T-Bird78

T-Bird78

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All Content by T-Bird78

  1. Med Error

    T-Bird78 replied to Daisie4100's topic in Patient Safety Issues

    I work in an allergy clinic and have done this myself on one of our own pts! The previous dose was .05 and I read it as 0.5 so I administered 0.5 (which is the top dose on allergy shots 98% of the...

  2. Mispronunciations That Drive You Nuts

    T-Bird78 replied to ixchel's topic in General Nursing

    My biggest one, and most frequent, is Zyrtec pronounced zir-teks. There is no "S" on the end of Zyrtec so quit putting one there!!! A classmate had a preceptor that said deltroid instead of deltoid,...

  3. asthma assessment

    T-Bird78 replied to kidzcare's topic in School

    Also ask if the pt has a daily maintenance inhaler they're supposed to be using. So many kids will stop using their daily because they're "doing good" and don't need it and can get very symptomatic...

  4. What's your dress code at work?

    T-Bird78 replied to Nola009's topic in General Nursing

    One place I worked was color-coded with RN's in navy blue, LPN's in teal, MA's in sky blue, lab techs in maroon, environmenal in green. Only problem was I was the first LPN they hired so they didn't...

  5. just interviewed for full time office nurse position

    T-Bird78 replied to ErinDel's topic in Ambulatory Care, Clinic

    No, it's illegal to ask if you have kids because most employers, when choosing between someone with young kids and someone with no kids/older kids they'll pick the candidate who won't call out because...

  6. Ethical question-WWYD?

    T-Bird78 replied to mmc51264's topic in General Nursing

    Good Samaritan laws don't apply to us. I would give the epi if necessary. I'm in allergy/asthma so we have stock epi and many of our pts have their own EpiPen on hand. EpiPen, Jr. is for pts 33-66...

  7. What does an LPN do in a physician's office?

    T-Bird78 replied to Lmomma's topic in Ambulatory Care, Clinic

    Try a specialist office versus PCP because specialists tend to do more procedures needing LPNs. I did ENT who also did minor in-office surgical procedures and that was

  8. Holidays ????

    T-Bird78 replied to GGirll22's topic in Patient, Colleague Relations

    The point of Martin Luther King day being a holiday isn't for a day off to grill out, it's meant to be a day of service for your community. Dr. King was a pioneer for civil rights and equality for...

  9. Unique situation

    T-Bird78 posted a topic in HIPAA Challenges

    Hope to get some advice. I work in a clinic setting so we have repeat pts all the time. Anyway, I got a call Friday as we were leaving so it won't be handled until today. A person called to get the...

  10. Educating patients on ER use

    T-Bird78 replied to anh06005's topic in Patient Education

    I have a $200 ER copay, unless I'm admitted, regardless of the nature of the visit. I was doing a motorcycle training course to get my license and wrecked, flew across the handlebars, landed on my...

  11. Anyone dealt with COBRA?

    T-Bird78 replied to tnmarie's topic in General Nursing

    COBRA is actually part of HIPAA (the Portability part) and it mandates that you be allowed to carry your same policy for up to 18 months after you leave your employer, regardless of the reason. You...

  12. Bathroom? What's a bathroom ... ???

    T-Bird78 replied to Brian's topic in General Nursing

    Just go pee

  13. Why am I starting out making 19 an hour?

    T-Bird78 replied to NewgradMary's topic in First Year After Licensure

    New nurse in a small, rural hospital, that's why. I'm in the south and my first job (office setting) was $14/hour and now I'm at $18/hour in a larger clinic setting with 6 years experience. Be glad...

  14. Should I take time off? Help!

    T-Bird78 replied to trauma_lama's topic in Nursing Career

    Bear in mind you'll have a gap in your employment that will need to be explained when you're job hunting again, and if you say it was to stay home with your kids than can be a damper on HR hiring you...

  15. Practical Nursing - salary raise?

    T-Bird78 replied to sallyk's topic in LPN, LVN Corner

    My starting LPN salary was $14/hour, and now with 6 years experience I'm at $18/hour, and that's high for an office setting in my area. Most places are wanting to pay around $15-$16 here. And that's...

  16. Nursing Dealing with Billing Issues?

    T-Bird78 replied to TajoRN's topic in Ambulatory Care, Clinic

    No, we have enough to do without knowing the billing and insurance crap, especially with all the changes that happened this year. Forward those calls to the front desk or business office/billing...

  17. Nurses smoking e cigs at the station?

    T-Bird78 replied to richardgecko's topic in Nursing Professionalism

    We have a no smoking policy at work, for staff and for pts (non-smoking campus) so you can imagine my surprise when a nurse lit up an e-cig IN THE BREAK ROOM and proceeded to puff away. I questioned...

  18. Favorite Pediatric Immunization Techniques

    T-Bird78 replied to RNstorm's topic in Ambulatory Care, Clinic

    We do subcu shots ALL day long, so I tell them spaghetti arms and that I have to be able to jiggle the back of the arm, and as I'm ready to go in I tell them to take a deep breath and blow it out as...

  19. pregnant and thinking about resignation

    T-Bird78 replied to praise god's topic in General Nursing

    You can apply for intermittent FMLA. I had hyperemesis with both pregnancies, worse with my second one, and I did intermittent FMLA because I never knew when it would strike and I'd be out for 1-5...

  20. Stock Epinephrine

    T-Bird78 replied to chasinRT's topic in School

    Um, pts with food allergies (and their parents) are lay people who aren't trained to know what anaphylaxis is but use EpiPens when needed. I'd rather have a lay person administer an epipen than a...

  21. transition to urgent care

    T-Bird78 replied to jjfromkc's topic in Ambulatory Care, Clinic

    What is bothering them enough to make them call? Has it worsened/improved/stayed the same? How long ago was the onset? Intermittent or not? What tx options have they already tried? Are they...

  22. ENT doc office LPN

    T-Bird78 replied to mimi2513's topic in Ambulatory Care, Clinic

    My experience was fun. We had one MD, one PA, and a full-time audiologist and part-time audiologist. All four providers had their own schedule, as did the allergy nurse. The first nurse to get in...

  23. Go ahead laugh. Laughter keeps you from going crazy.

    T-Bird78 replied to Joe V's topic in Nursing Humor

    I was doing allergy testing on a pt and pt was very itchy at the location of the histamine control. I was applying some cream to help soothe the itch and I guess it felt a little too good, because pt...

  24. IV catheter changes..

    T-Bird78 replied to RNnewbie2014's topic in General Nursing

    I was taught no more than 5 days, but as a pt with an IV in the back of my hand for 4 days I can tell you how bad it was. My hand was 3 times its normal size from the fluids going in for so

  25. Relationship and Nursing School

    T-Bird78 replied to simplysw33t's topic in General Students

    The fact that it's this big of an issue should tell you something. If he can't be supportive of you now, what's he going to be like when you're trying to find a job and then unwinding after a tough...