IMustBeCrazy

IMustBeCrazy

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All Content by IMustBeCrazy

  1. Vacation 'Denied' due to another nurse's medical leave: Fair or not??

    IMustBeCrazy replied to Nurse!Nurse!Hello?'s topic in General Nursing

    The very fastest way for a facility to lose good employees is to start messing around with schedules or vacations. I have seen time and time again that staff at some facilities have a massive amount...

  2. Is Joint Commission more hindrance than help?

    IMustBeCrazy replied to oldiebutgoodie's topic in General Nursing

    A few things from JHACO are good, such as med recs. Doing them are often a pain in the butt, but still very necessary for good patient care. Most of the stuff however is a joke, bureaucrats making...

  3. Residents who pull their call light for the sake of it

    IMustBeCrazy replied to Ms. Nurse Assistant's topic in General Nursing

    If your nursing administrator was good, they would suggest to this resident that she is requiring a level of service that your nursing home just simply does not provide. The admin needs to find out...

  4. The field of Nursing is wicked to CENAs..the ugly side no one talks about

    IMustBeCrazy replied to Ms. Nurse Assistant's topic in General Nursing

    There are some absolutely fabulous people that work in Assisted Living/Nursing Homes. But it is my *opinion* from what I have seen in my area, that there is a higher ratio of licensed staff there...

  5. Is this really psych nursing??

    IMustBeCrazy replied to Satori77's topic in Psychiatric

    It sounds like she accepted a position in a unit with poor management and a poor orientation program. The unit I work on is not like this at all, and our training is quite good. I am blessed to also...

  6. domestic abuse assessment

    IMustBeCrazy replied to drking's topic in General Nursing

    Somehow, I suspect the good *Dr* was not referring to nursing diagnoses. I don't and never have had a problem accurately assessing for abuse, (neither do my coworkers.) Always the stickier part of...

  7. Ethics: Does it bother you when people are in nursing to make money?

    IMustBeCrazy replied to CaLLaCoDe's topic in General Nursing

    As long as a nurse can perform their job competently, leaves drama at home, treats patients well and is not a department liability, I could care less about the exact reason that led them into

  8. domestic abuse assessment

    IMustBeCrazy replied to drking's topic in General Nursing

    While I'm sure your tool is wonderful, nurses do not diagnose. The problem is not and never has been suspecting abuse. The problem is helping the abused victim to take action to keep themselves safe....

  9. Ethics: Does it bother you when people are in nursing to make money?

    IMustBeCrazy replied to CaLLaCoDe's topic in General Nursing

    I'm guessing that many attorneys may enjoy their jobs *and* the money they make. Docs may like their jobs *and* the money they make. Veterinarians may like their jobs *and* the money they...

  10. A story I wanted to share. (Long)

    IMustBeCrazy replied to mslinzyann's topic in General Nursing

    THIS is much better than any Press Ganey result. Thank you

  11. they cancelled my health insurance (I just had surgery)

    IMustBeCrazy replied to chenoaspirit's topic in General Nursing

    Here's my 2 cents. They screwed up, they need to fix it. But, don't be all nice and go for the "talking with HR" route right from the get-go. In my experience, being nice generally doesn't get you...

  12. Anyone Else Experience Mobbing?

    IMustBeCrazy replied to WeakAnkles's topic in General Nursing

    I am quite good at defending myself and I also can easily leave work at work. But I expect those that are wizened and experienced to show good leadership and be a good example by stepping in when...

  13. Question regarding Dr. orders....(sorry, long)

    IMustBeCrazy replied to TinkRN8's topic in General Nursing

    You have just discovered the principle of patient autonomy. You have just learned to *always* listen to your patients, and, even if it's a busy night, take that extra 5 minutes to call the MD to get...

  14. Dysfunctional Uterine Bleeding, help!!

    IMustBeCrazy posted a topic in Ob/Gyn

    I'm in over my head here and need some timely advice from the pros. I'm a psych nurse and have been working on and off with a pt that has been on my unit a couple weeks already. She was admitted for a...

  15. new corporation investigating health care workers

    IMustBeCrazy replied to CRNI-ICU20's topic in General Nursing

    group one info:

  16. new corporation investigating health care workers

    IMustBeCrazy replied to CRNI-ICU20's topic in General Nursing

    precheck's corporate headquarters are located in houston, texas. phone 800-999-9861 713-861-5959 e-mail [email protected] alamogordo employment: phone 713-580-0504 fax 832-565-8999 e-mail...

  17. Patients on Medicaid

    IMustBeCrazy replied to DiEd's topic in Patient, Colleague Relations

    :heartbeat ((((((rehab nurse))))))

  18. Strange diagnosis

    IMustBeCrazy replied to aerorunner80's topic in General Nursing

    They may not void, due to many factors. One of which may be just voiding prior to the seizure. I have cared for many pseudoseizure patients. I find it interesting that many of them have comorbid...

  19. Question about Effexor

    IMustBeCrazy replied to brwneyegal's topic in General Nursing

    When it comes to mixtures of psych meds, anything is possible. The combinations and strengths are unique for each patient. In addition, it is common for a combination of medications that once worked...

  20. Dysfunctional Uterine Bleeding, help!!

    IMustBeCrazy replied to IMustBeCrazy's topic in Ob/Gyn

    I forgot to mention, weight gain, especially around midriff and hip areas is extremely common in my research for this condition, and MD pointed out to pt that weight loss is necessary to mitigate...

  21. Dysfunctional Uterine Bleeding, help!!

    IMustBeCrazy replied to IMustBeCrazy's topic in Ob/Gyn

    Thanks to all that responded, your insights and expertise are appreciated. I did go to the websites you mentioned and copied a few things for the pt, she was thankful to receive this info. Her endo...

  22. Question for Psych RN's about pt on cardiac unit

    IMustBeCrazy replied to al7139's topic in Psychiatric

    Here's the dilemma. From what I read, no where in your info did you state that this pt is involuntary. If he is not being detained, how can your unit legally justify keeping him in the hospital...

  23. Dysfunctional Uterine Bleeding, help!!

    IMustBeCrazy replied to IMustBeCrazy's topic in Ob/Gyn

    Just wanted to add: Pt age: 39 She said she hasn't been too worried about irregular menses since hubby has vasectomy. She said she thought it was just perimenopause. Apparently the OB said not a...

  24. What Would You Do?

    IMustBeCrazy replied to megananne7's topic in General Nursing

    I work inpatient psych, so some of the rules I must follow are likely more strict re: med consent. In my state, inpatient psych pts MUST give verbal informed consent (with another RN witness to...

  25. I am so stupid!!!!!!!

    IMustBeCrazy replied to edisonnurse's topic in First Year After Licensure

    Edisonnurse, I would MUCH MUCH rather work with a new grad that is a little unsure and is willing to ask lots of questions, than a smarty-pants know-it-all with a bad attitude. You are right where you...