cyc0sys

cyc0sys

EMS, LTC, Sub-acute Rehab

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All Content by cyc0sys

  1. Best strategies to deal with verbal abuse from patients?

    cyc0sys replied to mmjp77's topic in Psychiatric

    I work with severe dementia patient on a memory care ward so it not exactly psych nursing in the same sense. I never take things personally regarding insults and profanity. However, some of the repeat...

  2. What happened to common sense?

    cyc0sys replied to CapeCodMermaid's topic in Geriatric, LTC

    We have policies at my facility regarding everything. In fact, New ones are probably being drafted as I write. Binders clutter the nurses station with little rhyme or reason to content. Some are feel...

  3. Rumors and who's in charge??

    cyc0sys replied to CapeCodMermaid's topic in Geriatric, LTC

    I feel your pain. I've written people up for every thing from dereliction of duty to insubordination to no avail. I reported CNAs and nurses for working under the influence and nothing happened until...

  4. Long Term Care Nursing is Lame

    cyc0sys replied to purplegal's topic in Geriatric, LTC

    Yeah I said that, with the exception of ADON, DON, or the occasional Facility Director, I don't understand why OP would choose LTC with a BSN. Of course you can work as a floor nurse, MDS, Risk...

  5. Time management, Patient ratios and Moral turpitude in Rehab/LTC

    cyc0sys replied to cyc0sys's topic in Geriatric, LTC

    That's possible but not very likely if you work at a For-Profit facility. Something that might appear as a loss will most likely be written off by the business office and offset as the cost of doing...

  6. Time management, Patient ratios and Moral turpitude in Rehab/LTC

    cyc0sys posted a topic in Geriatric, LTC

    Recently, I cut back to PRN from full time at a rehab/ltc facility, partly to focus on furthering my education, also to test the waters in home health nursing, but mainly because 1:28 patient ratio is...

  7. Lied to by new employer

    cyc0sys replied to Mrod11411's topic in Nurse Practitioners, NP

    Fool me once, shame on you; fool me twice... well you know the rest. Doubling down now is just setting yourself up for failure. Better to just leave those cards on the table and walk away while you...

  8. Fellow NPs: What's your strategy for retirement?

    cyc0sys replied to FNP_Lifer's topic in Nurse Practitioners, NP

    I'm not an NP but I've thought on this topic long and hard. My biggest concerns are the raising cost of taxes, medical costs, and the devaluation of the dollar in the US. I'm not counting on Medicare...

  9. What is the grossest thing that's happened to you???

    cyc0sys replied to PrincessAlexis's topic in General Nursing

    First time I did a tube feeding, I pulled back the residual and the plunger came out of the syringe. The patient coughed before I could get it back in and showered himself and me with partially...

  10. Time management, Patient ratios and Moral turpitude in Rehab/LTC

    cyc0sys replied to cyc0sys's topic in Geriatric, LTC

    The staffing ratios are not good but it's due to the reimbursement structure. Medicaid reimbursement were I worked was 480.00 per patient per day, allocated specifically to nursing care services...

  11. When former inmates pay a visit

    cyc0sys replied to poptart109's topic in Correctional

    I suggest getting a firearm, a concealed carry permit, and spending some time at the range with a certified instructor. "If violent crime is to be curbed, it is only the intended victim who can do...

  12. Unprofessional to mention you have other patients?

    cyc0sys replied to Emergent's topic in General Nursing

    I not only tell them that I have others patients, I tell them they are 1 of my 28 patients. Most of the time, people better understand the situation when you give them sound and timely information....

  13. Memorial Day - Time to Thank Those that Paid the Ultimate Price

    cyc0sys replied to traumaRUs's topic in General Nursing

    Excellent article. Very on point. The only thing I would like to add is, this is not the day to thank the living for their service. It is a day to honor those who paid the ultimate price with their...

  14. How useful is an Associates in Health Science

    cyc0sys replied to jhodge93's topic in LPN, LVN Corner

    My aunt used to say, "An education is the only thing in life someone cannot take away from you." I agree with that statement. It depends on how far down the road you are with your credits. If you're...

  15. NTI - Post ICU Syndrome - First Hand Family Account

    cyc0sys replied to traumaRUs's topic in Critical Care

    This was very informative article. I was unaware of PICS until now. I have a home health patient/family, that I'm not sure exactly fits description of the syndrome, but it has made me think...

  16. New Job: controlling preceptor

    cyc0sys replied to ab2680's topic in Medical-Surgical

    Have you communicated your feelings as directly as expressed on this forum to your preceptor? I getting an impression of 'no'. If you don't attempt to take this bull by the horns now, people will...

  17. New grad as a unit manager

    cyc0sys replied to aspiringrn1987's topic in Geriatric, LTC

    I work in a sub-acute rehab facility with 58 beds between 2 nurses and 4 aids. With that volume, clinical judgment consists of, are these VS=WNL for the Pt, ABC's, and 'something doesn't look right,...

  18. New grad as a unit manager

    cyc0sys replied to aspiringrn1987's topic in Geriatric, LTC

    And what does a realistic grasp of the bedside entail in a sub-acute facility? Running a code team and dialing 911? Making sure some gets a cardiac diet instead of carbo-controlled? Dealing with...

  19. New grad as a unit manager

    cyc0sys replied to aspiringrn1987's topic in Geriatric, LTC

    Congrats on your new position! As a seasoned senior level manager in a previous life and a new nurse in this one, I understand your situation. However, I would advise exercising caution. An old...

  20. What does your nursing career repair bill say about you?

    cyc0sys replied to Beldar_the_Cenobite's topic in General Nursing

    Screw that. Burn up your GI Bill on flight school, welding instruction, certified scuba instructor or some post retirement backup career/hobby. School is a check the block drill of paint by the...

  21. Question for nurses that are male...

    cyc0sys replied to NurseLife88's topic in General Nursing

    I tend to agree. My patient assignments have been tailored to my gender to also include the violent, demented, 'handy' patient, and even extend to the inappropriate family member. However, this...

  22. New nurse.. Just want to quit everything..

    cyc0sys replied to nohseungjin's topic in General Nursing

    OP take care of yourself first or else you'll have nothing to give to others. If you never have enough time, equipment, or people to get the job done it's a toxic environment that's out of your...

  23. My coworker was high and got away with it

    cyc0sys replied to Volley88's topic in General Nursing

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  24. Licensure by endorsement or go to Florida to test?

    cyc0sys replied to cnsrn1's topic in Nursing Career

    You'll have to take an 85 hour NCLEX prep course for a Florida

  25. Long Term Care Nursing is Lame

    cyc0sys replied to purplegal's topic in Geriatric, LTC

    I'm going to assume you're just trolling. Anyone who has been a nurse at an LTC for day knows it's all about basic nursing skills and patient care. If you can't do those little things well, you sure...