tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    Long Term Care / Nursing Home

    tyvin replied to kmcasey0124's topic in Geriatric, LTC

    If you become an MDS coordinator you will get to know what care the residents are getting. You'll have to know everything about them, make the care plans, meet with the team and find out how much they...
  2. tyvin

    500 cc of Vanco/Ns over 2 hours via pump via picc line

    tyvin replied to lumbarpain's topic in Patient Medications

    The reason Vanco is given at what might be considered a slow rate is that there can be numerous side effects when given too fast....
  3. tyvin

    Tylenol ordered for pain.

    tyvin replied to gouranga's topic in Patient Medications

    Tylenol for pain or not, I would have given the Tylenol for the fever...over 103; come on. You can be way too literal in the nursing field and someone ends up with brain damage. I can see why the doc...
  4. tyvin

    Got written up AGAIN

    tyvin replied to Justliving00's topic in General Nursing

    I hear you loud and clear! Your situation is really quite typical in many LTC and SNFs across this country. Good for you; go part-time if you can afford it because you know darn well your phone won't...
  5. tyvin

    Is this acceptable?

    tyvin replied to betweenus64's topic in General Nursing

    Anyone can do whatever the doc feels safe with when working under the MDs "license." That's how medical techs can do procedures in a clinical setting such as a docs office. Most of the people...
  6. tyvin

    who has authority to review a chart??

    tyvin replied to tina51486's topic in Home Health

    In my state only an RN can do chart review. RNs must also initial after reviewing LPN charting since LPNs cannot do assessments in my state. So, to make it safe we just initial after all charting. One...
  7. tyvin

    Independent Nurses

    tyvin replied to ttbax's topic in Private Duty

    PROVIDER MANUAL: REPORTING AND ASSESSMENT FORMS Home Health Certification and Plan of Care Instructions Form CMS-485, Home Health Certification and Plan of Care" Face-to-Face Documentation...
  8. tyvin

    No Restraints

    tyvin replied to B52's topic in General Nursing

    Such BS when they are using retsraints...chemical restraints. I worked on one of those units and there was more harm than good with the amount of psych meds they were using... Medications are a form...
  9. tyvin

    What is Selective Service?

    tyvin replied to nursefromcali's topic in General Nursing

    Though the military is completely voluntary now, males are still required to register by the 18th birthday and stay in the system until they are 26. This is in case of total war where more bodies will...
  10. tyvin

    positive drug screen at the MD's office

    tyvin replied to needananswer's topic in General Nursing

    The info your doctor gets from you is CONFIDENTIAL! Say it with me people...CONFIDENTIAL. The only way your employer or anyone else could look at your records is if you sign a consent form for it....
  11. tyvin

    Can we just agree, being honest is not akin to being "rude"?

    tyvin replied to SmilingBluEyes's topic in General Nursing

    There was thread a few months back that a member asked one of those "ad nauseam" subjects and the crowd went wild; I mean really wild ! Many posts responding in a vitriolic manner (IMO). The person...
  12. tyvin

    "International Association of Nurses" - is this legit?

    tyvin replied to psysn's topic in Nursing Professionalism

    Bump... I actually filled out a survey online for them not knowing that this thread had been done concerning their alleged scam status. Since I entered a nursing leadership video contest run by the...
  13. tyvin

    Can we just agree, being honest is not akin to being "rude"?

    tyvin replied to SmilingBluEyes's topic in General Nursing

    I used to be shy and sensitive, but after 4 years as an RN I kissed all that good-bye. Now over 20 years later I look back and see how naive I was. One of the posts on this thread or one on the other...
  14. tyvin

    Loan forgiveness options? Help!

    tyvin replied to kaimkaim's topic in General Nursing

    You're preaching to the choir here... I went to a very nice university for my BSN and didn't borrow as much as you; I opted for the free grants and got a few small scholarships but it's been a heavy...
  15. tyvin

    Black Humour

    tyvin replied to Tenebrae's topic in Nursing Humor

    Where I'm from it's called a "DARK "sense of humor. Usually a dark sense of humor is equated with a dry sense of humor. You know when you think something is just hilarious and no one else is laughing...
  16. tyvin

    What did you take Anatomy with

    tyvin replied to iknoweverything's topic in Pre-Nursing Students

    You must be in an extremely advanced nursing program to have to take physics! Good for you... In the chemistry world I only had to take bio, physical, and inorganic chemistry...but no
  17. tyvin

    To tell or not to tell!

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

    Sounds like a bunch of sloppiness and bad habits. Orient, keep your nose clean, and don't copy your co-worker's habits (try correcting them). When you saw someone hanging blood with no gloves why...
  18. tyvin

    Concerns, asked to resign, etc.

    tyvin replied to LostKitten's topic in General Nursing

    It's not the over 40 crowd or the young millennials; it's just sometimes a person just isn't cut out for it. It really is that simple. You have to have nerves of steel and a brain like a steel...
  19. tyvin

    DHH taking away our ability to practice and use critical thinking skills

    tyvin replied to guestnurse's topic in Critical Care

    Have the docs write standing
  20. tyvin

    How do you sign your name?

    tyvin replied to ohiobobcat's topic in General Nursing

    Your boss cannot tell you how to sign your name. If you wanted to make an X to represent your signature, it's perfectly legal, as long as you keep it consistent. It was actually my professor at OHSU...
  21. tyvin

    Patient with Dementia's Right to Refusal

    tyvin replied to oblivionenigma's topic in Patient Safety Issues

    In my area SNFs are for short stay patients (skilled beds). It sounds like yours is long term care with some skilled beds. Is it a facility that houses both? tewdles was right on with response. The...
  22. tyvin

    Palliative care in nursing

    tyvin replied to Simonesays's topic in General Nursing

    Don't bother that poor women with taking her b/p. You tell the family it's hurting her; the family can't dictate care. The family can request and present their wishes but there comes a point when...
  23. tyvin

    Kansas City area MEDS CNA program and United Services

    tyvin replied to dbsq44's topic in General Nursing

    Why don't you call
  24. tyvin

    Not getting charge nurse position

    tyvin replied to frisky's topic in Nurse Management

    I would have taken it as a slap in the face...couldn't lose you to bedside is BS. I would throw a little lawsuit for ageism their
  25. tyvin

    Falsification of Documentation?

    tyvin replied to lowetidern's topic in General Nursing

    Child ponagraphy...did I really read that? I suppose all the other people in burn units, women having breast reductions, people having sex change operations, etc... I could go on and on but, are...