SappyRN

SappyRN

Pediatric, adult medical, lt

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All Content by SappyRN

  1. LPN's in hospice?

    SappyRN replied to sclpn's topic in Hospice, Palliative

    We use LVNs. We have about 200 patients on servic. We have 2 full time LVNs and 2 part time. They go into the field and make routine visits when someone is on vacation. They also help when the...

  2. Reliant Rehab or St Joesephs?

    SappyRN posted a topic in Texas Nursing

    I have a friend that needs to choose a rehab center for her father. She has been given the option of Round Rock or Bryan. Does anybody have info on either of these hospitals? He is post stroke,...

  3. Vanco Administration Question Please!

    SappyRN replied to suzi0612's topic in Patient Safety Issues

    I have seen "red mans" in children with a slow infusion. It is something you will never forget. Find out what your clinic policy is and discuss the situation with your immediate supervisor so next...

  4. "What I Really Do" meme

    SappyRN replied to ChristineAdrianaRN's topic in Operating Room

    Love this... i want to create a board for my office like this... its

  5. Just a note of encouragement--I love my job as a hospice nurse!

    SappyRN replied to cubelle's topic in Hospice, Palliative

    That is excellent advise. Our Hospice utilizes part time and PRN staff to cover vacations or high case loads. We will only use experienced staff and it is usually someone that has already worked...

  6. Lost license?

    SappyRN replied to aachavez's topic in General Nursing

    I do know a couple of nurses that lost their liscenses for drug related issues. One did a goluntary surrender, sought help / rehab, cleaned up, then petitioned to get it reinstated, and was able to....

  7. No Management Experience - Only Clinical

    SappyRN replied to mommy2boysaz's topic in Nurse Management

    You will need to express some of these concerns in the interview and ask them what training they will be providing that is specific to the job. Always promote what you are bringing to the table......

  8. Productivity in Hospice?

    SappyRN replied to JuiceRN's topic in Hospice, Palliative

    Our hospice monitors prouctivity also, most do. Sometimes it is warrented because for all of us who work our rears off, there are some who slack, provide less than standard care, who want to be paid...

  9. Needing advice

    SappyRN replied to whatsthat???'s topic in Hospice, Palliative

    unfortunately sometimes people are not ready to actually hear that their loved one ie dying. Something that helps is to be able to fully explain hospice. Every hospice has their own policies, but the...

  10. accepted supervisor position, need resources

    SappyRN replied to VivaRN's topic in Nurse Management

    Something that also might help is to read up on how to deal with different personality types. There are many good books out on this subject. If you can identify a persons type of personality it helps...

  11. Would you even consider a candidate who was terminated?

    SappyRN replied to DeLana_RN's topic in Nurse Management

    I think she should peruse a refresher course and explain that her last job was not a good fit because she recognized her own need to refresh her skills in order to perform at a higher level. She...

  12. RN supervisory visit Frequency?

    SappyRN replied to new2hospiceRN's topic in Hospice, Palliative

    OMG. That's all I can

  13. Apparently visiting hospice nurses have to visit even in the ice storms LOL

    SappyRN replied to Vtachy1's topic in Hospice, Palliative

    We usually cancel routine visits when the roads are iced over. If we know the weather is likely to turn that bad we have the patients tucked in really good with extra portable O2 and meds. We also...

  14. Good or Bad Luck with Hospice Pharmacia?

    SappyRN replied to Vtachy1's topic in Hospice, Palliative

    We use HPS and the pharmacists are great with advice. We also make sure all of the staff has copies of the

  15. really??? (sigh)

    SappyRN replied to exit96's topic in General Nursing

    I dont smoke anymore but when I did, my favorite response to negative criticism about being a nurse that smoked was... " you know, before I became a nurse, I was a mere human just like

  16. State reportable incident..but who is "state?"

    SappyRN replied to Marshall1's topic in LTC: Directors, Assistant

    It depends on where you live. In Texas, it is DADs. Most of the time you can contact APS to initiate a referral and will actually need to in order to get an intake number that you use as part of the...

  17. Lasix use in CHF?

    SappyRN replied to gorgenurse's topic in Hospice, Palliative

    I work for a "for profit" hospice and my medical directors would never stop lasix on a CHF patient unless they were imminent and no longer able to swallow. It is good symptom management to treat...

  18. Hello, looking for some encouragement.

    SappyRN replied to gorgenurse's topic in Hospice, Palliative

    You have to set boundaries out you will burn out. You will be a better nurse to all of your patients for a much longer time if you can find the balance to turn it off and have your down time. I work...

  19. Herniated Disc and & insurance ???

    SappyRN replied to Marisette's topic in Nurse Disabilities

    I had an ACDF several years ago. I recovered without complication and returned to work (8 weeks is what my dr gave

  20. ICD9 codes is a nursing duty?

    SappyRN replied to superwoman27's topic in General Nursing

    If your actual coding is used for the Medicare billing and it is wrong you cN be personlly fined for fraud. You may want to ask them for an

  21. Not hired...because of post intervie thank you note..yes, really

    SappyRN replied to Gratefulprn's topic in Job Search, Interview, Resume

    I have actually just ran into a nurse that I worked with 13 years ago in another city. It

  22. Odyssey Healthcare on call and triage nurses

    SappyRN replied to jeannepaul's topic in Hospice, Palliative

    It truely saddens me to hear about the bad experiences with OHC and VC. I went to work for VC 6 years ago. I worked throughout all the changes in ownership. We have a wonderful staff at our site. The...

  23. Fired within 90 days... advice?

    SappyRN replied to blue_belle9's topic in Nursing Career

    My employer will automatically terminate you if caught falsifying an application no matter how long you have been there when it is found

  24. Patient care manager

    SappyRN replied to mschelee's topic in Hospice, Palliative

    You have to seek a balance that builds the trust of your team along with the trust of your superiors. It can be a challenge, but think back to what you have liked and not liked about your past...