salvadordolly

salvadordolly

Oncology, Med-Surg

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All Content by salvadordolly

  1. How to turn down an assignment

    When I was a new grad, I turned in one of those unsafe staffing reports to my DON (in writing). They never let me live it down. They picked at me and then fired me for something petty. I've never...
  2. Seems
  3. Who provides the supplies?

    The company should supply everything. Our cheap company doesn't supply pulse ox's though. They have pretty good supplies for a good price on Amazon and some bags too. They usually give you a cheap...
  4. Fraudulent visits - yes I brought it up!

    This nurse is on probation for being caught doing the same thing at another agency. Quarterly, I have to file reports as to her compliance with doing her visits. I have to print, sign my name and...
  5. Dealing with crappy tech/assistant performance

    A lot of the techs test out the new grads to see how tough they're going to be with them. Don't let her walk all over you, or you will find the other techs doing it too. You need to get more...
  6. disclosing past addiction during interview

    I disclosed personal info at one job and it came back to haunt me when the blame game started. I wouldn't do it! In AODA, there seems to be a different standard for nurses. It seems okay for...
  7. Fraudulent visits - yes I brought it up!

    Do you think this relatively common in home health? the only other agency I worked for was the VNA and they would fire people for even any hint of impropriety - they did fire a lot of nurses they...
  8. confused about med surg or hospice

    a word of caution if they are offering you a director position with no hospice experience. there are a lot of fly-by -night bad hospice and home health companies out there. you have to have good...
  9. Heparin SubQ administration?

    Nursing instructors are anal retentive. They seldom do anything but criticize and they love to do it in front of people. I hate to say this, but get used to it - criticism is rampant in this...
  10. Eliminating charge Nurse position

    Yes, another lean and mean idea that comes around every decade. In my hospital, charge was rotated amongst the nurses and they took a full assignment. When the turnover and complaints increase,...
  11. No Reference

    Our agency will only give dates of hire. As she states, about 65% of employers have this policy. Employers don't want liability for saying something bad about the employee. Many libel and slander...
  12. Some LTC and home health agencies now monitor their employees facebook pages for Hippa violations. we just had a cna get fired for posting about a
  13. Sinus drainage in trach patient

    I would not blow off the primary caregiver. They've been taking care of the patient for year and often know their little quirks and
  14. Nurse - Patient ratio?

    four is about right on day shift. it will keep you busy, don't
  15. Infection Control CEU's?

    http://mynursingce.son.wisc.edu/index.pl?op=show;id=716914 Nurse CE T3 by Medcom Medsyntrix NetCE - Search for
  16. I feel like a FAILURE, what do I do now?

    I'm sorry to hear about your termination. It happens to most of us. I got fired from my first LTC job, it turned out ok because I ended up with the job I needed in acute care. In your interviews,...
  17. Can I travel with just over 1 yr experience?

    i wouldn't with one years experience. hospitals across the country vary in the way they do things. you need more experience, try doing pool for a while to get familiar with
  18. Using an RN's license

    Well Iguess you're meeting your legal requirements, but I think that Rn would eventually catch
  19. Help! New to home health!

    One good book is "The Handbook of Home Health Standards: Quality, Documentation and Reimbursement." by Tina Marrelli. Care2Learn has some intro to home health classes such as "Getting Started in Home...
  20. New Onco RN struggling to adjust

    You should keep trying to get into OB. Sounds like oncology isn't your
  21. Using an RN's license

    Is this Rn a new grad? How could that Rn not know she was responsible for suping the
  22. help

    Sadly, she probably will hurt someone. I have an administrator who refuses to deal with employee situations as well. It's hard. To protect yourself, I would document everything - all your...
  23. This issue seems to waver back and forth. There is a glut of RN's out there now. Magnet hospitals are getting rid of RN's and LPN's because they want BSN's. There will be a shortage again, and then...
  24. Policies and Procedures

    we are a small home health agency and it seems someone deleted it. I thought someone might have one for word I could use quickly instead of constructing my
  25. It depends on what payor source you agency is. If they do a lot of medicare, you'll be the primary nurse and case manager. If they do a lot of medicaid, they often have LPN's do the skilled visits...