egg122 NP MSN, APRN

Officeally is affordable. I use Practicefusion and while I like it, if I had to do it over again, I would use officeally due to costs and billing/administrative functionality.

Your management sounds pretty ethically questionable given that they are accepting and keeping patients that do not meet the criteria for skilled nursing care indicated by writing, "Many are homeless people who would have been discharged home from ho...

They may be getting at the idea that the person is in the 6 week residential program and focus should be on the residential treatment and not in issues that can wait until discharge- for example long standing acne, chronic back pain without signs of ...

Please look for a program that provides quality over quick and cheap- preferably one that offers real training in some psychotherapy too. I know a lot of people claim the online programs are just as good but a program that offers you training in 10 m...

This is the kind of stuff that is going to drive nurses out of the profession. Why aren't administrators, managers and owners ever charged for intentional understaffing and poor conditions in their homes?

For all of these patients on controlled substance, what's your plan when Ryan Haight comes back into play? You need to have a plan to either see them in person or get them off of the med.

May I ask if you have had a conversation with them before deciding you want to report them to the board? Also, in psychiatry the customer is not always right - if that were true I'd be continuing a patient who recently came to me on Klono...

I would be cautious of accepting a DON position in a facility that has had 5 of them in 2 years- especially without prior DON experience. That is a facility that is setting them up to fail. Many times DONs don't have as much leeway with resources in ...

OP- Just curious, are you the only RN on the unit and the other nurses are LPNs? Also, is there an RN supervisor on for the house during the day or just unit managers?

Try the leaf device by smith and nephew.

I am finding everyone is calling out. It makes me crazy. I saw some of the same people putting the posts of facebook, "I'm a nurse" or "I can't stay home, I'm an essential worker" and I couldn't fathom the total lack of self awareness. I also n...

Problem solved then I guess?

Yikes. Not a HIPAA violation technically but super creepy. Has he spoken to you directly about his expectations of your work flow and why he is doing this? Does he do this to other employees?

Agreed. I had to explain to a supervisor how to reconstitute an IM medication today. They had no idea that IM medications may need that and how the procedure might work. It was quite surprising for me.

We all make mistakes in healthcare. The important thing is to learn from them. This likely did not result in any harm. If it comes it, just acknowledge you made a mistake and how you will take a different course of action in the future if a similar s...

I find it somewhat ironic that the OP is calling female posters on this forum, "hun", which is inherently sexist. OP, since you are reporting employment discrimination and harrassment and you seek to be a change agent, you may find it more produ...

Can you find a new medical director?

I second the other posts about documentation, making sure to clarify everything, and think that what you are doing is great. Also, continue to communicate by email (if possible within the EMR) and text only since you have stated that he is asking you...

I think the schools being referred to are the ones that heavily advertise to Americans but cost as much as an American private medical school, like Ross or American University of the Caribbean.

I find that men in nursing tend to be promoted into management positions more quickly but that is only my personal experience.

I agree with the sentiments above. In my own experience in the NYC area we were consistently left without supplies, had no ability to test until mid-April, we were unable to get CXRs for over a week at times, and there was what seemed like almost a d...

Most ASN grads also need extensive orientation and are not hitting the ground running.

Can you transfer to a sister nursing home within the company? Are you in the NY metro area? Most homes are hurting for staff so the likelihood of being able to transfer is probably pretty good right now.

Just be careful about recruiters pushing you to take jobs- they get paid (or their performance for the year is judged) when they fill the position so they are looking at it from that perspective. Ultimately, if you prefer med-surg or other non-psych ...

I think this would depend on the general work culture of KSA- would having them be a part of the Lean decision making and implementation be something that would be considered motivating there or are decisions expected to be done in a top down manner?...