JoytoWorld

JoytoWorld

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All Content by JoytoWorld

  1. GTube feeds at home

    JoytoWorld replied to CapeCodMermaid's topic in Home Health

    Check placement on Gtube (G-gastric) by pull back by syringe for residual, note amt, then refeed to preserve electrolytes. Chart residuals to track. Orders should indicate what residual amt to hold...

  2. Getting thrown under the bus

    JoytoWorld replied to Sugarcoma's topic in General Nursing

    Unfortunately there is no standard for performing an INTERNAL INVESTIGATION in response to a complaint. Internal meaning that it is performed within the facility. For less than enlightened...

  3. Funny things that pts say

    JoytoWorld replied to jRN4now's topic in Nursing Humor

    I was feeding breakfast spoon by spoonful to a tiny, frail, elderly lady who had a smidgin' of dementia. She lightly pushed the tray table away indicating she had enough to eat; then in her sweet...

  4. Getting thrown under the bus

    JoytoWorld replied to Sugarcoma's topic in General Nursing

    Quitting is never a good idea if you intend to continue working and it seems you do. Though I applaud your husband's support. You will always be better positioned for new employ while currently...

  5. Getting thrown under the bus

    JoytoWorld replied to Sugarcoma's topic in General Nursing

    If no written complaint was filed by the MD about you and it is just talk at this point, you may be able to do what alot of nurses should start doing to nip this behavior in the bud. If the MD has...

  6. Getting thrown under the bus

    JoytoWorld replied to Sugarcoma's topic in General Nursing

    "I wrote a note and the order to CYA but in reality what this comes down to is my word against Dr. X's." A very real and far too common problem. I've certainly witnessed this type of behavior...

  7. Outraged by no more privacy

    JoytoWorld replied to inquiringaide's topic in General Nursing

    Regarding MILITARY and the military saying 'freedom is not free' and the 'sacrifice of privacy for safety'... Remember that when you enter the MILITARY your US Constitutional rights are suspended....

  8. Outraged by no more privacy

    JoytoWorld replied to inquiringaide's topic in General Nursing

    Think it through! A criminal SCREEN can be done WITHOUT invading privacy. For what reason would your employer need your FINGERPRINTS? You've already agreed to a CRIMINAL BACKGROUND CHECK by your...

  9. Outraged by no more privacy

    JoytoWorld replied to inquiringaide's topic in General Nursing

    Should any one who sees bodyscans and fingerprinting as an invasion of privacy be shipped out? Where else is there for them to go? Is this not the country for those free to dissent? The Bill of...

  10. retaliation after resignation?

    JoytoWorld replied to nursecass's topic in General Nursing

    The term HOSTILE WORKING ENVIRONMENT is a specific legal term when used to represent discriminatory treatment received in relationship to your public policy rights (gender, race/color/nationality,...

  11. Outraged by no more privacy

    JoytoWorld replied to inquiringaide's topic in General Nursing

    "I don't have anything to hide": It is probable true that the majority of the populace is law abiding. However history is filled with stories of those people falsely imprisoned or denied basic human...

  12. registry requesting access to my medical files

    JoytoWorld replied to scrabble nurse's topic in Activism, Healthcare

    The asking is not the illegal part. They can ask, though it is not wise. Think of the EEO questions most employers ask about your gender and race, yet they cannot by law, deny you a job based on your...

  13. registry requesting access to my medical files

    JoytoWorld replied to scrabble nurse's topic in Activism, Healthcare

    Highly suspicious request. HIPPA only requires the individual's PERMISSION to release the records. Once you sign a release they have all access. SO THEY CAN ASK PERMISSION, BUT WHY ARE THEY ASKING?...

  14. Volunteer, does this time count on my resume?

    JoytoWorld replied to rachelshusband's topic in General Nursing

    Experience is experience. The experience that you gain in work that was not paid remains experience. Sometimes the volunteer experience is of greater career value than some of the paid jobs we have...

  15. Would your institution hire an MSN w/o BSN?

    JoytoWorld replied to chuckster's topic in General Nursing

    The only real rules are State or Federal rules as to what you must have degree wise to get a job. Companies can have rules for entry into a position but they can be changed with one decision from...

  16. Need advice on how to make resume for new grad RN.

    JoytoWorld replied to jtanga's topic in General Nursing

    You have experience in medical records. Documentation is an important skill in healthcare. Think about what you learned there and pull it out into SKILL FORMAT. Same is true of the dialysis tech...

  17. Follow-up advice/recommendations

    JoytoWorld replied to nurse2be2010's topic in General Nursing

    Letters of Recommendation remain valuable throughout your career and for responding to a variety of life situations. Never lose them. Keep the originals in a safe place. You can also scan them and...

  18. Healthcare Termination Process: You're Fired!

    JoytoWorld posted a topic in General Nursing

    If you were discharged, terminated or fired by Maxim Healthcare, what was the process that occurred? a) Who by title (not name) performed the termination: recruiter, GM/AM, DOCS, Clinical...

  19. Latent TB

    JoytoWorld replied to RenaissancemaN's topic in General Nursing

    The frequency for repeat CXR depends on your MD decision and your facility's policy. Also check with your county public health dept NP or MD for advice. The public health dept has to follow the rules...

  20. Orienting an experienced RN

    JoytoWorld replied to SunDazed's topic in General Nursing

    Sundazed, Your concerns were well thought out and reasoned for a very real problem where a final decision could have significant consequences for the orientee, the patients and the facility. My...

  21. Need advice on how to make resume for new grad RN.

    JoytoWorld replied to jtanga's topic in General Nursing

    Use the SKILLS FORMAT rather than the jobs format. Also you do not need to only list work you did for money. volunteer and military experience is experience. Construct the resume to show the...

  22. Nursing Documentation - Lost!!

    JoytoWorld replied to Karla.S's topic in General Nursing

    Consider your objectives: First - Accurate data for continuity of care. Then make a notation that indicates the unique circumstances: "late entry" or "addendum" or whatever. In this case it is both...

  23. Healthcare Termination Process: You're Fired!

    JoytoWorld replied to JoytoWorld's topic in General Nursing

    Not an attorney. GOAL is raising consciousness of employ rights and manager responsibility and to learn about experiences of others at Maxim. Interested in termination procedures experienced at...

  24. Abusers Win

    JoytoWorld replied to crippersmom's topic in General Nursing

    Unfortunately you have to be well versed in self protection if you are going to report concerns about what you witness on the job. A good approach is to send an EMAIL to YOURSELF describing your...

  25. Prior employer references

    JoytoWorld replied to florencelpn's topic in First Year After Licensure

    There are no laws to protect you from accurate and true references. You can pursue a lawsuit if you are defamed, meaning untrue things were said that affect your professional reputation. You can sue...