Jory MSN, APRN, CNM

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All Content by Jory

  1. Jory

    Punched by a patient

    If you had altered mental status and couldn't make rational decisions, would you want someone to kick you out? That's one thing....anybody else should be
  2. Jory

    RNs giving patient lab results.

    I've wondered the same about
  3. Jory

    RNs giving patient lab results.

    I'll be honest...I really don't care if you like what I post or not...you have the same option as everyone else...skip and move on. I don't dictate what anyone else posts on here....not my call...and...
  4. Jory

    RNs giving patient lab results.

    OMG...Uh...you do know what PALPATION is don't you? That is where you actually put your hands on someone and feel them. I have performed exams on women that weigh close to 400 lbs. I have yet to...
  5. Jory

    RNs giving patient lab results.

    I agree with you completely...that is usually how it works. This is why it's a bit of a zebra. Patient started taking her neighbor's Synthroid because she couldn't lose weight and was feeling tired....
  6. Jory

    RNs giving patient lab results.

    I never stated what other hospitals should do...I stated what mine did and gave a scenario of issues it can cause. When patients are in an acute care setting, their labs are not in a portal. They...
  7. Jory

    RNs giving patient lab results.

    See comments
  8. Jory

    RNs giving patient lab results.

    I can't help it if you have never heard of it.....literature is going to be limited because how many studies are going to be out there where someone has normal thyroid panel and the study gives them a...
  9. Jory

    RNs giving patient lab results.

    When someone answers in a snide manner...they should expect the same back. I work very closely with an endocrinologist and co-manage many patients with thyroid disorders in pregnancy. TSH levels for...
  10. Jory

    RNs giving patient lab results.

    Actually, them having access to their lab results doesn't mean the facility cannot control HOW they have access to lab results. A facility may allow a nurse to give you the result, but you cannot...
  11. Jory

    RNs giving patient lab results.

    It did in this patient. She stopped the Synthroid and her TSH level was textbook normal when rechecked at 90 days and her final trimesters, and postpartum. This ended up being the first baby she...
  12. Jory

    RNs giving patient lab results.

    Sounds like an innocent enough of an explanation? You review the chart and find out the patient reported they took Synthroid 125 mcg for several months at home...sounds legit? In this particular...
  13. Jory

    RNs giving patient lab results.

    This is exactly the problem in nurses giving lab results. Putting the whole picture together is essentially a diagnosis and explaining
  14. Jory

    Harrisonburg, VA

    Depends on the hospital, but I would expect pay around $26-maybe $30/hr. Not many opportunities for overtime in most areas. Not sure how long you have been a nurse. That area...expect around...
  15. Jory

    RNs giving patient lab results.

    I have a real-life example for you: Patient admitted to the hospital and has a TSH level of 31. They ask for results and you give it to them. They ask why is it so high? What is your
  16. Jory

    RNs giving patient lab results.

    We have a very strict policy on this at our hospital. Nurses don't give out lab results, period. Just because a physician has reviewed them doesn't mean the RN should interpret them. We do have...
  17. Jory

    I could just cry i really wanted this job

    Agreed. But there are people everywhere that go through their career with the only goal of making the lives of others
  18. I would have grabbed his crotch hard enough to bring him to his knees and said, "You know...just wanted to know if this was real or
  19. Jory

    Stupid mistake when being observed

    Oh, I understand your anxiety. If I am precepting a student, I am the super confident APRN. Have a physician oversee me watching me do something and I instantly turn into butterfingers that drops...
  20. Jory

    I could just cry i really wanted this job

    I would set up an appointment with HR to see if you can clear this up ASAP. I had a friend that had a death in the family (immediate) during her two-week notice, it was just horrible timing. She had...
  21. I honestly think that if an employee makes a complaint, the complaining employee shouldn't be allowed to "hide" behind their managers. There are toxic nurses in every hospital. Not everyone tells the...
  22. NICU or case management, there are also jobs in quality, documentation, informatics. These can be higher paying jobs as well. I never moved patients in an OB/GYN office setting. You have great...
  23. Jory

    Transgender man has stillbirth

    This is why everyone that treats transgender patients needs additional training. This is NOT a primary care issue and so many APRNs (and physicians) are jumping on the "we want to help the...
  24. Technically, they don't even have to give up comp pay. That is a gift. If you are salary, they can technically, require you to work as many hours as they want...that is why when you accept a job on...
  25. The students are going to be broken up into smaller groups. You are not going to be in a class with 80