grammyr

grammyr

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All Content by grammyr

  1. They come out of the woodwork

    Why didn't you file charges? Let'em complain and see what your management is made
  2. Utilization Review and RNs

    If you will look at the Conditions of Participation in Medicare guidelines, I think I saw something in there that relates to this. If not, pm me and I will find the
  3. Work in a small hospital who has a financial agreement with a post acute care company. I made the mistake of having lunch with a competing company. Strangest thing though, the person who tattled was...
  4. Does this sound familiar? (very long)

    Have you been told to nurse "smarter not harder"????? That is the response we get when something is brought
  5. Go to www.med-ed.com and there are several courses annually with them. They are good courses and you can probably go anywhere you want
  6. "Maybe you shouldn't be a nurse"

    I was told by an advisor before I ever started taking pre-reqs that maybe I should go another route. He was kind enough to tell me that nursing school was hard and that I may want to go to LPN school...
  7. Emergency situations: what do I do???

    I second all the above advice and have a couple of things to add: 1. Don't panic because if you do, the patient isn't going to get any better and you will be of no use to anybody. 2. Know as much as...
  8. Book recommendations for new ER nurses

    There are many resources on the ENA website. I would advise you to join the organization because they are all about emergency nursing. There are some good resource books and a couple of pocket size...
  9. Cen

    c o n g r a t s !!!!!!!!!!
  10. how to help pt's finance meds?

    As case manager at my hospital, I fill out the paperwork and all the doc has to do is sign and write the script. We try to utilize the samples from the clinics or try to find another med that will do...
  11. how to help pt's finance meds?

    If there is a WalMart around, there is a list of drugs that can ge gotten for $4. for a 30 day supply. There is a website called www.needymeds.com that can help with other meds via the drug maker....
  12. Mandatory Reporting

    If I truly believed that this child was or is being abused, YES I would make a complaint to Child Protective Services. Since youu are not reporting from your hospital I don't see why you couldn't...
  13. "Do you miss the ER?"

    I,too, have been out of the ER for a few months. I was asked to work today in the ER and didn't feel one bit guilty saying no. I guess that means I don't miss it too
  14. Need Feedback on CPSI and MedVerify

    Run Forrest Run from anything CPSI. We have it, though not Point of Care, and absolutely hate it. It is cumbersome and difficult to maneuver. We had to go for the least expensive at the time and...
  15. Transfering pt to Long term facility

    As a discharge planner it is my job to ensure a smooth transition to whatever facility the patient is going to. Thankfully, the admissions coordinator comes and evaluates the patients. They copy the...
  16. This wasn't a patient because he never knew how difficult his discharge was. His daughter came to see me and told me that I had saved her daddy's life by tackling the care givers and getting him out...
  17. Do you ever get gifts from patients?

    We too have a policy about personal gifts from pts and families. I received a gift from the daughter of a patient after he was discharged. My boss looked at it to make sure it wasn't worth more than...
  18. How do you treat Meth OD?

    We always call Poison Control and follow their
  19. "At will employment" have you heard of this?

    Louisiana is a "at will" state. I am not sure that there is a written rule about the proper amount notice before leaving a job. Most places I have worked require a 2 week notice to be eligible for...
  20. Nybody else can deal with anything except vomit?

    I second this one. I can clean pee,poop,puke until the cows come home but let the suction start and I'm outta
  21. Should I stick it out or run?

    How big is the company and how many facilities do they own in your area and what are the chances that you would have to work for them? I would go to work tomorrow and see how it goes, maybe today was...
  22. Should I leave nursing?

    My actual organizational skills are really not that terrible. It's just at the end of the day we often get hit with additional orders that we can't always get done PLUS things tend to go wrong and a...
  23. Craziest Thing You've ever Seen

    A man with a granny smith apple lodged in his rectum who pushed it right out when he found out he was going to the OR. Gives you a whole new feeling about apple
  24. I'm not sure how I should feel about this???

    Chart your hiney off and do an incident report. You may save another patient from this kind of non
  25. Cen Exam Question?!?!

    You will find out as soon as you take the test if you passed, or at least I did 3 years ago. I used the CEN review from ENA and Shehee's book. Good