mama2

mama2

Ambulatory Care/Community Health

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All Content by mama2

  1. Feeling like maybe I shouldn't be a nurse :(

    mama2 posted a topic in General Nursing

    I know that we all make mistakes and that we are all human, but sometimes I am so hard on myself and let my confidence get so low that I start wondering if I should be a nurse at all. I love nursing....

  2. Feeling like maybe I shouldn't be a nurse :(

    mama2 replied to mama2's topic in General Nursing

    I wish I could "turn it off"... that's part of my problem. I've been a nurse for 2 years now. Please tell me it will get better and that I will eventually feel more

  3. Words of wisdom/advice for new hospice nurse?

    mama2 posted a topic in Hospice, Palliative

    I've just accepted a position with hospice, and am excited and nervous all at once. Excited to begin a new career with an amazing team that I know is dedicated to compassionate care (they came in to...

  4. Coumadin

    mama2 replied to Grasshopper11's topic in Medical-Surgical

    obviously there is more to our protocol than I can write about here, but we have a very good success rate with keeping patients within their prescribed therapeutic range. A lot of patient teaching is...

  5. Scripted responses to difficult phone conversations with patients

    mama2 replied to BlueLightRN's topic in Ambulatory Care, Clinic

    for those truly special patients, I say, (in my sweetest voice) "I understand how frustrating this must be for you, and I'm truly sorry that I am unable to get you what you are asking for. Let me...

  6. Telephone Triage

    mama2 replied to SunnyMindRN's topic in Ambulatory Care, Clinic

    I do a lot of telephone triage at my current job. Basically, you're answering patient phone calls and deciding whether they need to go to the ER, come in for an urgent visit, wait for next available...

  7. Coumadin

    mama2 replied to Grasshopper11's topic in Medical-Surgical

    We use a standard protocol for 5-10% increases or deductions depending on INR and therapeutic range. INR 5 or greater will warrant an MD notification (when 2- 3 is the range). If the range is 2-3 and...

  8. Is it any fun working in a doctors office as an RN? Or something along those lines

    mama2 replied to wnb4's topic in Ambulatory Care, Clinic

    I've only been a nurse for 7 months now

  9. Charting/Documentation

    mama2 posted a topic in Ambulatory Care, Clinic

    I need advice on how to handle a situation. My immediate supervisor- the practice manager at an ambulatory care clinic (who has NO medical experience whatsoever) has told me that she feels that I...

  10. Stable life vs not enough action! Do you ever envy your inpatient counterparts

    mama2 replied to newrnltc's topic in Ambulatory Care, Clinic

    I try to look at it this way- we are not losing skills, we are acquiring different skills. Acute care is completely different from ambulatory care- two different skill sets. I may not be using some...

  11. Patients destroying pain meds?

    mama2 replied to melissa_rn's topic in Ambulatory Care, Clinic

    Where I am in MA, we have prescription drug disposal drop-boxes at the local police stations. Call around- see if a program exists where you are, and if not, see about starting one! It's good for the...

  12. Charting/Documentation

    mama2 replied to mama2's topic in Ambulatory Care, Clinic

    Hi CarreBarreLPN, Typically, I was seeing about 16-20 clients per day in-office for "nursing visits", plus giving about 10-20 injections (immunizations) per day (to patients who were seeing Dr.'s),...

  13. Is it any fun working in a doctors office as an RN? Or something along those lines

    mama2 replied to wnb4's topic in Ambulatory Care, Clinic

    I love my job at a community health center! I have a ton of freedom, get to do a lot of patient teaching, dressing changes, suture removal, immunizations, coumadin clinic, routine sick visits like...

  14. Win CASH! New Year Nursing Caption Contest - $100

    mama2 replied to Joe V's topic in News, Announcements

    Someone clearly didn't see the DNR

  15. Crusading for Better Mental Health Care: Mental Health Education in Schools

    mama2 replied to wish_me_luck's topic in Activism, Healthcare

    I commend your enthusiasm :) You can start by calling the schools in your area. Find out what the curriculums are, and who the people are in charge of developing/implementing them. Lots of school...

  16. Walk-Ins with Chest Pain

    mama2 posted a topic in Ambulatory Care, Clinic

    Alright, I've been working in the clinic setting for a while now, but what still drives me absolutely insane is how many patients walk-in to the Dr.'s office demanding to be seen because they are...

  17. Frustrated in BSN program

    mama2 replied to JZ_RN's topic in Diploma, ADN, BSN

    I'm right in the same boat with you- working 40 hrs a week, taking full-time classes to bridge from my ADN to BSN. I spend ALL of my free time studying and doing assignments that have so far, been...

  18. Walk-Ins with Chest Pain

    mama2 replied to mama2's topic in Ambulatory Care, Clinic

    JZ_RN, Thank you so much for sharing! Sounds exactly like what I deal with- at least I know now that I'm not

  19. Telephone Triage Stories

    mama2 replied to LadyLovelilocks's topic in Telephone Triage

    I agree that triage is a different world- especially triage over the phone! I have only been doing this for a little while now, but it always stresses me out when after triaging, I determine that a...

  20. Doctor's office

    mama2 replied to Vtachy1's topic in Ambulatory Care, Clinic

    We do bill for this! We use 99211 for all nursing visits. All nursing services are billed. We do simple visits like possible strep, possible UTI, BP checks, coumadin clinic,...

  21. Doctor's office

    mama2 replied to Vtachy1's topic in Ambulatory Care, Clinic

    I'm the only RN at the clinic/health center I work at, and if you are a pt. with acute pharyngitis symptoms, you will be seen by ME, not a Dr. or NP. I will assess, swab and do a rapid strep, and send...

  22. A triage nurse afraid to answer the phone!

    mama2 replied to RxOnly's topic in Ambulatory Care, Clinic

    I felt this way at first, too! I went and bought myself a telephone triage book, and started compiling my own rolodex of phone numbers. You will get better with time :) I

  23. Attn Clinic/Doctors office nurses!

    mama2 replied to Elleveein's topic in Ambulatory Care, Clinic

    This drives me crazy where I work now...I tried correcting people in the beginning, but realized quickly that it was a losing battle. No one in the office wears their name badge except for me. *shrug*...

  24. Advice -- ADN or BSN for a second career

    mama2 replied to NatHol71's topic in Texas Nursing

    I say just go for the ADN! From what I understand, the difference in pay between ADN and BSN nurses is negligible, and you already hold advanced degrees, so the ADN would be enough I would think....