Sam J.

Sam J.

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All Content by Sam J.

  1. My first survey as ADON during noro outbreak!!

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

    One place, 2 med carts were wheeled out and found down the street with the lock boxes torn out. Another place a med cart was wheeled out the patio door to the med room and never found. I've seen...

  2. Fresno/Madera housing

    Sam J. replied to Reva_DIVA's topic in Travel

    Madera Extended Stay Hotels | Extended Stay America Consistent, clean, well-stocked places all over the place. But too $$. Last time I got one for $22/night, with a list price of $74/night, on...

  3. Don't People Have Bills To Pay?

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

    Why does OP care why anyone would quit any job, or when? Is OP then on the hook to pay other people's bills? If people didn't quit jobs, other people wouldn't be able to step into them, including

  4. Trial shift at an endoscopy clinic

    Sam J. replied to RPN_2012's topic in Gastroenterology

    It's assembly line nursing, like in a factory. In, out. In, out. Clean the bed, in, out. Get them OUT. If the GI tract doesn't bother you and you aren't offended by raucous language, and want to work...

  5. Increase in pressure ulcers---HELP!!

    Sam J. replied to baygrl11's topic in Wound, Ostomy, Continence

    Signing briefs can backfire if the wrong person finds them, such as a surveyor or a family member- and it's not just not PC, it's gross, and a waste of time. You know full well if a diaper has been...

  6. Massage Refresher???

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

    =Publicly confessing to having operated an illegal business in several cities, and also to federal tax evasion, are two things I wouldn't confess to, or list on my application to any

  7. Physical Therapy- help me to understand

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

    Kudos to those therapists for attempting to make that unfortunate patient's last days more bearable. In 30 years I have yet to encounter a single unethical therapist, of any mode. And I suspect I'll...

  8. Scrubs Provided By hospital??

    Sam J. replied to favoritemumsy's topic in Operating Room

    Please don't come to work to help operate on me if you've worn your scrubs to work. More so, please stay away from me after riding a bus to work, or a train, or walked the streets, or have just left a...

  9. IV clinics for hangovers

    Sam J. replied to floridaRN38's topic in Nurse Entrepreneurs, Innovators

    Most of them are mobile clinics. Some also offer oxygen (sometimes flavored). For a 99 cent bag of saline and 15 minutes of O2, they charge like $300 and up. Never heard of one providing Zofran, or...

  10. Do health shakes need MD order?

    Sam J. replied to Loveness14's topic in Geriatric, LTC

    Few things in an ALF in many states require a doctor order. In fact, in many states ALF requirements focus only on the financials- such as how deposits must be handled, eviction protocols, and that...

  11. Will a OTH in lieu of court martial prevent me from getting RN licence?

    Sam J. replied to seugin1223's topic in Licensure: Criminal History

  12. Will a OTH in lieu of court martial prevent me from getting RN licence?

    Sam J. replied to seugin1223's topic in Licensure: Criminal History

    Wow. That's a new one to me. I guess that answers your question, then- you have to get approval from your BON to be accepted to take clinicals? If they approve, I wonder if that means all of your...

  13. Physical Therapy- help me to understand

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

    If therapy wasn't proven to be effective, Medicare wouldn't pay for it. And even though therapy costs SNFs a lot of their revenue, a day in a SNF is a fraction of the cost of a day in the hospital....

  14. Therapy schedule

    Sam J. replied to TigerxLiLy's topic in MDS Coordinator Information

    An easy way to tell if your therapists operate at random, is to ask them. If they really do operate at random, without regard to meal times, med passes, nursing treatments, care plan meetings,...

  15. Physical Therapy- help me to understand

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

    If therapy is walking that elderly patient, there is a probably a skilled need for her to be in the SNF, paid for by Medicare or other insurance. Otherwise the patient would not be there. Part of the...

  16. Therapy schedule

    Sam J. replied to TigerxLiLy's topic in MDS Coordinator Information

    I suspect what the DOR meant is that therapy can't be expected to be on a schedule that fits every patient's preferences? Or maybe it's possible your SNF doesn't have regular therapy staff, and has...

  17. Physical Therapy- help me to understand

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

    They really don't push therapy, in fact they have to jump through all kinds of hurdles to be able to provide therapy- physician certifications, evaluations, more certifications, budget constraints,...

  18. Will a OTH in lieu of court martial prevent me from getting RN licence?

    Sam J. replied to seugin1223's topic in Licensure: Criminal History

    Thanks for that. Yes, it struck a nerve. I saw all kinds of people thrown out of the military for serious, and for the pettiest of offenses. If more people had more opportunities, here in our own...

  19. Will a OTH in lieu of court martial prevent me from getting RN licence?

    Sam J. replied to seugin1223's topic in Licensure: Criminal History

    Unfortunately, you handled things the wrong way...and the military sees this happen so often--legitimately and otherwise--that they have little tolerance for it. Best of luck. I'm interested to hear...

  20. Can I be a registered nurse if I have bipolar disorder?

    Sam J. replied to MeAndArmini's topic in Nurse Disabilities

    Some states now now require an applicant to disclose any type of mental illness, including depression, and also to disclose the meds the applicant takes. This can cause the applicant to be required to...

  21. New or Improved Activity ideas

    Sam J. replied to ADC,AP-BC's topic in Geriatric, LTC

    Happy hours used to be common in SNFs, but even if they were still around, actvity departments don't have the funds. Have you had bake sales to raise $? The staff are usually happy to bring stuff in....

  22. Will a OTH in lieu of court martial prevent me from getting RN licence?

    Sam J. replied to seugin1223's topic in Licensure: Criminal History

    Well, I'm sorry to hear that our young people can be put into the line of fire and risk loss of limb or death, but can't be spared to visit a dying parent. To be fair, though, I'm sure your Commander...

  23. Is the "system" failing its New Grads???

    Sam J. replied to Barbara H.'s topic in Job Search, Interview, Resume

    Interesting. I never heard before that new grads were more unprepared than in the past. I would have thought the opposite, what with improved technology, and more people going for advanced degrees...

  24. Immobile med carts

    Sam J. replied to horrorxgirl's topic in Long Term Acute Care

    They have a window for their approximate return, which may or may not be followed. Once that window approaches it usually sets into motion all kinds of frenzied activity, and all kinds of 'magic'...

  25. No hand sanitizer, no working equipment

    Sam J. replied to Blackcat99's topic in Geriatric, LTC

    They may care but many companies hire ADMs and DONs in name only, and don't allow them any autonomy to run the buildings they are hired to run- more so when it comes to spending money, for 'anything'....