salvadordolly

salvadordolly

Oncology, Med-Surg

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All Content by salvadordolly

  1. Homebound Status

    Medicaid in most states doesn't require homebound status. Our company does a lot of Medicaid and we have problems with a lot of missed visits because they aren't required to be homebound. It makes...
  2. ICU vs. Home Health. What to do??

    I have been in home health for many years and have never looked back. You couldn't get me back in a hospital for anything! It sounds like you have good pay and benefits. If you have doubts, you could...
  3. Decisions to make regarding 2 job offers

    The float position wil give you tons of valuable experience, more so than long term
  4. Accused of neglegence. victim of CYA at wound clinic?

    Did they really say you can't do any patient care? For how
  5. Unless you killed someone with your med error, you will most likely get an admonishment. You won't likely lose your lisence. The whole situation is a PIA though. I had someone do this to me during my...
  6. Treating fever with acetaminophen

    It really depeends on your patients condition. When I was in oncology/HIV, we medicated at 99.5. These patients, like many ICU patients, can't tolerate the metabolic demands that come with
  7. HHA vs Hospice, compare/contrast?

    The major difference as I see it, is the on-call requirements. Home health has very little on-call, they usually have a dedicated person for this. Hospice has a lot of on-call time. You will have...
  8. How to answer drug abuse hx question

    The correct answer is
  9. Advice please

    Personally, i have just ignored it. Disabled, sick people have limited options and limited venues for
  10. How Ideas to Cut ER Expenses Could Backfire

    A hospital in my area began charging $100 cash for any complaint not triaged as emergent. I worked at the other hospital, where the patient would come instead. They closed my hospital to prevent the...
  11. Managerial ABUSE of Nurses

    MOst nurses vote with their
  12. The guidelines I am familiar with are 18 for dark colored skin and 16 for light colored skin. Check these out - the first one our company put on the back of the braden scale so we'd know what to add...
  13. EICU Unit Coordinator Opinon

    it would probably be more beneficial to work in a regular ICU. you would gain more live experience of what really goes on. any hospital position would be beneficial while you were in school, it would...
  14. Is this too little?

    Definitely ask for more
  15. Interview with a Doctor??

    yeah, if you work closely with these people, they'll want to feel you out to see if it's a good fit personality
  16. Problems at the SNF

    Many LTC facilities are like this. I've also wondered the same thing about people who get into this profession sometimes. I don't think it's a phillipino thing though. sounds like you just need to...
  17. In need of some career advice...

    Home care will be lucky to have you - lot of patient teaching in home care. Your husband will probably get over it once he sees that you are
  18. Funny story about diversion (b/c most of them aren't) - I worked a pool shift at a free-standing hospice facility. they had their own pharmacist and they didn't count narcs!! this was in the mid...
  19. Surgeons are the absuolute worst! Where do they learn their infection control from? I have too many stories about them. I used to work in a university hospital where the residents tried to do every...
  20. I have been really lucky. Once I was working pool at a new hospital and I mixed up bed A and B and gave the one patient thiamine and lisinopril that were meant for the other. I got the feeling...
  21. How Do You Know When It's Time to Hang It Up?

    I got disabled about 10 years ago, I won't get into the details, but I believe a lot of it had to do with stress and noc shifts. I was off work for a few years and felt like I "got my marbles back"....
  22. I worked on a psych floor for a short time. Patient was on a hunger strike and had a Gt inserted. They then found out she had SBO and put in CVL for TPN. The nurse took the meds meant for the Gt in...
  23. Informatics?

    congratulations! go for it! you can always go back to bedside if want
  24. Lets talk about $$$

    Milwaukee, WI $30 skilled visit, $50 admission or resumption 1 week paid vacation no milage, no
  25. Mitomycin extravasation question

    Extravasation might be caught faster in a hand site, but would cause more damage whereas the forearm might have less damage from the extravasation. The veins of the hand are often too small to...