silverbat

silverbat

Care Coordination, MDS, med-surg, Peds

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All Content by silverbat

  1. One night I had a particulary crazy night with a difficult co-worker. I had a team of 15 with an CNA to help. That meant I did all meds, assessments and charting on all 15, the CNA did the vitals and...
  2. Saw an angry clinical instructor...

    Bortaz, please keep updating us to how administration is dealing with this situation. Too often that is admins facorite phrase that means, hummm... file 13 this
  3. BSN Only? Give me a break!!

    I have an ASN and work for a large insurance company as
  4. Insurance case manager

    I am a telecommuter CM and an RN, for a large insurance company. I work from my home. I do computer form filling, and faxing, emailing, and go to members homes to do assessments required to determine...
  5. prn med help

    Another thing to consider... if he ALWAYS requests the rtn pain med early, how about checking with Dr to change the routine pain med to 0600? Then he wouldn't have to ask. Seems to me, his pain is...
  6. new mexico... experienced RN $27/hr and up up up New grad, I think aaround 22-24. I have many years Rn exp and work for an ins comaopany and make
  7. Unobserved fall and I feel awful!

    I have been an RN for many years and when I went to a new hospital, still on orientation this happened: I went to break!!! gosh darn me anyway!!!! AND while on said break, my A&O self amb LOL...
  8. delinquent nurse

    Contact the board of nursing in your state. Every state could have different
  9. Sig. Change

    If you expect the decline to last more than 14 days. I would do the Sig change
  10. Full Moon Friday the 13th

    One Fri 13th, I was working and on call for that 24 hrs. I worked 12 hours, then stayed 4 more to fix scheduling/cover, had 3 falls, sent one to psych hospital and had an elopement. I had 4 CNA call...
  11. Grimacing before passing

    I'm sorry for your loss. Its tough to lose someone we love. Not having been there, I couldn't guess at what was going on. Please, just remember your grandmother with love and concentrate on her...
  12. In the State of Missouri, when you renew your license, you will be required to notify the BON if you are convicted of bad checks. Jail time or no, if you are adjudged guilty, pay a fine, etc., you...
  13. I think this might be illegal!

    RUN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Documentation should only be changed by the original nurse. Oh yeah...
  14. When to say "When"?

    At what point does one know when the time has come to say 'When",and move out of nursing due to disease processes? I am thinking that with all my arthritis, asthma and Meniere's disease that the time...
  15. OP, you said that you weren't tested until you were there 3 weeks. Generally when someone is hired, HR notifies them of UDS and the time table. With some employers it is immediate, with my current...
  16. Vent: suspended for not charting on time

    Eons ago, when I was a new LPN, one of my pts wanted a pain pill. I gave it, signed it out on the narc sheet and wrote in the MAR(Paper charting) immediately. So I followed proceedure exactly....
  17. When to say "When"?

    update... Ok, I did it.... I found another job!!! I will be a care coordinator for a managed care insurance(LARGE) organization! NO on call, NO floor work!! At home, remote, on phone and home...
  18. OP, I was wondering about the anxiety you experienced that led to the Xanax use... have you considered counseling/therapy or prescribed medication to help you cope with all that is going on in your...
  19. Trying to switch specialties

    There are compaines for Nursing homes that help with someone becoming an Licensed Nursing Home administrator. LNHA just need at least a 4 year degree in a related(To administration) field. They train...
  20. help!!! pps assessment

    I'm not Talino, , but yes, that's what I would
  21. Trying to switch specialties

    Staff developement, Nursing informatics, health care administration, teaching. Can you become a
  22. When to say "When"?

    Ok, saw my PCP. She reviewed labs, xrays, etc, symptoms, etc and came to the conclusion that the Rheumatologist can'at just "pick and chose what results he wants to." LOL he agreed with all the...
  23. May 2014 Caption Contest: Win $100!

    Oh, great! NOW I'm seeing stethoscopes everywhere! Maybe I shouldn't have jacked the cool one from the student the other
  24. You Know You're A Nurse If...

    When you wash you hands in the bathroom at a public facility before and after you go and do it the "right"
  25. Best route to learn MDS

    you can read the RAI manual. CMS.org has one on its website. This manual is the "bible" of an MDS coordinator and will walk you through the MDS process. I would ask to shadow the current MDS Coord...