JustBeachyNurse LPN

Complex pedi to LTC/SA & now a manager

Complex pediatrics turned geriatric LTC/sub acute nurse most recently transitioned to nurse manager. Combining advocacy, skilled nursing and off nights.

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All Content by JustBeachyNurse

  1. JustBeachyNurse

    Going to be fired?

    JustBeachyNurse replied to Meridian2's topic in Patient, Colleague Relations

    Psst I'm a night nurse too. We don't sit around knitting sweaters and eating cake. Any one of your errors could have resulted in termination regardless of your "honesty". You need to take...
  2. JustBeachyNurse

    Achieve Test Prep

    JustBeachyNurse replied to FLORIDA LPN 7's topic in Excelsior College

    There is nothing wrong with using a test prep service as long as you are aware these services are neither affiliated nor endorsed by Excelsior and therefore cannot guarantee acceptance or that their...
  3. JustBeachyNurse

    Going to be fired?

    JustBeachyNurse replied to Meridian2's topic in Patient, Colleague Relations

    There is usually a one hour window for medication so 10pm meds are on time 9pm to 11pm. Or 9:30-10:30. Giving 10pm meds, depending on the med like a sleeping pill, timed antibiotics or drug that needs...
  4. JustBeachyNurse

    Noncompliance diagnosis

    JustBeachyNurse replied to Skit504's topic in Nursing Student Assistance

    The definition of noncompliance does not match your diagnosis It is not in spite of following the treatment/plan of
  5. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    Your license is not at risk by following office policy and leaving patients with a highly respected qualified ocular plastic surgeon and his/her resident physician. If you stay past your scheduled...
  6. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    You are not making much sense at this
  7. JustBeachyNurse

    Failed nclex 10 times should i try again???????

    JustBeachyNurse replied to ekb2011's topic in NCLEX Exam, Programs

    The NCLEX has been updated for content and format at least 3 if not 4 times since you graduated. The standard of care has changed slightly in areas such as C-B-A for single rescuer CPR. Drugs and drug...
  8. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    Again why have you decided that a licensed physician and resident are incompetent at running a code when physicians must sign off on code protocols for nurses to implement? Most teaching facilities...
  9. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    I think she's projecting total liability for any random occurance whether random sudden cardiac death or a fall with a SAH onto a nurse as a "closer" rather than the physician and facility
  10. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    You are fully mistaken. The patient in the parking garage that was discharged from the outpatient clinic is not your responsibility if they suffer random sudden cardiac death. Your fears are...
  11. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    Nope. These clinics had different SoPs. Were they aligned with a teaching hospital? Again there is nothing other than nurse care planning that a nurse can do that is out of the scope of a licensed...
  12. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    This is not true not all clinics have nurses as "closers" some have medical assistants (and no nurses on staff whatsoever) as "closers". Some have receptionists as closers. Some physicians close the...
  13. JustBeachyNurse

    NJ BON English Proficiency test Exemption

    JustBeachyNurse replied to nurser321's topic in Nurse Registration

    NJ regulations to not offer the option to be exempted from demonstrating English language proficiency due to use of English texts in a foreign nurse education program. Some states do, NJ is not one of...
  14. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    What kind of non-optical eye patients in bad shape are you seeing in an outpatient
  15. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    Nurses initiate and execute physician prescriptions/orders/recommendations. Surely physicians are capable of doing the same with their own orders. I think you have an extremely skewed vision of what...
  16. JustBeachyNurse

    leaving clinic with Patients still in exam rooms?

    JustBeachyNurse replied to bethburlson's topic in Patient, Colleague Relations

    Is this an outpatient surgicenter where your patients received sedatives and need monitoring and supervision? If this is a retinal/macular degeneration/glaucoma/low vision center you are grossly...
  17. JustBeachyNurse

    Violating HIPAA by responding to Yelp

    JustBeachyNurse replied to RiskManager's topic in HIPAA Challenges

    Page 7 clarifies electronic transactions: https://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/HIPAAGenInfo/Downloads/CoveredEntitycharts.pdf If a small practice submits...
  18. JustBeachyNurse

    Violating HIPAA by responding to Yelp

    JustBeachyNurse replied to RiskManager's topic in HIPAA Challenges

    Furnishes AND "but only if they transmit any information in an electronic form in connection with a transaction for which HHS has adopted a standard" Providing healthcare services for payment is the...
  19. JustBeachyNurse

    Violating HIPAA by responding to Yelp

    JustBeachyNurse replied to RiskManager's topic in HIPAA Challenges

    The electronic transactions is the critical
  20. JustBeachyNurse

    Violating HIPAA by responding to Yelp

    JustBeachyNurse replied to RiskManager's topic in HIPAA Challenges

    You are correct in that what PHI is protected. The issue is whether HIPAA applies to the agency. A covered entity must meet a two prong test. You must be a healthcare provider billing for...
  21. JustBeachyNurse

    Violating HIPAA by responding to Yelp

    JustBeachyNurse replied to RiskManager's topic in HIPAA Challenges

    If the provider does not bill electronically they are not bound by HIPAA. If they don't participate in Medicare they are not required to submit electronic bills. This is a major loophole not known by...
  22. JustBeachyNurse

    RN started affair with pt...led to divorce

    JustBeachyNurse replied to Whispjes55's topic in Nursing Professionalism

    Well Maury is at least a slightly better choice than Jerry Springer. You have two choices: let it go and move on or report an ethics violation if you are absolutely certain and have
  23. JustBeachyNurse

    New Nurse Devastated by Unexpected Termination - What Now??

    JustBeachyNurse replied to Nurse Beth's topic in Career Advice Column

    It's not true former employers can't reveal the reason for termination. They absolutely can as long as it's truthful. Reality is that most facilities have policies that only permit HR to reveal...
  24. JustBeachyNurse

    NJ BON English Proficiency test Exemption

    JustBeachyNurse replied to nurser321's topic in Nurse Registration

    NJ does not waive English proficiency for overseas nurses simply because you now live in NJ. Effective spoken, written, reading, and comprehension of the English language is necessary for safe...
  25. JustBeachyNurse

    Do lpns give vaccinations?

    JustBeachyNurse replied to naomifain's topic in LPN, LVN Corner

    Vaccine administration is within the scope of practice of an LPN. If you are anti vaccine consider a different career perhaps a naturopath or