SappyRN

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 caseloads are high. Yhe LVNs cannot " pronounce" but ...

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, also recent bka

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 time you have some back up. When it happens again,...

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

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 full time with us so we know their skill level.

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. Another, just gave up and never looked back. The...

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... the vast knowledge and experience that you do have. ...

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 to shop for groceries in the middle of their work ...

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 family needs to shop for the one that will meet t...

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 you understand what they need from you to feel sup...

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 should contact HR and find out her status. Since she wa...

OMG. That's all I can say

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 will have families call sheriffs dept for pronounceme...

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

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 you"

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 reporting procedure. If you are still unsure call ...

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 pulmonary congestion in a CHF patient. Nobody should be...

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 with a Chaplin that has taught me that "God will p...

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

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 inservice.

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

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 patients get what they need. I know what mind of n...

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

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 managers and incorporate some of those skills into your o...

Reading this filled my heart with pride and my eyes with tears. You write so beautifully what so many of os feel. Thank you.