Each visit should have a purpose beyond the assessment. A task, or specific teaching. And you should be getting mileage from the first patient's house until...

  3. Have you ever done this

    merlee replied to emilysmom,RN's topic in Home Health

    How does the pt make an appointment if no one answers the phone? That issue aside, if there is a fax number, I would fax the doc a complete list of medications and ask for confirmation. Who is...

  4. Water supply?

    merlee replied to sauconyrunner's topic in Dialysis, Renal, Urology

    An issue? No. Water is used to dilute the dialysate, which usually comes in gallon jugs. The use of the shower line was incredible resourceful. Many newer hospitals have a water line built into...

  5. Giving two week notice...

    merlee replied to Jess_Missouri_RN's topic in Nursing Professionalism

    Check your employee handbook, or check with HR. But if this vacation has been scheduled for a while, then I wouldn't worry about it. Many places ask for vacation scheduling months in advance. One...

  6. How do you handle patient information on security sign in sheets?

    merlee replied to Chi-townHomeRN's topic in Home Health

    You are not revealing any protected information. Simply because you are from a home health agency does not say 'why' you are there. Part of the reason you are signing in is for your own protection....

  7. Pre-employment physical -uds

    merlee replied to Kidrn911's topic in Occupational Health

    If it is truly a week, there should not be any drug left in your body. Depending on the system that is used, many times there is no opportunity to tell the testing personnel what there may be in your...

  8. Written up!

    merlee replied to as2633's topic in Nursing Student Assistance

    No one I know of ever asks to see your student records. If you graduated and passed your boards is usually all they need to know. The entire situation sounds confusing to me. So you didn't go to the...

  9. Medication Error...KINDA.

    merlee replied to nursedreamjob's topic in First Year After Licensure

    I have a good friend who took her glucophage before and after her scans. Not a good idea, but nothing happened. Was this resident sent back with written orders? Someone should have checked them....

  10. Morphine PCA

    merlee replied to hubcaps's topic in PICU, Pediatric

    I insisted that my son have a PCA pump when he was 6 - 21 years ago! I figured if he could operate the VCR, he could push the button for the pump. I was correct. As for family members pushing the...

  11. So check this out....

    merlee replied to mindlor's topic in Patient, Colleague Relations

    Six patients on isolation??? That's at least 3 too many!

  12. Failed my clinical practice evaluation, failed the class, failed the program...

    merlee replied to Live.&.Learn's topic in General Students

    We had dual stethoscopes for this very purpose. One head, two sets of earpieces. Instructor and student hear the same sounds at the same time. The readings could be no more than 4mm different. You...

  13. Narcotics

    merlee replied to mmace's topic in LPN, LVN Corner

    Give the narcs, then attend to the

  14. Have you ever cried when a Pt died

    merlee replied to Topaz7's topic in Hospice, Palliative

    You say she was in assisted living, despite her age. So she was already in need of some care. It's not likely anything you may have done would have made a difference. But many of us cry, and many...

  15. Are you or someone you love the worst patient ever?

    merlee replied to dudette10's topic in Patient, Colleague Relations

    For myself, I have tried to be a 'good' patient, but if I ask for something I expect it within a reasonable time. Once it took me over 4 hours to get a pain med.....I was not happy... But I can be...

  16. Where are RNs school nurses?

    merlee replied to NursePamela's topic in School

    There is no 'secret' website that I know about. Each state has its own minimum standards, and then the school districts can elaborate on those. In Philadelphia, the school nurses had BSNs at least 45...

  17. Interview Q: Why adult med-surg, when you have pediatric as your preceptorship?

    merlee replied to nooneelse's topic in Job Search, Interview, Resume

    Your original rationale was perfect. You chose an area that you felt you wanted to explore more deeply. I chose the neuro floor because I didn't feel comfortable working with stroke and spinal cord...

  18. Bleach and C diff

    merlee replied to sauconyrunner's topic in Infectious Disease

    Where is your Infection control nurse? Or Infectious Disease Specialist? They are the ones who should be fighting this battle. Best

  19. Nursing is slavery Period!!!

    merlee replied to sonia211's topic in Patient, Colleague Relations

    I have had the opportunity to work in a union facility and continually wonder why more places are not union based. Beyond that, I think every nurse who isn't getting their breaks/meals should be...

  20. To resign early or risk getting fired?

    merlee replied to NYtoCAtoNY's topic in Patient, Colleague Relations

    It is sometimes difficult to understand how we are being perceived by others. There is something behind this evaluation that is not being identified, and expressing the faults of others will not...

  21. Seriously? A hospital is NOT a hotel.

    merlee replied to raianne's topic in Patient, Colleague Relations

    New hospitals are being built with all private rooms - the reason is mostly HIPAA and the need for more privacy in general. But then there is room for even more visitors! You do have the right to...

  22. Splitting pills outside of nurse's scope of practice?

    merlee replied to thesundowner's topic in Patient Medications

    I am hysterical laughing about this. Back in the Jurassic age (1970's) I worked on an IV team that did admixture for everything except TPN. Oh, that's right, this was BEFORE TPN!!! We added K to IV...

  23. Are full-time 12 hour shifts M-F?

    merlee replied to Maui79's topic in Job Search, Interview, Resume

    Twelves are usually 3 times a week, not usually 3 days in a row, but that can be negotiated. I am surprised that you are not aware of this! And, unless otherwise stated, most positions are every...

  24. Has anyone coded a co-worker? Dealing with the grief...

    merlee replied to Zookeeper3's topic in Patient, Colleague Relations

    The post-care conference may happen a week or two after the event. Allow some one from the staff, possibly from the education dept., to arrange for all this. You may be outside the situation and be...

  25. Interview for per diem position/ RN

    merlee replied to grahamd01's topic in Job Search, Interview, Resume

    A per diem position is not appropriate for a new grad. Unless they are going to give you a full orientation - 8-12 weeks - this is not something that you are prepared to do. Per diem means you have...