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EMS, LTC, Sub-acute Rehab
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cyc0sys has 6 years experience and specializes in EMS, LTC, Sub-acute Rehab.

Born standing up and talking back. Made love to the howl of the wolves, with a dark haired girl. Crawled across the edge of a straight razor. Drank until I was thirsty again. Ate more chicken then any man ever seen.

cyc0sys's Latest Activity

  1. cyc0sys

    Deciding between medical coding and LPN

    Most positions are low paying to start. Working for physicians in private are not inclusive to just coding. They will require you to perform other administrative tasks such as scheduling patients, answering phone, submitting claims, verifying insurances, and billing. The best paying positions require experienced coders who are specialized in Neurosurgery, Cardiology, Hospital, Diagnostic Imaging and the other medical specialties. Some companies offer remote/telework situations. Billing software is becoming more integrated with EMR and Practice Management Software reducing the need for basic coders. Some software companies offer turn-key solutions and handle the back office billing and coding tasks as a portion of their contract. So you may not be directly employed by the health care provider or facility. Many companies are outsourcing abroad. Physicians are also becoming more savvy b/c coding is tied to reimbursement. If the physician is coding claims, he/she really just needs a biller who can verify the codes before submitting the claims. Coding is not going away anytime soon. So there will be a need for coders. But I'd consider looking at other options unless you plan to use it as a stepping stone to higher aspirations. I used to work as a coder and biller before I became an LPN. That experience eventually helped me land a job as Authorizations Nurse in Utilization Management and Review.
  2. cyc0sys

    Does Trump have Covid?

    Of course he's smart. He's worth 2 billion. He's also living rent-free in your brain. So think about that for a minute. However, I'm not really certain what is more dangerous in the emotional rhetoric of your post. Your inference that the constitutional republic hasn't been subverted by a financially elite and illusory two party ruling class. Or your inference that the government exists to protect anyone and the president is responsible for your personal safety. But please, continue to enjoy your bread and circus.
  3. cyc0sys

    Does Trump have Covid?

    I seriously doubt that. He'd be pushing Plaquenil or better yet Esbriet. Most hydroxychloroquine suppliers have actually reduced their prices. If you want to throw shade. I suggest asking some of these congress critters about their investments prior to a public announcement of the virus: https://www.forbes.com/sites/jackkelly/2020/03/20/senators-accused-of-insider-trading-dumping-stocks-after-coronavirus-briefings/#2e2c88964a45 Personally, I'd recommend investing in any company that produces any of the WHO model list of essential medicines.
  4. cyc0sys

    Nursing as a twenty one year old hispanic male

    I completely agree with that sentiment. Whether it's agressive patients or catty coworkers. A bit of testosterone tends to balance the floor. I've worked with female nurses who would rather work with male nurses. It's not always b/c of handsy patients or lifting capabilities either. Most of time they say they just do not want to be in the drama or seek to resolve conflicts in a timely manner w/o excalation. I'd really like to see more men in the profession. But PA or NP is a better stopping point if I could do it over again.
  5. cyc0sys

    Younger nurse

    A 'salty old' Army nurse once told me, "Your perception is your reality". Dave Chappelle took it a step further when he said, "I support anyone's right to be who they want to be. My question is: to what extent do I have to participate in your self-image?". However I think Oscar Wilde summed it up best, “The secret to life is to enjoy the pleasure of being terribly, terribly deceived.”
  6. cyc0sys

    LTC Residents and Workers Face Tragedy

    Wouldn't want patient or staff safety getting in the way of their revenue stream. No worries. The coroner will report COVID-19 on the death certs. If you don't plan to succeed. Then you're planning to fail.
  7. cyc0sys

    LTC Residents and Workers Face Tragedy

    I'm curious to know your nurse to patient ratio and your CNA to patient ratio. As well as the average pay for both positions.
  8. cyc0sys

    Nursing as a twenty one year old hispanic male

    I'm an older male nurse. My wife is Hispanic. Her family shares similar views as your family. Most of them are FOB and work in skilled trades. Her family relies a lot on 'home remedies' and superstitious beliefs (brujas). I sense there is a bit of distrust regarding modern medicine and physicians. My wife is also the first member of her family to earn a BS. They weren't very supportive of that either. Them: "Women belong in the home, raising children.". I've run into similar mentalities in rural America. Them: "You're a man. You're not supposed to be nurse. Why aren't you a doctor? Are you gay? Etc...". I often educate these types of people that men have been nurses since the time of the Crusades in 1096. IMO it's no so much a cultural but a socioeconomic disconnect.
  9. cyc0sys

