salvadordolly

salvadordolly

Oncology, Med-Surg

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All Content by salvadordolly

  1. Fellow DON's....I need some advice please...

    salvadordolly replied to mtessmer2000's topic in LTC: Directors, Assistant

    Thanks for coming back and sharing your good

  2. Problems at the SNF

    salvadordolly replied to richnurse828's topic in Geriatric, LTC

    I would just move on if I were you. If you pursue this with the facility, they may decide to report you for

  3. Medication reconciliation/orders

    salvadordolly replied to KelRN215's topic in Home Health

    We've had a few problems like this, we will attach a note to the 485 stating that MD doesn't want this or that on the 485 for this or that reason. We will document the conversation with the...

  4. Burned out and hate nursing

    salvadordolly replied to RN1023's topic in Health, Stress Management

    I feel your pain. I couldn't go back to the hospital again for anything. You could see if your hospital would hire for things like utilization management or infection

  5. sunlight and nightshift

    salvadordolly replied to anotherone's topic in Health, Stress Management

    I worked nocs for a long time too. The winters here in the midwest are long and dreary too. I used an Apollo light therapy box during the winters. It really kept up my moods and motivation....

  6. RN duties

    salvadordolly replied to cincin1222's topic in Home Health

    That is the job description of a PCW (personal care worker). RN's that do intermittent home visits do only skilled nursing tasks and assessment. RN's that do private duty can sign a contract that...

  7. Pt care- can't get my charting done!!!

    salvadordolly replied to martymoose's topic in Patient, Colleague Relations

    Definitely sounds like you need more techs. I worked in a facility like this as well. All the nurses charted at the end of the shift. Of course, we were told to punch out and do it. I always stayed on...

  8. RN as patient in own hospital

    salvadordolly replied to shazzrn's topic in HIPAA Challenges

    Wow, how unprofessional! And then she told another nurse? Big trouble. I would do as PP suggested. Go to the privacy officer and make a

  9. What's the weirdest thing management has said to you?

    salvadordolly replied to monkeybug's topic in Patient, Colleague Relations

    Off three days for IV Abx for a kidney infection. Too many back to back UTI's, you know the story. DON: I sure hope you have your Dr's excuse. ME: Yes, here it is. DON: (looks at it) Kidney...

  10. question for all personnel involved in the hiring process for **new**registered nurse

    salvadordolly replied to iliketosneeze's topic in Job Search, Interview, Resume

    Probably your best bet from what I've heard/read about the job market in

  11. "I'm an addict...not psychotic." Aren't they both mental health issues?

    salvadordolly replied to NurseSheGirl's topic in Addictions

    I worked in a private top of the line detox that was closed and merged with the psych unit. I got the same thing a lot. I would tell them that if they really wanted to recover, they were going to have...

  12. Does having ONLY a MSN-RN allow one to work in a magnet facility?

    salvadordolly replied to nps07's topic in Nursing Career

    My experience as

  13. False Documentation

    salvadordolly replied to ohionurseltc's topic in HIPAA Challenges

    What were their reasons for doing this? I have asked nurses to modify their own charting to more accurately reflect a situation, but have never had another nurse just make up a replacement

  14. Pain meds - more restrictions now than previous?

    salvadordolly replied to martymoose's topic in Pain Management

    I live in the Midwest and the DEA has investigated MD's that prescribe pain meds, making them all paranoid to prescribe. A lot of docs say if they need a narcotic, they give a pain clinic referral....

  15. LPN needing more experience

    salvadordolly replied to LoveNLife28's topic in Job Search, Interview, Resume

    Home health and hospice are often looking for

  16. Aurora healthcare wi

    salvadordolly replied to lawandaluxnurse's topic in General Nursing

    I'm sorry that happened to you. I worked for SLMC for a few months and hated it. I went to the Wheaton Franciscan system and loved it. They are hiring for a lot of positions at the new hospital in...

  17. I Hate LT: How I Want to Fix It

    salvadordolly replied to libran1984's topic in Geriatric, LTC

    A lot of LTC does suck. It sounds like you work in a high-acuity short staffed unit. You also sound like you are suffering from "reality shock" and that's hard. School teaches the ideals and...

  18. Medication reconciliation/orders

    salvadordolly replied to KelRN215's topic in Home Health

    How bizarre! How could they not be sure about what they've prescribed? On a very few occasions, I have called an Office Manager and explained that the clients services would have to stop if they...

  19. G/J Tubes and Venting Subtopic: Siezures and Urology Issues

    salvadordolly replied to syoung5's topic in Gastroenterology

    I would think with his history of ulcers, GERD, and gastoparesis, and bacterial overgrowth, his gastro MD would be concerned about H.Pylori. With that history, has the child been scoped

  20. Gastric cancer and NGT

    salvadordolly replied to tnguy31's topic in Hospice, Palliative

    Our docs do RTC Thorazine before they'd do NGT. Invasive, uncomfortable, not terribly palliative. How do the family and the client view the

  21. Lying to new clients!?

    salvadordolly replied to TmC1999's topic in Home Health

    I would seriously question working for an agency that needs to lie to get business, have you lie for them, and gives you only a few hours of training! If this is your first client, what might they...

  22. New ADN RN to Wisconsin

    salvadordolly replied to Java_Wench's topic in General Nursing

    It tough in Milwaukee and burbs right now. They all prefer experience. I hear it is better in the northern part of the

  23. Quit my first Job during orientation

    salvadordolly replied to DUDERNGUY's topic in First Year After Licensure

    Since you are a new grad, you will feel anxious anywhere doing any type of nursing for at least the first six months. Changing jobs will not save you from feeling overwhelmed right now. Your manager...

  24. Advice please!

    salvadordolly replied to RNurse2's topic in First Year After Licensure

    Sounds like your unit is poorly staffed/disorganized altogether. Get your report and get organized before your shift and do not take the phone until you are "officially" on the clock. Be firm about...

  25. Opiate Medications and Respect for Patient Needs

    salvadordolly replied to tikaani's topic in Patient Medications

    I feel for you and Im sorry you go through that. Pain is not well understood in general. I was niave about how pain was treated for a long time because I worked in oncology and hospice, where we...