silverbat

silverbat

Care Coordination, MDS, med-surg, Peds

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All Content by silverbat

  1. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    Saw Rheumy yesterday for results of labs and xrays. Labs ok, again nothing positively positive for RA. The xrays said erosions on ulnar styloid bilaterally and peri-articular osteopenia, both...

  2. Unsafe ED

    silverbat replied to HeartRN13's topic in Patient Safety Issues

    I once received a pt to a med surg unit an hour before shift change, obtunded, Full Code, Sa02 86% on 5L non re-breather, skin yellow, smelling of Ammonia, VS tanking. When I contacted her Primary Dr,...

  3. New Nurse Jitters

    silverbat replied to oncpalnurse's topic in Nurse Disabilities

    We've all been there! Use your SBAR or other tools to have all your ducks in a row when you call the dr. Remember, he is not awake either and no matter how precise you are, he may not "follow" what...

  4. Dealing with Sjogren's and Reynauds

    silverbat replied to Nolli's topic in Nurse Disabilities

    I am now in the fun ride of diagnosis search myself and sympathize. I do seem to finally have a good Rheumatologist who must be part blood hound, cause he says he will figure out a diagnosis, if he...

  5. LPN Job Duties

    silverbat replied to Hoping2BeANurse's topic in LPN, LVN Corner

    OP, I suggest you change your avatar and your user name. Allnurses is not private and future/current employers or peers may recognize you and that isn't always a good thing. Re: Changing...

  6. Things you tell newbies

    silverbat replied to JBudd's topic in Patient, Colleague Relations

    Eat, pee, take your breaks. Take care of

  7. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    Well, if anyone is reading, LOL I have an update. I saw a Rheumy yesterday. Still no obvous answers, but he did do a through physical exam, ordered 15 or so blood tests and took 19 x-rays!!! LOL...

  8. Sent patient to ER during admission

    silverbat replied to Holisticlifern's topic in Home Health

    This even happens with SNF admits. We got a Pt from a hospital who coded and died 15 minutes into the admission with the admitting office in the SNF. Hummm hospital didn't tell us he was unstable at...

  9. I have not passed the NCLEX RN exam 4 times

    silverbat replied to Jdrake's topic in NCLEX Exam, Programs

    Is this a BSN or ASN degree? I would think a counselor at your college could guide you on other avenues to try. If ASN, maybe take courses for BSN, or to be healthcare administrator. A LNHA only has...

  10. when patients are prescribed marijuana

    silverbat replied to brownbook's topic in Patient Medications

    When I worked in hospitals we gave marinol (MJ) in po form to cancer/chemo

  11. Medication administration vs Patients wants

    silverbat replied to Notmarvin's topic in Patient Safety Issues

    The hospital I worked at on Med surg once had an alert and oriented pt who the nurses would leave her meds on the bedside table for her to take "later, I am eating a snack, putting on makeup.etc."....

  12. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    The Dr. sent a clarification, and, for now, all is ok at work. Work has agreed with the current job limitations, in the hope they are not long term. If long term...I'm not sure what will occur. They...

  13. Lpn to rn excelsior college

    silverbat replied to rrlpn's topic in Excelsior College

    When I did my CPNE-- 1996-- the passing rate was awful --- like 1 in 5. The week before my CPNE all 6 passed. 5 out of my 6 passed, but the next week only one passed. I did CPNE in Madison, WI. At...

  14. Acidic Posting

    silverbat replied to NurseGuyBri's topic in General Nursing

    sign me

  15. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    My primary job is basically at a desk with some going out on the units to assess, talk to staff/residents, etc., what the fuss is about is when I am on call, and I may need to come in and work as a...

  16. RNs vs LPNs

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

    One thing that also affects the RN "count" for 5 star, is that several administrative type nurses are generally are RN's and they don't count if they are administrative. An SNF I worked out, had...

  17. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    OH my.. "when" may be NOW.... sigh.. the Dr put me on work restrictrions and work is having a cow. Will find out more what work is gonna do today or

  18. NCLEX RN official result through mail

    silverbat replied to joquilon's topic in NCLEX Exam, Programs

    many states do not issue paper or card licenses any more. So not sure about your state. check the BON website, it may say if they do. Most employers go to nursys website to verify licensure and...

  19. Today I made a big mistake.

    silverbat replied to student-rn's topic in General Students

    OK, I am also confused... When you say this "is your second clinical", do you mean it is the second day or rotation of clinicals in this semester, or do you mean it is your second try at clinicals,...

  20. Is this risking my license?

    silverbat replied to chende's topic in Geriatric, LTC

    there should also be a DON(DNS) to contact, or an on-call Nurse to contact. You also pass meds for 70? that sounds wrong to me, sorry, but it does. I have workedin several LTC in a couple of states...

  21. am i reasonably resigning?

    silverbat replied to wakeuptothesun86's topic in Patient Safety Issues

    When I was working in a hospital as LPN and then as RN staff nurse on a medical floor, the normal and usual for a 29 bed floor was 2 team leaders,(RN,LPN or RN and RN) and 2-3 aides, rarely a med...

  22. Desperate, Anxiety: get into Nursing THIS year

    silverbat replied to joe84u2004's topic in Diploma, ADN, BSN

    A few thoughts here.... Your wife is Chinese, and by the phrasing, grammar and all around word useage, I wonder if English is your second language as well. If you are not a native English speaker, it...

  23. To code or not to code??

    silverbat replied to dbsue1954's topic in MDS Coordinator Information

    I'm curious..... what rationale did the RAI coordinator use when differentiating between Xeralto and Plavix? WHy is one code-able and not the

  24. When to say "When"?

    silverbat replied to silverbat's topic in Nurse Disabilities

    thank you al for your comments and support. Esme.. thank you for the references. EXTREMELY helpful. Guess I will need to find a good

  25. Interviewing for MDS

    silverbat replied to MichelletheRN's topic in MDS Coordinator Information

    I make about 30/hr as RN MDS. So I think that is good for the area I live in. In my prior position, for the state, the median salary for RN MDS was 26/hr. Don't forget to findout about on call, pulled...