mlbluvr

mlbluvr

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All Content by mlbluvr

  1. New job: "Don't worry about following the MAR" & other scary stuff

    mlbluvr replied to kak85's topic in Patient Safety Issues

    "As for med passes, much of the time the nurse or administrator who puts them into the computer chooses an arbitrary time". Every SNF has a pharmacy manual (true story, but few have even seen it or...

  2. New job: "Don't worry about following the MAR" & other scary stuff

    mlbluvr replied to kak85's topic in Patient Safety Issues

    Oops, the quotations ought to have ended, where my reply began: "I wouldn't want to

  3. New job: "Don't worry about following the MAR" & other scary stuff

    mlbluvr replied to kak85's topic in Patient Safety Issues

    Also, I've found that doing nebulizer treatments simultaneously saves time. You'll quickly start to remember who gets them and who doesn't (though, of course, you should always double check for order...

  4. Hourly vs Salary

    mlbluvr replied to adamsmom2's topic in LTC: Directors, Assistant

    When I Google personal care homes, I find residential places that do not require the presence of any professional nursing or medical staff. This post baffles me, more so that the OP talks about all of...

  5. Job openings in medical coding:

    mlbluvr posted a topic in Job Search, Interview, Resume

    For the nurses than cannot find jobs, the AHIMA site is claiming that America has a whopping 30% shortage of medical coders, and that is expected to increase by another whopping 57% next year as...

  6. Health care acquired conditions, what happens in the SNF?

    mlbluvr replied to mlbluvr's topic in Geriatric, LTC

    As an MDS nurse, I'm trying to find out all the ways Obamacare will affect long term care. It's complicated, but I just also read that Medicaid has followed Medicare in not paying for HACA (provider...

  7. Health care acquired conditions, what happens in the SNF?

    mlbluvr posted a topic in Geriatric, LTC

    PPACA doesn't allow extra payment to treat hospital caused problems, like stage 3 or 4 pressure ulcers. That's an awfully expensive situation. What happens when those patients (or those that have any...

  8. DNS overruled MD?!

    mlbluvr replied to JBMmom's topic in Geriatric, LTC

    More often than not, elderly nursing home occupants come back from hospitals not only not better, but ever more confused, unkempt, with infections, pressure ulcers, ever more meds of questionable...

  9. Teleohonic "medical case manager."

    mlbluvr replied to SleeepyRN's topic in General Nursing

    Sad to say, it's true. Where I am, they are now hiring 'case manager extenders', that have no medical or nursing background. They are given a list of clients, and a list of criteria to monitor and a...

  10. Respiratory Therapists Inserting PICC Lines

    mlbluvr replied to Asystole RN's topic in Infusion, Intravenous

    Even practical nurses can do most of what an RT does (trach care, suction, vents, inhalation TXs, etc.). In fact, when the PPS system started in the late 1990's, tens of thousands of RTs were laid off...

  11. Respiratory Therapists Inserting PICC Lines

    mlbluvr replied to Asystole RN's topic in Infusion, Intravenous

    Even the least amount of registered nurse education, the ADN, makes any RT program seem like remedial education. There is no comparison. Yet? Even an ADN (and in many places a BSN) registered nurse...

  12. Patient Death Notice BOMBSHELL! HELP!

    mlbluvr replied to ricksy's topic in Geriatric, LTC

    I can't say how many nursing home patients I've found dying, or already dead, or on the floor in a pool of blood, or passed out sitting on the toilet, or etc. after I made rounds after receiving...

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

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

    That's cute, 3 MDS Coordinators in one place. I've never seen more than one, meaning myself. Heaviest load to date was 180 beds, census of 152, PPS census of 50. And not ever even a moment of...

  14. Have you ever worked at a nursing home that ended up closing?

    mlbluvr replied to NurseCard's topic in Geriatric, LTC

    Three places I worked at have closed. And there are several more in the state that have closed, and several other operating at about 50% capacity, so that's not boding well for their

  15. can nurses in California practice if they are receiving prescription cannabis?

    mlbluvr replied to ksparks's topic in California Nursing

    Even trickier, CA also passed a law in 2012 that a nursing license (and a teaching certficate) can be revoked upon conviction of a first DUI. So while medical marijuana may be 'legal' in CA, is it...

  16. can nurses in California practice if they are receiving prescription cannabis?

    mlbluvr replied to ksparks's topic in California Nursing

    Tricky. Even as they legalized medical marijuana, in 2012 they passed a zero tolerance marijuana DUI law in CA. If you are tested, and any trace of THC or metabolites is found in your system, it is...