Kenmore1009

As part of our electronic medical record (Epic), at time of discharge RN's are required to check off supplies that were used during a patient's stay in the ED. This is so patients can be charged accurately for what supplies were used. I understand that reimbursement for services is extremely important, especially in the system of health care we have in the US. My initial reaction to this requirement, though, is that it is outside the role of an RN to provide care and also be involved in the billing process of my patients. Shouldn't there be another person, from a billing department, who can review documentation to complete the billing process? Does anyone else see some potential ethical conflicts with RN's being involved in the billing process in this way?

Thanks Meriwhen. I imagine it is very annoying wearing a mask half the year, but like you said with your coworkers, it's better than being unemployed. And I guess for me it's better than having vertigo for several weeks every year.

Thanks, not looking for medical advice. Wondering how other RN's or health care workers have navigated refusing the flu shot. Wondering if others have refused and worn the mask and how it affected their practice. Wearing a mask for 6 months of the year is not something I would want to do but I am realizing it might be my best option.

I haven't done that yet. But am planning to this afternoon.

I'm an ED nurse. Never had problem with getting flu shot through nursing school and first year of career. Got flu shot in 2014 and about 2 weeks later noticed very mild lightheadedness and vertigo. Didn't think much of it, only lasted a day or two. Then in 2015, again about 2-3 weeks after flu shot, developed severe vertigo with vomiting that lasted several days. I had to call out of work a day or two. Symptoms improved but had moderate fatigue and lightheadedness for several weeks. I was evaluated by my PCP who suspected BPPV but said if it happened again after receiving the flu shot to be evaluated again. I did not get flu shot last fall (2016) because I was out of work to care for a terminally ill family member. Went back to work this month (May 2017) and had to receive flu shot as CDC was still recommending it. Once again I am experiencing vertigo, lightheadedness, fatigue and general "foggy" feeling that makes it hard to concentrate. Anyone else ever experience this post-flu shot? Has anyone here refused the shot and worn the mask instead? How was that. I'm in my 30's, have never had any serious health problems before this. I'm very physically fit and eat healthily. I'm going to PCP next month. I've never been opposed to mandatory vaccination before, but am obviously having some problems with it now. Any advice on how to proceed in terms of the flu shot next year would be appreciated.