Rob72 ASN, RN

Infectious Disease, Neuro, Research

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All Content by Rob72

  1. Rob72

    Employee Observations and HIPAA

    Rob72 replied to wildlaurelrn's topic in HIPAA Challenges

    The "confidentiality agreement" is a non-sequiter: every employee signs one, but the legal finding is that unless one is directly involved in delivering care, one does not have the right to general...
  2. Rob72

    Handling the "R" word

    Rob72 replied to LydiaNN's topic in Developmental Disabilities

    In the ED, if they arrived with acute, severe SOB, it would be differential in SS, versus wasting time on an aerosol tx for asthma. I wonder what the general reaction would be if I had a crying,...
  3. Rob72

    do you need experience to be a clinical research nurse?

    Rob72 replied to jenniebethrn's topic in Research

    Hi, Jenni, Days are probably similar to AmbSurg, in that there are periods of intense activity, followed by slower periods. LOOOOOOOTTTTTTs of paperwork. Although, that can vary, depending on...
  4. Rob72

    Late stage dementia patients - what are they thinking?

    Rob72 replied to ElizaW's topic in Neurological

    It depends. It depends a great deal on exactly who made the diagnosis, as well, there are an unknown number of dementia patients with undiagnosed seizure activity, and possibly more, depending on...
  5. Rob72

    LATERAL Violence. How Nurses treat Nurses!

    Rob72 replied to Medic/Nurse's topic in Patient, Colleague Relations

    Too true. "Lateral violence", is having a pencil jammed in your ear(e.g., "frontal violence" is a broken nose, "vertical violence" is a PDR to the top of the head); gossip and backstabbing are rude....
  6. Rob72

    HIPAA violations and the cell phone

    Rob72 replied to Sacred eagle's topic in HIPAA Challenges

    This is a blanket solution that removes individual responsibility. If one is too stupid to not take photos of their crime (or have taking photos as their crime), fire them, and prosecute their...
  7. Rob72

    Acceptable questions for nursing students to ask?

    Rob72 replied to linnywho's topic in Patient Safety Issues

    Some evidence, in not overly broad studies. Sorry, this is another political hobby-horse, of limited practical value. The social engineering in this new trend is equally informative- patients that...
  8. Rob72

    Legal issues with only one RN on the floor

    Rob72 replied to photocodo's topic in Patient Safety Issues

    IIRC, Medscape just had an article on one of the apellate courts recognizing "potential" as grounds for finding malpractice, with regard to physicians. I.e., inadequate survey/testing/assessment...
  9. Rob72

    Question for RNs. . . current nursing problems.

    Rob72 replied to Dove1019's topic in Patient Safety Issues

    Not doing your project, but giving a pointer that addresses pretty much everything posted since 2007: the inability to charge for nursing care/procedures under ICD-9 or
  10. Rob72

    SEX and the DD population

    Rob72 replied to SHGR's topic in Developmental Disabilities

    "Sort of...". Legally, until she has been ajudicated incompetent to self-determine within certain parameters, technically, legally, her care should only be discussed with her (the patient)....
  11. Rob72

    Changed my entire perception of autism

    Rob72 replied to Vespertinas's topic in Developmental Disabilities

    I would largely agree. I believe we will see that "autism" is a broad spectrum of processes, not necessarily all of them connected, much as we have begun to differentiate Alzheimer's and dementia...
  12. Rob72

    Question about child abuse reporting

    Rob72 replied to neelieyelik's topic in General Nursing

    What is your motivation? Purely altruistic? For the 18y/o, if she is still in the home, Adult Protective Services are the ones to call, tho' regarding a healthy, non-developmentally delayed 18y/o...
  13. Rob72

    Legal issues with only one RN on the floor

    Rob72 replied to photocodo's topic in Patient Safety Issues

    Since no one else seems interested: check with your BON. Alternatively, you can also dig out the facility Policy & Procedure manual, and scrounge through it. In similar circumstances, it would...
  14. Rob72

    Heart Stop Beating - man lives without heart

    Rob72 replied to Brian's topic in General Nursing

    Pretty interesting implications for aneurysms, stroke, PVD, COPD and a plethora of other concoms. You could maintain a constant perfusive pressure
  15. Rob72

    Clinical Experience needed for Research Nursing?

    Rob72 replied to Momboyz3's topic in Research

    I'm not quite sure I know what you mean. If the high patient ratios are a problem, research is probably a good fit, if dealing with people in general is a problem, well... I say this because I've...
  16. Rob72

    clinical RN wishing to change to research

    Rob72 replied to sarah79's topic in Research

    ^^This. Hate to say it, but unless you're being hired to manage a study, or cull databases and write preliminary protocols, the BSN requirement is total BS. If you can interact effectively with...
  17. Rob72

    NIHSS With a Spanish Speaking Patient

    Rob72 replied to MatRNstudent's topic in Neurological

    Its not a bad idea to increase your fluency, but, honestly, given the NIHSS' rating demands you should ideally get the hospital to get one or two translators who will do those for you exclusively....
  18. Rob72

    Nursing: Culture of inclusion, or culture of exclusion?

    Rob72 replied to CapricaNurse's topic in Patient, Colleague Relations

    "Tolerance", "diversity", and "acceptance", have been the employment mandates for the past 25-odd years. Turnover in the profession is still high, compensation comparatively low, and satisfaction...
  19. Rob72

    Diversity.. at what price?

    Rob72 replied to Been there,done that's topic in Patient, Colleague Relations

    i would suspect it was because you were gaigin. sometimes these issues are simply a matter of fear relating to new cultural surroundings, home stress, etc.. however, as an m.d., she should have been...
  20. Rob72

    clinical RN wishing to change to research

    Rob72 replied to sarah79's topic in Research

    Hmmm...think a response was lost in the transition, but, in any event: Your local yellow pages should have a listing or two, under "research". these will usually be a CRO-style office, where...
  21. Rob72

    Need advice for my issue

    Rob72 replied to sara2011's topic in Oklahoma Nursing

    Yes, indeedy. I'll go ahead and pitch it out there- if its Oklahoma City U, I'm maybe half kidding. If you can afford it, you will receive better instruction than many/most other local schools, but...
  22. Rob72

    Need advice for my issue

    Rob72 replied to sara2011's topic in Oklahoma Nursing

    I'm pretty sure I know, but your best, only, remedy, is to post the name of the school. Schools are a business, institutionally they could care less about the students or the quality of the education....
  23. Rob72

    Career change - M.P.H. into nursing

    Rob72 replied to troop949's topic in Nursing Career

    Ahhh, but you Masters level folks have a distinct advantage, if you market it properly. Research, Indian Health, VA, teaching hospitals, various facilities getting public health initiative funds,...
  24. Rob72

    education

    Rob72 replied to bjaeram's topic in Diabetes, Endocrine Nursing

    Oh, Lord. Well, I would *suggest* that he talk with the doc again, as the elevated BS/HBA1C does have the tendency to cause strokes, loss of feet, eyesight and all the other great diabetic stuff. Its...
  25. Rob72

    What do you like about being a research nurse?

    Rob72 replied to AwayWeGo's topic in Research

    If you are in Oklahoma, PM me, and we'll see if we can get you hooked up with a job. There is little in the way of non-OJT training for research. Oklahoma City Community College is one of a handful of...