tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    A possitive tb test

    tyvin replied to libra32's topic in General Nursing

    Of course you can work with latent TB. The other with "perhaps the 2 step was done inaccurately" (paraphrasing in the quote): I watched the RN administer the test because it's very true, many RNs...
  2. tyvin

    New Grad with IPN contract

    tyvin replied to curr987's topic in Nurses Recovery

    Oh, believe me, at the age of 60 I know exactly what you're talking about. I would discuss it with the person you're closest to in the program who has authority to make that call after you've been...
  3. tyvin

    New Grad with IPN contract

    tyvin replied to curr987's topic in Nurses Recovery

    What you need to do is ask who ever you report to at the IPN program. I take it IPN means Impaired Nurse Program...if not what does it mean. I looked up a few articles on it and whenever the nurse is...
  4. tyvin

    Refused admission

    tyvin replied to savoytruffle's topic in Geriatric, LTC

    I'm not saying you should have kept her, your original post states you sent her to a SNF that had accepted her. In order to do that she had to be skilled for something. What is it that skilled her for...
  5. tyvin

    Refused admission

    tyvin replied to savoytruffle's topic in Geriatric, LTC

    Why was she released to go to a SNF when she lived at your facility (what skilled her?); she should have been released to a LTC...SNF is not long term placement. Is that part of the problem? They...
  6. tyvin

    grandmother with dementia

    tyvin replied to nurseshellyRN's topic in Geriatric, LTC

    Bingo! It drives me right out of my skull when healthcare workers feel the need to "orient" patients with dementia of all types. Why keep breaking the person's heart by reminding them that a loved...
  7. tyvin

    A possitive tb test

    tyvin replied to libra32's topic in General Nursing

    I live in Hawaii and every other RN I know has inactive TB infection. I do as well and get a chest x-ray every year. You are given an option for medication which is an extensive 6 month therapy or...
  8. tyvin

    For BSN or higher RNs, need help for assignment.

    tyvin replied to uninspiredluck's topic in Nursing Student Assistance

    In my opinion beneficence in nursing is the reason someone becomes a nurse. The subject matter is extremely wide and varied. Are you doing your capstone on this subject? Hmmm...what is your capstone?...
  9. tyvin

    MD Falsifying Charting

    tyvin replied to annie.rn's topic in Patient, Colleague Relations

    This is bad common practice as the docs read the previous note (PA or doc) and if it reads generic than why bother...I've seen more than one nurse do this as well. Why didn't you ask him while he was...
  10. tyvin

    How Is this handled at your workplace?

    tyvin replied to Caffeine_IV's topic in General Nursing

    There is p/p for this in facilities that have their stuff together and union. I've always worked in union jobs and the pay when that happens is half
  11. tyvin

    UA/drug test failed

    tyvin replied to neuron's topic in General Nursing

    The same thing happened to me! But the test said I had taken methadone....I was beyond my self; I could not believe this was happening to me. It was like I was in a movie or something like that;...
  12. tyvin

    Need opinions

    tyvin replied to blams2004's topic in Patient, Colleague Relations

    I do use specific vulgar language in quotes and prior I type; and I quote the patient blah blah saying "blah blah" as patient was talking about their mother in blah blah blah...as I was standing in...
  13. tyvin

    advice on being written up when I dont think I should have been...

    tyvin replied to anniegirl1988's topic in Patient Safety Issues

    I haven't read any of the other posts but that's a huge no no! If rapid response was called, whether they did anything or not, the doc should have most definitely been called right after you called...
  14. tyvin

    charting MD aware when you were not the one responsible to call MD as per facility policy

    tyvin replied to Yoyo1313's topic in Long Term Acute Care

    I believe this person is talking non-emergent issues. Are you going to call the on-call at 03:00 about how a patient is refusing their Abx's or that you want to institute Ensure due to weight loss? I...
  15. tyvin

    Nonverbal Patient Communication Tactics

    tyvin replied to Purple_roses's topic in Patient, Colleague Relations

    Purple_roses; the class was part of the universities 'Communication's Department' In order to receive the bachelor, the student must complete a required x amount of credits in x amount of multiple...
  16. tyvin

    Nonverbal Patient Communication Tactics

    tyvin replied to Purple_roses's topic in Patient, Colleague Relations

    During clinical rotation at the end of my first year in school I was observing two RNs standing over a man in the ICU, they were talking over him. One nurse on one side of the bed, and the other RN on...
  17. tyvin

    Half a flu shot for patients on immunotherapy? Seattle, WA

    tyvin replied to kathyn1027's topic in Disaster Preparation

    What does their doctor
  18. tyvin

    Patient's rights dilemma

    tyvin replied to newgraduategal's topic in Patient, Colleague Relations

    MunoRN quote from above pp "...endocarditis related to IV drug use (Hx hep C combined with endocarditis)." Forgive my ignorance; how do you know this gentleman acquired HCV via drug IV
  19. tyvin

    charting MD aware when you were not the one responsible to call MD as per facility policy

    tyvin replied to Yoyo1313's topic in Long Term Acute Care

    Really
  20. tyvin

    charting MD aware when you were not the one responsible to call MD as per facility policy

    tyvin replied to Yoyo1313's topic in Long Term Acute Care

    This person is on nights...the docs offices are not open at 07:00 when they go off or give
  21. tyvin

    charting MD aware when you were not the one responsible to call MD as per facility policy

    tyvin replied to Yoyo1313's topic in Long Term Acute Care

    OK guys, you're making this more complicated than it is... But first, let us know what type of charting your facility requires the nurses to use...or do they; than we can help you...
  22. tyvin

    Is this legal? Hospice RN required to do Home Health visits

    tyvin replied to deblowe52's topic in Hospice, Palliative

    Oh, I thought she was in the office coordinating care of the patients and responsible for assigning the cases...OK, well than it's really a baffling question as the nurse would have had to be doing...
  23. tyvin

    PRNs day of discharge

    tyvin replied to sassyann85's topic in Psychiatric

    Kind of silly if you think about it. The patient is being discharged and most likely has a PRN Ativan because they need to relax/calm down/etc... I've never heard of a nurse that does that, we always...
  24. tyvin

    Correctional nurse pay

    tyvin replied to Mandycane's topic in Correctional

    Most of all the federal and state institutions will pay according to the state's union wages of that particular profession; both LPN & RN. Do a search of your states union wages for RNs &...
  25. tyvin

    Esme12

    tyvin replied to amoLucia's topic in Medical-Surgical

    "esme needs your prayers and well wishes" is the name of the thread that has had a major huge reaction as to esme being in the hospital. Search it out and let her know you care...thank you