tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    A Call to Action from the Nation's Nurses in the Wake of Newtown

    tyvin replied to NRSKarenRN's topic in Activism, Healthcare

    We can have all the rules and what not in our society on how kids do this and that; what makes them violent, which generation is better, how guns are bad, etc... but ultimately it starts with the...
  2. tyvin

    The math doesn't add up

    tyvin replied to noyesno's topic in General Nursing

    In home health I got cards and gifts from my hospice families frequently. Isn't it weird that we should be the ones to write patient's thankyou cards...shouldn't it be the other way around? Someone...
  3. tyvin

    Health Care Proxy Dilemma/Question

    tyvin replied to One Flew Over's topic in General Nursing

    What state are you
  4. tyvin

    After hour calls

    tyvin replied to pedspnp's topic in Nurse Practitioners, NP

    I would consider changing my number. It sounds like she'll never stop unless you are extremely aggressive about it. You know how the moms can get. Unless she's planning on moving she'll keep calling...
  5. tyvin

    Fairly New Nurse terrified of losing my License

    tyvin replied to Lauryen828's topic in Patient, Colleague Relations

    Keep your head down and do your job. The grass is not always greener on the other side but it couldn't get much worse. Sounds like a place I used to work at. You can't get your licensed yanked unless...
  6. tyvin

    Giving alcohol to a resident

    tyvin replied to fournee's topic in Geriatric, LTC

    Let the doc know about it...it's a drug after all. Of course if they are documenting on this person then the drinking needs to be documented as well. Remember; if it isn't documented it didn't happen....
  7. tyvin

    EHRs stink!

    tyvin replied to imintrouble's topic in General Nursing

    EMR vs EHR: Understanding The Differences | CareCloud
  8. tyvin

    EHRs stink!

    tyvin replied to imintrouble's topic in General Nursing

    Electronic Medical Records Deadline: Penalties For Not Using EMR? I am in favor of EMR's but I think the rush is not good for some places and people. If the places are not ready to put EMR system in;...
  9. tyvin

    Health Care Proxy Dilemma/Question

    tyvin replied to One Flew Over's topic in General Nursing

    Who is the agent of the proxy. The health care proxy is just like a health care power of attorney. These documents can be drafted to be very specific. It's when the person can no longer make health...
  10. tyvin

    Older nurse lacking computer skills

    tyvin replied to Nrsasrus's topic in General Nursing

    She needs to improve her keyboarding skills (typing) to be comfortable learning about the software. It may sound lame but in order to be proficient in learning software she can't waste her time...
  11. tyvin

    which is harder.. to be a pedi nurse or geriatric?

    tyvin replied to BabyRN23's topic in General Nursing

    A young life compared to an older life...I have never been able to work with children. During clinical, when I was in school during the peds rotation, I could barely maintain. My heart was constantly...
  12. tyvin

    Decision time! Stay on the floor or take MDS job?

    tyvin replied to croppyRN's topic in MDS Coordinator Information

    50 residents for 1 RCM (resident care manager) / RNAC (Registered Nurse Assessment Coordinator) which are the names for an MDS nurse; is too many. But they'll tell you that it's not. Facilities go...
  13. tyvin

    MDS RN to resident ratio?

    tyvin replied to crazyforthis's topic in MDS Coordinator Information

    I just wanted to say that my fist MDS job they went by the book and said it's 24 patients per MDS cordinnator (I don't know where they got that number). When I later was asked to do the same thing at...
  14. tyvin

    Ever had a Dr. mad at you?

    tyvin replied to KBLOWE831's topic in Patient, Colleague Relations

    I've only had one doc mad at me that I know of. It was an elderly women whose doc always gave her abx's when ever she got sick (pheumonnia due to immobility, etc...). This was in a LTC faciltiy. It...
  15. tyvin

    MDS nursing as a new graduate????

    tyvin replied to TealScrubies09's topic in General Nursing

    So.............did you take it? Inquiring minds want to
  16. tyvin

    called in sick, nurse manager calling back (inappropriate tactics?)

    tyvin replied to jbaggins's topic in General Nursing

    Union? Hmmm; yes I've worked for those types...it's harassment plain and simple. Now that he caved in both of you will never get rest next time this may happen (if "it" still works there). You had...
  17. tyvin

    Pharmacists giving injections!?!

    tyvin replied to chevyv's topic in Patient Medications

    NH Allows Pharmacists To Give More Vaccinations Interesting...I didn't think much of it when the pharmacist's started giving flu shots. It's not the nurses but the doctors who are upset about this....
  18. tyvin

    Injury Preventionist? What's that?

    tyvin replied to Bortaz's topic in General Nursing

    Sounds like they're advertising for an "Occupational Nurse"...look it
  19. tyvin

    Drug Screen question

    tyvin replied to Futuresos's topic in Job Search, Interview, Resume

    It's no longer in your system...if you're really worried about it drink 2 quarts of water a day until the screen. If you are no longer taking the medication on a regular basis don't put it down if you...
  20. tyvin

    Whose responsibility is it to discuss expectations of the nurse aide?

    tyvin replied to emptyboxcars's topic in General Nursing

    Yes, you can sit down and counsel...be sure you know what you're talking about though. CNAs and the like know their limits. It's up to you as the charge to know their job as well. Only when the...
  21. tyvin

    First Year Almost Over, No Magical "Ah ha" Moment Yet

    tyvin replied to babysteps25's topic in First Year After Licensure

    I didn't know there was an "Aha
  22. tyvin

    Would you become an RN again if you had the choice?

    tyvin replied to eminthesr's topic in Diploma, ADN, BSN

    Maybe so but at least I would have expected dirty underhanded tactics as a lawyer. The disgusting ways I've seen nurses, doctors and management try to cover their mistakes which always ended up with...
  23. tyvin

    Yet Another Pre-Employment Drug Screen Thread

    tyvin replied to YouSmellLikeCDiff's topic in First Year After Licensure

    Not in Hawaii they can't...absolutely not. I know a person that it happened to; the drug screening company sent the meds with the pass result. The result of that was a law suit and the drug company...
  24. tyvin

    Very little witnessing going on with drug wastes on my floor!

    tyvin replied to Nurse ABC's topic in Patient Medications

    You don't have to walk away...if you are the one who is the witness just watch. Now if the nurse urges you to leave then there's a problem. Yes it's common and if there are any issues they can drug...
  25. tyvin

    Are student loans haunting you?

    tyvin replied to Joe V's topic in Nurses Rock

    I hear ya...my beef is 17 years ago they were handing out loans like candy. One didn't get any counseling but when you signed the loan agreement the guy said "You know you have to pay it back" sort of...