tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    MDS nursing as a new graduate????

    Do you work in the United
  2. tyvin

    MDS nursing as a new graduate????

    In the state of Hawaii it must be an RN who is the MDS nurse or in some places they're called RCM's. Sounds fishy or are you just collecting info for the MDS or are you actually going to sign off on...
  3. tyvin

    another dilemma.. when do i ever learn???

    Why would you ask for Haldol? It is well documented that that drug is contraindicated in the elderly. It's bad medicine and state surveyors ding facilities for using it here in Hawaii. Sorry about...
  4. To ray for her; sounds like someone I would want on my side but be careful; nursing politics and all. It is exemplary that she was able to overcome the horror of her past but please advise this women...
  5. The new grads are getting the positions because the positions are set up for the new grad specifically because of the difficulty they have getting in the door. Keep going and apply to other places....
  6. tyvin

    Physical Therapy drops pt and doesn't tell RN??

    It was your responsibility to do the incident report that's why PT told you about it. Not "mentioning" it was a big mistake as well. There should have been documentation in the chart along with the...
  7. I always let them know and tell them to not dumb it down when talking to me. I use to not tell but after discussing it with one doc when he asked why I was hiding the fact that I was an RN he made me...
  8. tyvin

    Question

    Absolutely appropriate. Do it in person and give a very distinct lay of what you want on the letter in a succinct way. The docs I have worked with were always more then happy to
  9. tyvin

    By the time I am 30 years old =(

    Oh now come on girl; I didn't go to college until I was 36, graduated at 41 and have been working since. You are making an ASSumption thinking that all the people writing on this forum are in their...
  10. tyvin

    what would be the"perfect med pass"?

    Number one; there is not such thing as a perfect med pass. Number two; If Auntie Helen can swallow 8 pills at one time and she likes it that way; after careful observation of her doing it that's...
  11. Chances are you're going to end up on a med cart at one time or another. Many places will train the charge on all carts before they start so if it happens (lol) you can do the med pass. Don't get too...
  12. The last two places I worked at we did bedside report or what we called it was walking rounds. I prefer this to the traditional report. As far as disclosing any confidential info to others in the room...
  13. tyvin

    Quick question!!!!

    In my experience of the states I've lived and worked in they don't call the ones that aren't going to be offered anything. Instead they send out a letter. This has been my experience with everyone I...
  14. tyvin

    Does the hospital have to give us these records?

    In my state you will have to have had POA or legal guardian etc... in order to look at the medical records. Remember; HIPPA protects even the
  15. tyvin

    Asking for advice and opinions

    If it's what you really want then I would do the tech school as you said and then do..... The thing is even if you have an RN license or not, most surgical suites will only hire experienced staff or...
  16. We didn't have a system of assigning preceptors either. What the students did that wanted the more guided tour was stake the willing nurses out during clinical. I don't know how anything was...
  17. Nobody is doing that girl any favors by pandering to her (I wouldn't have). BTW "they" can't treat you any way they want to; that's up to you how far you're going to let someone walk all over
  18. tyvin

    UTI and penile piercing

    I would definitely have them take it off and keep it until the hospital stay is over. How are you suppose to do foley care with a ring or stud earring in the way? It's only common sense to not let...
  19. tyvin

    Just wondering...

    Not just them but at one place we had an MDS nurse (one who did only the MDS's) anyway this person would come to me the charge who would be running around with my head cut off and tell me to call the...
  20. tyvin

    Breakfast before a 12 hour shift..

    Protein shake in a form of a smoothie is what I would start out with before venturing out to the graveyard shift. If you don't feed your brain, it won't have anything to run on. When there is...
  21. tyvin

    I got the transfer!

    We are a very special breed us psych nurses; it's not for everyone. Congratulations and FTR bone up on your non-verbal communication. Many times it's not what they verbally
  22. tyvin

    Homework help: Legal issues Pitocin/chain of cmd

    http://www.13thcoa.courts.state.tx.us/opinions/htmlopinion.asp?OpinionID=16196 Maybe......excessive amounts of pitocin said to have caused
  23. tyvin

    getting walked on

    A person can threaten bodily harm but it's a different thing then it actually happening. I can only go on the experience where I've worked and verbal abuse of any kind is not tolerated. Has your...
  24. tyvin

    what the heck am I feeling?

    I don't understand why you aren't asking at
  25. tyvin

    getting walked on

    Absolutely in no terms for any reason. I've seen a nurse dismissed after a few people heard her speaking harshly to a patient. It all depends where you are working and to what extent was the abuse and...