babs_rn

It concerns me that so many nurses need antianxiety or antidepressant medication just to get through what nursing demands of us. THAT should be the wakeup call to the employers...but it's not. Warm body, that's all they want. I don't have any advice ...

As soon as they changed the "age of consent" law in this state from 15 to 16, aunt (and guardian) of soon-to-be-16 yr old (birthday in two weeks) brings the girl in, c/o "She had sex." Pressed statutory rape charges against the 19 yr old boyfriend, w...

Just my 2 cents' ... but I think it just has to do with the old phrase, "You can't teach an old dog new tricks." I'm not sure what's annoying about that...I've been around a good while myself...but always learned new tricks. I think if someone makes ...

Yeah I had to wonder about this too. The "walk time" would have to assume a constant walking distance per shift among all nurses in all facilities at all times for this thing to ring true, and that distance is not mentioned ---at least that I could f...

After 17 years in clinical nursing (including clinical management), I moved into case management a month ago. Working from home. Flexible hours. My body, mind, and soul are rapidly recovering from all those years of rotating shifts, extremely early m...

I know it's a little late, been awhile since your post, but in the interest of discussion ... how long before this cbc was the stent placed? Acute Renal Failure might have something to do with it, in conjunction with the blood loss from her kidneys (...

No, I didn't think it would be the case with FMC. They HAVE to be competitive with everyone else at least. I have to wonder if Donnie has misunderstood the policy and just can't access the PTO time yet.

17 years as a nurse speaking here.... I moved away from Med/Surg very early on. Originally went for ACLS certification just so I could get off the floor and into the ER - which can be another hellhole often, but at least you don't see the same people...

A large corporation that doesn't offer PTO? That doesn't make any sense. Unless I'm mistaken, since Gambro's US operations were acquired by DaVita, that leaves only one major multinational dialysis company: FMC. DaVita had PTO and extended illness le...

If you have a team that works together well and puts the patients' concerns first, then there's nothing about it TO hate. The early morning hours take some getting used to, and you might have to run late once in awhile if a patient has to have their ...

I just left my job as an administrator because I wanted it to be safe and I wanted it to be legal and right and I wanted the patients to be treated well - and I've been told that I made a huge difference - but the staff, oh the staff...if I never hea...

OnthegoRN, insurance companies do exactly that. There's telephonic case management and then field case management (where you work from home and visit clients who can't be managed telephonically).

Hi LabCat - I am surprised no one has answered you yet. I begin my new level in my nursing career as a case manager on Monday. I think your question can best be answered by the Case Management Practice page on the Clinical Case Management Certificati...

Sorry all my ideas were already taken, I just didn't read all three pages first and now I can't seem to delete the whole post. Ah, well. Such is life.

Routine orders? No. Not with the K+. Your medical director might have developed a protocol but I haven't heard of it being a standard. In the osteodystrophy management the BMMs have been given more leeway in some areas in addressing the CA bath but n...

That decub is another issue altogether. When contaminated with BM, that dressing has to come off and be replaced. Dialysis centers do not typically have that kind of wound dressing available and many companies have strict policies against changing or...

Good for the charge nurse for covering you! It could have potentially been very nasty for you. Absolutely the med nurse was in the wrong. The patient could have coded on her and what then? Would she have continued giving the Lomotil or Imodium or wh...

You'd need to discuss that with the individual facilities. It's generally based on your experience, references, and the facility budget. It should be competitive. That's true in any company. There can't be much talk of specific salaries because they'...

Are you in Florida? This sounds exactly like a patient we recently refused. Thank GOD. The nursing home they were going to send her to was uncomfortable with it, as the CD I was uncomfortable with it, and the doc's liason was uncomfortable with it. B...

Personally I think "Marilyn" of the "Ask Marilyn" column should just keep her mouth shut about things she doesn't know anything about.

Well, it just might be one or the other. Two centers in our town are being sold (one Davita, one Gambro) and it was just announced today that FMC is buying RCG for 3.5 bill if the FTC approves it.

Yeh, here, too. All our Gambros are now Davitas. I'm a Gambro CD and it's not a done deal yet. Still waiting for the FTC approval. Meanwhile we're pretty much in the dark about what to expect, "business as usual". Though I do believe it's moving fast...

I have to agree with you on that point. It is, more often than not, a matter of the individual center/clinic and the regional administration. I recently walked into a center that has had..mistakes made by staff due to lack of education, mistakes made...

Our various transplant centers will automatically disqualify a chronically noncompliant patient. No sense wasting a perfectly good kidney on someone who won't take care of it.

Yelling? no. Degradation? no. Making you feel stupid? Well, remember no one can make you feel stupid unless you let them. Your emotions are under no one's control but your own. But it makes you work harder, doesn't it? Or makes you quit. Separates th...