Jory MSN, APRN, CNM

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All Content by Jory

  1. Jory

    Blood specimen from iv sites.

    Jory replied to omotee's topic in General Nursing

    Yes it matters. Mainly because if you pull back on a peripheral IV site, you'll be starting another one. It's easier for the lazy lab lady to draw from another site than for you to start another
  2. Jory

    Checking vitals on staff

    Jory replied to kelsie*bear's topic in Patient Safety Issues

    There is no liability. Ever hear of someone suing Walmart because they had hypertension after using their blood pressure cuff? No you have not. Even if you have a patient that comes into the ER with...
  3. Jory

    Misuse of the ER

    Jory replied to ShortFuse's topic in General Nursing

    I have an extensive case management background so I am very familiar with the process and guidelines. However, I can count on exactly how many people I have placed in skilled nursing willing to cash...
  4. Jory

    Misuse of the ER

    Jory replied to ShortFuse's topic in General Nursing

    OMG, are you really using "you can be self pay" at over $7,000 a month as justification I am incorrect? Most people don't have that laying around. It's not insurance fraud as evidence has to be sent...
  5. Jory

    Any NPs in EMS or the Fire Dept?

    Jory replied to eg1014's topic in Nurse Practitioners, NP

    I was referring to the OP. There is growing concern about FNPs practicing in acute care areas or in practice specialties (such as psych) where they are functioning in the capacity of an APRN specialty...
  6. Jory

    Attending births with a CPM

    Jory replied to biggolp's topic in Certified Nurse-Midwives, CNM

    I'm sorry, talk to any licensed CNM and you'll discover you are absolutely incorrect on this issue. There are tons of CNMs taking a break or looking for jobs that work as RNs and I challenge you to...
  7. Jory

    CCNE Releases New Standards

    Jory replied to Dodongo's topic in Nurse Practitioners, NP

    Step forward in the language, however, nowhere in the language does it state programs will be required to find clinical
  8. Jory

    Any NPs in EMS or the Fire Dept?

    Jory replied to eg1014's topic in Nurse Practitioners, NP

    Unless you are an acute care NP or have a certification as a paramedic, you have to be careful on the waters you are treading. You are educated/trained/certified as a primary care provider....
  9. Jory

    Misuse of the ER

    Jory replied to ShortFuse's topic in General Nursing

    I'll be honest, I can't believe you went to your DON over this visit. The ER is there, you treat what comes in, period. Doesn't matter if it's a true emergency or not. You do educate on urgent care....
  10. Jory

    Vaccines for school

    Jory replied to whistlebeats's topic in Nursing Student Assistance

    They aren't going to let you use a family history to get out of it. Your Dad's reaction is not your reaction. You also have to understand school is not employment. The school cannot legally require...
  11. Jory

    When does HIPPA no longer apply?

    Jory replied to GuineaPigs's topic in HIPAA Challenges

    First, it's HIPAA, not HIPPA. Second, police reports are public information. I can get a copy of a police report on anyone and any incident I want. So it has nothing to do with the death threats, it...
  12. Jory

    Attending births with a CPM

    Jory replied to biggolp's topic in Certified Nurse-Midwives, CNM

    I'm a little curious why you think midwives are against Vitamin K and other vaccinations. That's a little bit of a stereotype, don't you think? Just because you have some ultra-granola anti-medicine...
  13. Jory

    Attending births with a CPM

    Jory replied to biggolp's topic in Certified Nurse-Midwives, CNM

    But you do realize that if your state doesn't recognize the CPM credential and you are attending births as a "midwife" in a capacity not recognized by the state, that is practicing illegally don't...
  14. Jory

    Attending births with a CPM

    Jory replied to biggolp's topic in Certified Nurse-Midwives, CNM

    double
  15. Jory

    BSN OB ROTATION

    Jory replied to gatorem's topic in Certified Nurse-Midwives, CNM

    All you can do is bite your tongue. If you are in a ABSN program you need to learn how the obstetrics is managed for NCLEX. However, even if you are a doula, you may gain insight as to why many...
  16. Jory

    Nurse legality issue, help

    Jory replied to jess124's topic in General Nursing

    That is prescription fraud and tell them you are not participating in it. The pharmacy writes the correct dose. If you cross it out, YOU are changing the prescription from what it was originally...
  17. Jory

    coworkers constantly checking your charting

    Jory replied to MNNICU, RN's topic in General Nursing

    In your own example, if you charted that you notified a physician and received an email stating so? I would reply stating that you did. "Please refer to note date/time stamped ____" If you did not...
  18. Jory

    IV vs PO abx

    Jory replied to Guest219794's topic in General Nursing

    There are many layered factors as to why an IV antibiotic would be preferable. 1. Failed oral antibiotics. 2. Seriousness of the disease being treated. 3. Co-morbidities. 4. Gi, liver, renal...
  19. Jory

    Asked to resign after 6 months

    Jory replied to FNKA's topic in General Nursing

    I am so, so sorry this happened to you and I can literally see this chain of events in my head as you prescribed it. I too as a new RN...got a stable preceptor, but a nasty, bitter woman who only had...
  20. Jory

    Can you give a lesser dose than prescribed without an order?

    Jory replied to Faith1234567's topic in General Nursing

    I'm sorry, but you are still incorrect. If the order called for 10 mg and the patient only wanted to take 5 mg, you already HAVE an order for 10 mg. Notify physician, document refusal, but you do...
  21. Jory

    Student loans killing me!! stressed!

    Jory replied to Nurselyfe92's topic in General Nursing

    I would recommend a financial counselor. Why would you think that renting a car would be cheaper than fixing the one you have? Unfortunately, if you make less than $110K, unless you make some MAJOR...
  22. Jory

    Blatant false documentation

    Jory replied to Elpeon75's topic in General Nursing

    I'm confused was it YOUR documentation that was changed? If that is the case you need to go up the ladder NOW and no, do not resign. You are legally responsible for what is documented under your...
  23. Jory

    Case Management/Utilization Review?

    Jory replied to mcmoo's topic in General Nursing

    Yes, you will most likely need a BSN and I have seen many facilities require a MSN. It would be very difficult for you to obtain a position without working in discharge planning or UR at a hospital...
  24. Jory

    Can you give a lesser dose than prescribed without an order?

    Jory replied to Faith1234567's topic in General Nursing

    But that isn't what you wrote. Your comment said that the TJC or CMS would come down on the OP, not the facility. The TJC and CMS doesn't define the scope of practice for nurses, the State Boards of...
  25. Jory

    Can you give a lesser dose than prescribed without an order?

    Jory replied to Faith1234567's topic in General Nursing

    I disagree, this highly depends on what the medication is for. If it's for pain, nausea, anything ordered PRN, nowhere does it say patient has to take the full dose, you document it and move on. No,...