AMN74

AMN74

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All Content by AMN74

  1. Disclosure and mental illness

    As a nurse of almost 30 years with Bipolar, I've never disclosed to the BON, or to my employer. In my state the BON asks something to the effect of do you have any mental or physical impairments that...
  2. Look for new job or stay put?

    Do what you feel you're called to do. I would check on rate of pay in clinics vs working in the hospital. You may find that clinic pay is somewhat less than what you make in the hospital, and...
  3. Has pain scale contributed to opiate problem?

    I see several problems with pain and pain management when it comes to the "system" and for "drug seekers". First let me say that not all people that need frequent pain medication are "drug seekers"...
  4. As a home health nurse, if I see that a patient needs a hoyer lift..if there is space to use/store a hoyer lift, if there are people that are teachable in the home, then I will order a hoyer lift....
  5. Every time I read about new nurses taking the boards and passing the NCLEX with 75-100 questions... I remember the NCLEX in 1988 when I graduated from nursing school. Two days of #2 led pencils...
  6. Background results before starting a job?

    At my job when you come aboard, you are required to provide addresses for the last 7 years. If you have lived out of state you are required to get finger printed. The employee can work. However, if...
  7. Mental Illness and Nursing

    I think it depends on the state in which you are licensed. My state BON does not require me to disclose my illness. When I renew my license it asks a couple questions like: Have you been convicted...
  8. New nurse on the floor

    What is the difference in swallowing a med cup of pills at once or putting the pills in the tube all at once? Be aware of the meds that are DO NOT CRUSH, of course. They are all going to the same...
  9. Criteria for bipolar and monitoring?

    I don't know what state you live in. I take several meds for bipolar, and have for more than 15 years. I've been a nurse for more than 25 years. I have NEVER disclosed my meds to my employer or the...
  10. When to have the patient sign consent

    The consent gives the nurse/agency permission to treat the patient. Without permission, you are touching and examining the patient. This is a NO-NO. Patient or Responsible party must always give...
  11. Pt has severe pain when legs elevated

    This often happens with PAD and it's generally a precursor to wounds in the lower extremities. Could your patient stand some compression to her lower extremities? Maybe start off with TED stockings...
  12. Advice on home health admissions RN

    Depending on if these patients you are admitting are for a medicare certified home health agency then you will need to be proficient in performing the OASIS assessment, this involves training to get...
  13. dyslexia

    I have been a nurse for 26 years. I don't think I was ever formally diagnosed with dyslexia. However, since I was a small child, I have had difficulty with transposing numbers. It was a challenge...
  14. I'm an OLD nurse, graduated from a BSN program 25 years ago. I see these posts about "my teacher did this" or "I want to be a nurse but....I don't want to do L&D etc", or "I got a new job but I...
  15. Infernal Equinox

    Welcome back. It's good that you finally realize something has to "STOP" in your head because enough is enough. It has taken me quite a long time to realize this within myself. When I get anxious...
  16. Pressure sore classification

    Since the "blister" was on the hand...was it a pressure ulcer at all? Pressure ulcers, even "blisters" have to start with being a pressure point, or a source where the pressure started. Did...
  17. Healthcare has become big business. At it's center is no longer sick, dying PEOPLE, but money. Documentation is how the hospital provides the payor source of the acuity of the client, the procedures,...
  18. Stigma is everywhere! I come from a family full of crazy people and mental disorders, suicides and early deaths becasue of mental disease. Most of my family would not, will not seek treatment...
  19. OP you asked how BPD affects work as a nurse. First, BPD affects every part of your day to day life. When life or when work is stressful it is difficult for anyone to manage, with BPD symptoms can...
  20. Does Cerner have wound management?

    I worked in Home Health for 15 years and when we started using computers to document 10 years ago we used Mckesson. Our agency made our own wound care page that we could attach as we were building...
  21. The previous posters are correct. You must be stable and continue to assess yourself to make sure you are stable and on top of your disease in order to be a nurse and care for your patients. Rest is...
  22. nursing isn't for everyone

    While in college in the 80's I did not have a clue what I wanted to do. I was young and have never been able to make a 5 year goal for myself and a 10 year goal etc. I had several aunts that were...
  23. RN Insurance Reimbursement Question

    I don't know what state you work in. This can be a difficult process if you want to bill medicare/medicaid. You may need to get your own provider number, have policies and procedures for all the...
  24. Home Health Nurse Interview

    Healing Touch, Back when I started in home health more than 18 years ago it was almost mandatory to have at least 2 years of experience before going into home health. I will say in my opinion,...
  25. How do I find out if a HH is creditable

    Look at Home Health Compare scores on line. Every home health agency that takes medicare dollars and fills out OASIS data on their patients has a Home Health Compare score. They are rated against...