Sam J.

Sam J.

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All Content by Sam J.

  1. Physical Therapy- help me to understand

    Sam J. replied to ricksyone's topic in Geriatric, LTC

    The topic is the benefit versus (real or perceived) cost of therapy. Therapy is a highly skilled area of expertise that benefits all kinds of patients in all kinds of health care settings. It also...

  2. Your Starting Salary?

    Sam J. replied to x_factor's topic in First Year After Licensure

    Depressing, and

  3. More than 30 residents to one LPN...?

    Sam J. replied to fiddlercricket's topic in LPN, LVN Corner

    Far from condemning you, I was offering a suggestion to prevent needless calls, which can save you hours of time. As far as fighting fires, an ALF should be a laid-back place to work, unlike a SNF....

  4. Resident's names in a text message

    Sam J. replied to SleeepyRN's topic in Geriatric, LTC

    First paragraph: No reply other than you lost me. Last paragraph: Nothing is anonymous. And there are penalties involved with HIPAA violations. And what the ADON is a HIPAA violation, so 'risk...

  5. Is 'Nursing Informatics' really a 'Nursing' specialty?

    Sam J. replied to Info(RN)matics's topic in Nursing Informatics

    Nursing Informatics is an antiquated term for Health Information Technolgy. HIT encompasses dozens of specialty fields, and 'all' of them are better suited to actual nurses than to lay people that...

  6. The Battle of Day vs. Night Shift

    Sam J. replied to nkochrn's topic in General Nursing

    Trouble makers love to receive this exact same type of

  7. Opinions? Father in hospice...

    Sam J. replied to csj50's topic in Hospice, Palliative

    59 is awfully young. I think it's generally a week of no fluid, or a month of no food that are the normal limits of survival. But I had a female patient long ago that went just over 3 1/2 weeks...

  8. i want to know regaring foot care and managment causes signs and symptoms

    Sam J. replied to jishaann's topic in Nurse Entrepreneurs, Innovators

    Feet are funky. Many people can't or don't maintain their feet and nails as they should- as they do the tires on their cars. Stink. Fungus. Dirt. Crust. Sores. Never healing wounds. Ghastly/overgrown...

  9. I feel like I caused a patient's death and I can't get over it

    Sam J. replied to jane82's topic in Patient Safety Issues

    People do die, that's generally a fact. Medicine can make their bodies live on, but... Aside from that it might be a 'wild and crazy' thought for that place to have bedside suction on hand for trach...

  10. Resident's names in a text message

    Sam J. replied to SleeepyRN's topic in Geriatric, LTC

    What could be more vulnerable than texting anyone, anything, EVER? It will all end up on Google. Sounds like the ADON must have lost her mind to resort to such a violation of patient privacy. Seems...

  11. Pressure ulcers urgh

    Sam J. replied to baygrl11's topic in Geriatric, LTC

    This was posted in another area in here also. It takes the whole place to prevent pressure ulcers, and they are considered so serious now (as in abuse allegations, incident reports, reports to...

  12. The dumbest thing you've ever heard...

    Sam J. replied to AngelfireRN's topic in Patient, Colleague Relations

    If they had real faith in that NP, they would never go to a hospital. They'd go to that NP for a colon cleanse, an IV of hydrogen peroxide, and maybe some accupuncture, things that NPs claim can cure...

  13. Was reprimanded for wearing gloves while working with a patient

    Sam J. replied to amillion3147's topic in Infectious Disease

    SNFs aren't generally known for their keen focus on housekeeping- that's usually the first expense that gets cut, despite the housekeepers being paid so poorly. Aside from the other problems, welcome...

  14. Let's talk $$ for hospice. (Idea lifted from Agency nursing)

    Sam J. replied to SuzieVN's topic in Hospice, Palliative

    WERE blesed, or ARE blessed? Your place seems to paying you 1990s-era pay. Good for you. I'm glad too see that at least one place still appreciates nurses. But now everybody and their duck will set...

  15. "For Profit" vs. "Non Profit" employers?

    Sam J. replied to Nola009's topic in Collective Bargaining, Union

    "If you just lower prices, it's like peeing in a wet suit," de la Torre said. "It feels good but nobody notices." And for that 6 million dollars (which is more likely over 20 million), this is caliber...

  16. How could a DON not know?

    Sam J. replied to Kitty Hawk's topic in LTC: Directors, Assistant

    Betcha a buck it's the Ensign Group. They have all kinds of different subsidiaries, and are buying up all kinds of health care facilities, silently, even mysteriously. They operate exactly the way OP...

  17. Private Duty Nursing vs. Agency Nursing

    Sam J. replied to AreaNurse's topic in Agency Nurses

    BTW, you would be a sole proprietor, or an independent contractor, and need a business license from every city you make money in. Talk to a tax person or a lawyer or an accountant to get you set up...

  18. Private Duty Nursing vs. Agency Nursing

    Sam J. replied to AreaNurse's topic in Agency Nurses

    An LVN can't work independently. No way. If you want to be a private duty nurse, stick to personal care and other tasks (housekeeping, etc.) that don't require any state license or oversight. Don't...

  19. More than 30 residents to one LPN...?

    Sam J. replied to fiddlercricket's topic in LPN, LVN Corner

    I've never heard of any ALF that staffs an RN unless that RN is the ADM, or any ALF where an LPN only has 30 residents? More like 100 or more. What state? As far as all those pesky daily calls from...

  20. Tips for med pass followed by state

    Sam J. replied to anonymous09's topic in Geriatric, LTC

    Wash your hands. If gloves are required wash your hands before and after. If going into a room, knock first and ask permission to enter. Close the door, and pull the curtain. Be sure your cart is...

  21. Physical Therapy- help me to understand

    Sam J. replied to ricksyone's topic in Geriatric, LTC

    If that's your take on your employer, you should not be working there, if for no other reason you claim to admit knowing your employer is robbing it's patients, which makes you complicit by way of...

  22. Trach MAR

    Sam J. replied to TiffanyRN!!'s topic in LTC: Directors, Assistant

    I'm

  23. Medical coding?

    Sam J. replied to beckyboo80's topic in Nursing Career

    In a large hospital there can be several hundred people in coding, and related areas. Like stated above though, EHRs are eliminating the need for many of those jobs. In coding, there are maybe 30-40...

  24. Physical Therapy- help me to understand

    Sam J. replied to ricksyone's topic in Geriatric, LTC

    Aside from the fact that most SNFs would close yesterday if it weren't for their providing therapy, therapists do plenty of things they can't bill for (meaning they don't get paid for). Evaluating...

  25. Don't People Have Bills To Pay?

    Sam J. replied to Ruby Vee's topic in First Year After Licensure

    Nursing pay in the 1980s, taking into account frenetic bonuses, constant pay increases, free insurance (yes, there once was such a thing), profit sharing, retirement account contributions, and not to...