alphabetsoup

alphabetsoup

LTC,med-surg,detox,cardiology,wound/ost

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All Content by alphabetsoup

  1. HIPAA VIOLATION?

    alphabetsoup replied to katie maz's topic in HIPAA Challenges

    I think when you are deceased, some of your HIPAA concerns are also laid to rest. And I think being deceased becomes a bit more of a common knowledge issue after the next of kin are notified. I have...

  2. When does the responsibility of a nurse start/end ?

    alphabetsoup replied to Truth66's topic in General Nursing

    If the incident occurs on your shift then you are obligated to at least document it. Personally, I think it is in the best interest (legally) of the facility to allow the nurse who was responsible for...

  3. LPNs as Unit Managers?

    alphabetsoup replied to westieluv's topic in Geriatric, LTC

    It has been my experience that LPNs are predominant in the LTC setting. This makes sense as there doesn't seem to be many LPN positions in the acute care setting. Therefore, you might expect to see...

  4. Xeroform: sterile or clean?

    alphabetsoup replied to waterdrop22's topic in Wound, Ostomy, Continence

    So you are treating a skin tear. Xeroform is fine but it can dry out and stick to the wound base. I also like Tegaderm Clear Absorbant for non-exudative skin tears. It doesn't have to be changed as...

  5. Agency, agency, agency - so frustrated!

    alphabetsoup replied to NeoPediRN's topic in General Nursing

    But there is a difference in how a traveler is contracted and how they are dismissed from an assignment. If you are hired as a regular employee, there are other issues such as unemployment benefits if...

  6. remember when....?

    alphabetsoup replied to kjpstmb's topic in General Nursing

    Well geez, I'm not THAT old. But the biggest change I have seen is really in the way we do our documentation. Everything is on a computer and nothing is "written" in a chart. And our communication-...

  7. job in another state?

    alphabetsoup replied to Medsport's topic in General Nursing

    I think a BK judge can work with you to get the bank to do loan modifications. That is a question for your BK atty. That's why I was asking. But then I think it depends on which chapter you are filing...

  8. New Grad wants advice

    alphabetsoup replied to Jewl's topic in First Year After Licensure

    My dear, I don't know anyone who would give 16 weeks of orientation. That's 4 months! I think what you will find is that your confidence will improve as you become acclimated to your new job. IF and...

  9. job in another state?

    alphabetsoup replied to Medsport's topic in General Nursing

    I am confused. How will the facility be covering for anyone's time off. Or will they just not cover that time and everyone will work short? Can you pick up prn hours at another nearby facility? If you...

  10. job in another state?

    alphabetsoup replied to Medsport's topic in General Nursing

    Couldn't you get one of those prepaid cards? OR can you get a bank debit card (which can then also be used as a credit card with the funds dispersed from your bank account)? My bank debit card works...

  11. So done.

    alphabetsoup replied to rainbowsandsunshine's topic in Geriatric, LTC

    It sounds like it is time to move on if this is affecting your health and your family. Unfortunately, it sounds like this facility is also engaging in some practices that will sooner or later result...

  12. lazy preceptor I need help

    alphabetsoup replied to topacio's topic in General Nursing

    The clinic sounds complicated- what with needing two patient identifiers and discharge instructions for every patient. What kind of clinic is this? Are you doing many procedures? Having had a bit...

  13. need advice please! (change job)

    alphabetsoup replied to sourapril's topic in General Nursing

    You want to leave because you want to have a part-time job but there is nothing available but you actually seem to like your job.Did you ask your employer if they would be willing to allow you to work...

  14. How to Help Friend in the Hospital

    alphabetsoup replied to jeriksmoen's topic in General Nursing

    I think it is admirable that you are trying to be a patient advocate for your friend. But I have to agree that there is also a fine line for the nurses and they are obligated to follow the rules and...

  15. Donations of Sunscreen--how to get some...

    alphabetsoup replied to EliseM's topic in General Nursing

    My first pick would be to see if your local dermatologists would sponsor a project to provide appropriate sunscreen. Since you are the one dispensing it, it sounds like a gate keeper and thus cost...

  16. Need some perspective on an interview I had

    alphabetsoup replied to Idaho Murse's topic in General Nursing

    Don't beat yourself up over it. Here is what I have noticed in the past 3 years. Hospitals are becoming more aggressive and adapting practices that are used in the business world. This means using...

  17. RN License in Jeopardy?

    alphabetsoup replied to croppyRN's topic in Geriatric, LTC

    I started my career in LTC many moons ago and I never once was involved in a legal issues. I agree that good documentation is the key. If you are doing what you are supposed to do and documenting it,...

  18. IV fluids in LTC setting?

    alphabetsoup replied to CrystalClear75's topic in Geriatric, LTC

    I haven't worked LTC in years. What I can tell you is that these days, PICCs are standard as are the "superbugs" that necessitate all of the IV ATBs- sometimes 6 week course of tx! So, if I was still...

  19. New Grad not sure about LTC

    alphabetsoup replied to Shayrey's topic in Geriatric, LTC

    I started in LTC and I learned a lot. Much of it carried over to acute care (chronic disease management) so it was all good anyway. Since I passed so many medications, I learned a lot about pharmacy...

  20. Do you ever people feel are trying to "pick at" things when you're in a new workplace

    alphabetsoup replied to NurseSuzann's topic in Geriatric, LTC

    I consider these situations "the perfect storm" for stress. New employee is not yet on sure footing and unaware of the history. Old employees are aware of the history and have other "issues". All I...

  21. Odd behavior with psycosomatic symptoms

    alphabetsoup replied to JeneraterRN's topic in General Nursing

    Since he had an underlying medical condition, did it turn out to be GI related? It sounds to me that this patient must feel that he is always correct and superior over other people. I don't know what...

  22. considering Nursing: questions

    alphabetsoup replied to ccparsons11's topic in Pre-Nursing Students

    Um, well we do wear polyvinyl gloves and we do wash our hands an awful lot. Yes, you are going to be "touching it" in some way or another. There are the few occasions I have had something fly up on my...

  23. undeserved promotion?

    alphabetsoup replied to rn865's topic in General Nursing

    Seniority does not typically cross ranks/education/job description. Not any of you are the same in terms of education or experience in your chosen profession (BSN, LVN, MA). So, it will not matter if...

  24. Thank you gift?

    alphabetsoup replied to student_nurse123's topic in General Nursing

    I think a Starbucks gift card and a heartfelt note is nice. You can't go wrong with it. I also like the lanyard or badge holder

  25. Is it out of the norm to apply to multiple hospitals?

    alphabetsoup replied to Nevran's topic in General Nursing

    I don't see anything unusual about sending out your applications to see what is out there. Who knows, maybe the one hospital that many nurses tend to overlook will end up having the best work...