KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Students with Anxiety Attacks

    KelRN215 replied to coughdrop.2.go's topic in School

    What is the student's diagnosis? If he/she is having legit panic attacks, deep breathing isn't going to cut it. Does he/she have any PRNs available for severe
  2. KelRN215

    How to take action when a bone mets patient has pain

    KelRN215 replied to Danish1807's topic in Oncology

    Get thee patient on a PCA ASAP. In my experience, these patients typically require heavy doses of pain meds to control their pain. I have a teenager with osteosarcoma who's been on methadone,...
  3. KelRN215

    chiropractor employee taking blood pressures

    KelRN215 replied to sam1971's topic in Patient, Colleague Relations

    I don't have a problem with her taking BPs... it's not rocket science, anyone can be taught to do it, but calling herself a nurse is misleading and
  4. KelRN215

    supervised by non nurse

    KelRN215 replied to swtonursing's topic in Psychiatric

    How is the Social Worker in a position to judge whether or not taking the patient's BP was
  5. KelRN215

    Question on private insurance home health care payments

    KelRN215 replied to jaxmedco's topic in Home Health

    If the agency is an "in-network" provider with the insurance company, they have a contract with that insurance company that determines what the reimbursement rate is. It may be (and likely is) less...
  6. KelRN215

    How is a HHA reimbursed for milage?

    KelRN215 replied to CatHair's topic in Home Health

    Home Health Agencies are NOT reimbursed by insurance companies for employees' mileage. And they are not required to reimburse their employees for mileage. Doing so is a benefit. Per federal...
  7. KelRN215

    missed visit pay

    KelRN215 replied to Lpntxn1's topic in Home Health

    For staff paid per visit, they get $15 for a missed visit. The private duty staff gets 1 or 2 hours worth of pay, depending on how long their shift was supposed to be. I am salaried, so I don't lose...
  8. KelRN215

    Withholding Pay

    KelRN215 replied to Tigerlily8's topic in Home Health

    Redoing the email, no, withholding pay for delinquent paperwork, yes. How do you "redo" an email? It's already been
  9. KelRN215

    New FB messenger,...HIPAA Violations?

    KelRN215 replied to BrnEyedGirl's topic in HIPAA Challenges

    That was my thought too. If it is a company issued phone (as my work phone is) then don't use it for facebook or personal email. If it is your personal phone, don't use it to check work email....
  10. KelRN215

    Taking pictures on nurses without permission

    KelRN215 replied to ninjago's topic in HIPAA Challenges

    You can feel violated but there is no HIPAA issue at play here. That you are an employee of this facility is not protected
  11. KelRN215

    Ice Bucket challenge

    KelRN215 replied to madwife2002's topic in General Nursing

    In FY'13, the ALS Association's total revenue for the year was just over $19 million. In the three weeks or so since the ALS ice bucket challenge went viral, they have received over $50 million in...
  12. KelRN215

    Robin Williams RIP: Coping Mechanism?

    KelRN215 replied to aspiration's topic in Psychiatric

    See, to me, this kind of nonsense trivializes the severity of mental illness. I'm on a bit of a rampage this week about the lack of understanding about mental illness and the way we treat the...
  13. KelRN215

    Robin Williams RIP: Coping Mechanism?

    KelRN215 replied to aspiration's topic in Psychiatric

    I think Robin Williams struggled with mental illness LONG before he was diagnosed with Parkinson's. I think it's possible that such a diagnosis could cause someone who's struggled for half his life...
  14. KelRN215

    So Frustrated I Could Cry..

    KelRN215 replied to NurseQT's topic in General Nursing

    That's what unscheduled PTO is for. Call out. I wouldn't feel any qualms about doing this. If I tell you a month in advance that I'm not working this weekend and you put me on the schedule anyway,...
  15. KelRN215

    Challenge for mental illness

    KelRN215 replied to jtmarcy12's topic in Psychiatric

    Hello. Yes, I made that point on the Robin Williams thread. I do not think anyone is going to go on facebook and dump a bucket of ice water over their head to raise awareness for depression or...
  16. KelRN215

    Vaccines

    KelRN215 replied to michelle99's topic in Nursing Student Assistance

    If you had immunizations as a child, there should be nothing extra that you need in nursing school other than, maybe, meningococcal if nursing school is college for you (as it was for me) and you will...
  17. KelRN215

    Robin Williams RIP: Coping Mechanism?

    KelRN215 replied to aspiration's topic in Psychiatric

    I was discussing this with my colleagues at lunch today. The stigma is part of what prevents people from seeking help. If your colleague is diagnosed with cancer and has to take a medical LOA to go...
  18. KelRN215

    who does the blood draws in your hospital?

    KelRN215 replied to annieboo444's topic in General Nursing

    When I worked in the hospital, phlebotomy came to the floor at 7AM and did any scheduled morning peripheral lab draws. If the same child needed labs later in the day, they would not come back because...
  19. KelRN215

    Robin Williams RIP: Coping Mechanism?

    KelRN215 replied to aspiration's topic in Psychiatric

    I am very sad about this. I work with dying children and, most of the time, I don't cry when they pass on. For some reason, mostly because it was a suicide, this is really getting to me. I do not...
  20. KelRN215

    Reconstitution dosage problem

    KelRN215 replied to Mursely's topic in Nursing Student Assistance

    All you need to do is divide the volume by 2. You have 1000 mg in 3.5 mL, you want to give 500 mg so you give half of 3.5 mL since 500 is half of
  21. KelRN215

    How to figure out mcg/kg/min

    KelRN215 replied to Nursing2102's topic in Nursing Student Assistance

    Yes, this. 26 mL/min is 1560 mL/hr. There's no way anyone has an IV running that fast. That's 37 L of fluid per day from this medication alone. I'm going to go with no. And a provider cannot...
  22. KelRN215

    drug claculations

    KelRN215 replied to sk1988's topic in Nursing Student Assistance

  23. KelRN215

    Dosage for Pediatric....HELP..

    KelRN215 replied to yymorts's topic in Nursing Student Assistance

    When I worked in the hospital, we carried the 100 mg/mL exclusively until it was pulled by the manufacturer. It was so much easier to get the kids to take the concentrated one. OP, your patient...
  24. KelRN215

    Question about this dosage question.

    KelRN215 replied to guest08/05/2014's topic in Nursing Student Assistance

    Please stop and think. If you have 5 mg in ONE teaspoon and you need to give 2 mg, how would you EVER come to the conclusion that you would give 2 TEASPOONS? That's 10 mg. Five times the ordered...
  25. KelRN215

    What do these letters mean after these medications?

    KelRN215 replied to guest08/05/2014's topic in Nursing Student Assistance

    Bactrim DS is double strength. 1 pill contains 800 mg of sulfamethoxazole and 160 mg of trimethoprim whereas standard strength Bactrim is 400mg/80 mg per pill. And, yes, it is. Oxycontin is the...