    Mandatory overtime in massachusetts nursing home

    That's one of those grey areas. Hospitals are regulated by the Joint Commission. LTCs are regulated at the State level. Which is why they are the Wild West of healthcare facilities. Pretty much anything goes. In Massachusetts, LTC workers are exempt from overtime pay and many other DOL regulations at the State level. Don't expect the BON to be any help either. State bureaucrats are there to feign safety regulation, collect taxes and fines. They only exist to protect the companies, not patients or employees. Union offer some recourse. But that's a pay to play game as well. It's your DON/ADON's job to ensure proper coverage and relief. Unfortunately, most don't give a damn about the healthcare staff. Which sounds very much like your situation. Unless this is an isolated incident. If you're going to hand off a task to someone else. Document it in your shift report and in the patient's chart. Unless it's a critical medication or intervention. If you feel you're unsafe to work after 16 hours. Call the DON/ADON. Request relief and document it as unsafe assignment. If your Pt census is low enough, you could give report to a fellow nurse and leave. They might fire you. But it's better than losing your license. They'd have a difficult time reporting you to the BON. Welcome to long term care. It's the toughest job you'll never love.
  10. cyc0sys

    Scope of Practice Florida

    Maybe it's a company policy. But it has nothing to do with your scope of practice in FL. Not sure why you didn't learn how to draw blood and start IVs in nursing school. Granted, you have to be certified by a RN for IVs in FL. If you work in a clinic or nursing home. You're probably going to be required to do at least one of those tasks at some point and possibly more. MAs do blood draws and assist the surgeons in our office with procedures, suturing and wound care all the time. If you're under the direct supervision of a physician, you can do anything he/she asks you to do within reason. It doesn't matter whether you hold a license or not.
  11. cyc0sys

    How do I get into a Emergency Unit as a Newly Grad LVN

    You can apply as a Patient Care Technician for the ED at some hospitals. I know a few LPNs and Medics that went that route prior to obtaining their RN. It's still lots of hands on and it will give you a leg up if you decide to go the RN route. You'll needs to get ACLS and PALS if you don't have it. Personally, I would have never left being a Medic if there was advancement through the ranks without becoming a firefighter. I have nothing against firefighters. It just wasn't my thing. But nothing compares to the experience or autonomy of being a Medic.
  12. cyc0sys

    Younger nurse

    Proving once again. There is never a shortage of narcissism or insecurity in nursing. Regardless of age group.
  13. cyc0sys

    As an LPN, I can't help but feel like I'm not a "real nurse"

    I often encounter the same type of responses from patients, other nurses and doctors. I wouldn't let it discourage you. It's all a matter of perception. After 5 years as an LPN in sub-acute rehab, I feel confident in my assessment and hands on skills. I've ran plenty of codes and saved more people than I can count. Do we have a loaded crash cart and a code team like the ED? No. But if I stabilize until a medic arrives. I've done my job. With a 1:25 ratio of postop Pts and varying degrees sub-acuity, you have to be quick on draw in prioritizing and assessing patients. Patient care techs in the hospital are often the ones to do caths, IVs, and lots of hands on. My state allows LPN to do IVs with the exception of blood products. As a former medic, I don't have any problems getting a line in a Pt. I also rounded with the wound care doctor bi-weekly. Most hospitals have a wound care RN. You can learn a great deal one on one with a wound care doc. She was actually an OB/GYN prior to moving into wound care. Personally, I have a problem with the pay disparity in nursing. You're rarely paid by what you do. But instead by what you 'know'. I have an associates in Allied Health Sciences with a focus on emergency management. But without an ADN or BSN, it is pretty worthless. That's why I'm in an LPN to RN BSN program. Perception is key. If you're happy with your job. Then you're already winning the battle. I know RNs who've quit nursing because of hospital politics, regulatory policies, and unsafe working conditions.
  14. That coward would've gotten introduced to to a rear naked choke hold and rapid controlled change in plane to the floor. Followed by a session of percussive maintenance to the brain housing group, if that went down on my floor.
  15. cyc0sys

    Fired for taking vacation

    Yeah, you're wrong about that. There is a difference between being rude and being direct. I was being very direct with my communication by drawing a hard line in the sand. I explained my case very factually, without emotion or threat. Their response, "It's denied. We don't have to give you a reason" or timely notification evidently. Having worked all rungs of the corporate ladder I can tell you this. Establishing clear boundaries is the single most important thing you can do in a business relationship. Without boundaries you can't define the expectation of mutual respect and trust. When mutual respect and trust no longer exist, neither does the business relationship. Time is more valuable than money. You can always get more money. When your time is gone there is only regret.
  16. cyc0sys

    Fired for taking vacation

    I put my vacation request in 30 days prior to the new schedule as per policy. The new schedule comes out and they have me working during my requested time. So talk to the scheduler confirms I have requested time off and confirms it with HR. I had just covered the UM vacation the week before mine and 1 other nurse's vacation prior to that. Two days prior to my departure, my UM informs me that my leave has not been approved and no explanation is required. I informed her that it was not acceptable answer and I would not be working regardless of whether it was approved. Everyone else got to take vacation and I covered most of them. Yesterday, after returning from vacation, they fired me over the phone. No call, no show. Surprise right? Now before some of you go off half cocked, I'm not crying, whining, complaining or looking for sympathy. I very much knew what the expected outcome was going to be. Sometimes you just have to give zero #####. Self care is self respect.

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