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NRSKarenRN BSN, RN

Vents, Telemetry, Home Care, Home infusion

Patient and Nursing advocate offering advice and support to Allnurses nursing community.

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NRSKarenRN has 40 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion.

Homecare Guru & Nursing Advocate. Loving Hubby + 2 adult sons. Needlepoint addict --watch out for needle sticks.


"The sky's the limit if your heart is in it."    "ATTITUDE: The Difference Between ORDEAL and ADVENTURE!!

NRSKarenRN's Latest Activity

  1. NRSKarenRN

    Between a Rock and a Hard Place

    STOP the overtime ---not required, your health/mother more important. Placing my Manager hat on, workplace often require us to give notice of amt time off used, especially at end of year. Do your best to skate thru the next 5 months without callouts, then apply for intermittent FMLA. Wishing better 2020 for you.
  2. NRSKarenRN

    Pennsylvania Board of Nursing

    We've got great members, glad we helped you. Hope rest of licensing goes smoothly. I love New Orleans + Homa area....Did you graduate from Charity??? I've visited many times, mostly 2wks at Mardi Gras --last year spent 16 days with my SIL. I live in Philadelphia, opposite end of state from Pittsburgh --contact me anytime if you need info/advice.
  3. NRSKarenRN

    Pennsylvania Board of Nursing

    PA Act 31 Child Abuse CEU: 3hr class required for initial PA LPN ... List PA Approved Continuing Education Providers: Mandated Child Abuse Reporter Training Under Act 31 https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Pages/Act-31.aspx Reminder: 2hr Child abuse education is required for every biennial license renewal. PA Child Abuse Resource Center online 3hr CEU course remains free: https://www.reportabusepa.pitt.edu/webapps/portal/execute/tabs/tabAction?tab_tab_group_id=_91_1
  4. NRSKarenRN

    Who has had problem waiting for their SSN? Canadian RN

    See you received your SS# within 30 days initial application--- expect that US/state government agencies work more slowly, often due to higher population volumes. Best wishes with your new Maine nursing position.
  5. NRSKarenRN

    Medication order correct or no

    From: Prescription Writing 101 (with Example Prescriptions) https://medicalschoolhq.net/prescription-writing-101/ Medication order ( 500mg, 2tabs, twice a day) meets #2 of above standards: Medication name, strength= 500mg, amount to be taken = 2 tabs, needs route = oral ( suspect Dr. assuming that tablets taken orally), frequency= 2x day . That's how I was taught to interpret medication orders and have done so for 40+ years, especially in last home health positions as Central Intake Mgr. + Quality assurance reviewing thousands of medication orders weekly. When interpreting it may be helpful to add "take" after dose listed (500mg, take 2 tabs, twice a day). Additionally, nurse needs to consider if medication being prescribed + dosage written is usual standard for that medication along with used for patients diagnosis Years ago, I prevented medication error in report told that doctor wanted med given STAT and order hand delivered to pharmacy--- old school med written as Aldomet 300mg IV Q6 hrs for patient with suspected GI bleed. BP was 130/70 (WNL, Aldomet not indicated for client without HTN DX, usual dose dose Aldomet 250mg or 500mg, never seen 300mg dose). So called Doc--he meant to write for Tagamet, he came to floor rewrote order. In LTC setting, I'd check med bottle + query pharmacist who dispensed med, otherwise call doctor for clarification.
  6. NRSKarenRN

    2019 Holiday Deals - Nursing and More

    Checked out Longhorn + Olive Garden as near me -- website links are reversed.
  7. NRSKarenRN

    School nurse questions.

    Check out: School Nurse Resources - Ohio Department of Health - Ohio.gov https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/school-nursing-program/school-nurse-resources/ Resources For Nurses New To School Nursing: https://odh.ohio.gov/wps/wcm/connect/gov/3bf77735-a266-4080-921a-7c2ebd8525dc/School+Nurse+Resources+updated+8+23+2019.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-3bf77735-a266-4080-921a-7c2ebd8525dc-mRf2bFm Under the above link, will find Ohio Nursing Delegation information: Delegation Law & Rules for Ohio’s School Nurses (Search at http://codes.ohio.gov) ▪Ohio Administrative Code (OAC) Chapter 4723-13 Delegation of Nursing Tasks http://codes.ohio.gov/oac/4723-13o Practice Statements: http://www.nursing.ohio.gov/Practice.htmoSchool Nurse Decision Making Model (updated 2018) http://www.nursing.ohio.gov/PDFS/Practice/SchoolNurseModel0907.pdfo Medication Administration: School Nurse Scope of Practice and Non-Medication Related Nursing Tasks: School Nurse’s Scope of Practice Scopes of Practice: Registered Nurse and Licensed Practical Nurse (June 2015 )http://www.nursing.ohio.gov/Practice.htmo Decision Making Model Registered Nurses and Licensed Practical Nurses (Adopted 11/17/94 Last Revision: March 2015) http://www.nursing.ohio.gov/PDFS/Practice/Decision_Making_Model.pdfoMomentum. Online quarterly publication http://www.nursing.ohio.gov/Publications.htm
  8. NRSKarenRN

    I quit healthcare

    Best wishes in future endeavors.
  9. NRSKarenRN

    List of Direct Entry MSN Programs?

    Glad I could help.
  10. NRSKarenRN

    List of Direct Entry MSN Programs?

    AACN maintains a searchable list of nursing education programs by state and program type; 11/2019 search shows 59 direct entry level MSN programs: https://www.aacnnursing.org/Nursing-Education
  11. School nurses rock... to keep students healthy and in school. I've followed this forum since inception. Understand IEP = individual education plan but no knowledge 504, so think an explanation would help us AN forum lurkers.
  12. NRSKarenRN

    Meeting the Sr. Director of Operations for an Interview ??

    In my organization, Sr. Director of Operations = VP of Patient Services = Director of Nursing AND another department/"product line" (Therapy Services, IT, outpatient clinics, etc.)
  13. NRSKarenRN

    Use it or...lose it? A&P and Nursing

    I've been known to pull out my old Guyton Physiology when arguing with my son over medical question too.
  14. NRSKarenRN

    Arranging Clinicals w/ online program?

    WGU program only available in a few states, not in New Mexico: See list of NM BON approved programs. hope you can find one http://nmbon.sks.com/uploads/files/NMBON Nursing Programs Directory 9-23-19.pdf LPN to RN route may be the way to get your foot in the nursing profession.
  15. NRSKarenRN

    My school shut down

    I second caliotter3 advice re sending certified mail request to BVNPT. Additionally, I would send information via email. California is notoriously slow due to volume of requests received and limited funding for staffing. From our member posts re slowness of BON, expect to take several months for issue to be addressed and resolved. See CA BVNPT contact us info for address/email: https://www.bvnpt.ca.gov/contact.shtml If you do not hear back within 2 months, I would contact your legislator as they help with situations involving state agencies. CA Legislator locator: http://www.legislature.ca.gov/your_legislator.html Hope you can receive permission to take NCLEX exam. Keep in touch here.
  16. NRSKarenRN

    False positive drug test for Benzos

    One should know active ingredients in OTC medications, herbal supplements along with herbal teas. Per the manufacturer: Valerian root has been reported to cause false positives in drug tests for benzodiazepines. Other herbal supplements such as Kava Kava and St Johns Wort can also affect body chemistry therefore false positives may be produced. https://www.sharecare.com/health/valerian/can-valerian, -tea-cause-negative-drug-test-results
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