Sam J.

Sam J.

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All Content by Sam J.

  1. breaking your RN New Grad contract early

    Sam J. replied to bobo619's topic in First Year After Licensure

  2. Canadians Traveling in The U.S.

    Sam J. replied to jenn8500's topic in Travel

    I know dozens of Canadians that come hither to the SW USA to escape the Winterland of Canada. Without fail, the talk turns to health care, and now they tell me they have to pay $800/month to maintain...

  3. 8hr vs 12hr shifts in ltc

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

    Twelve hour shifts are hellish, more so for nights. But I did a gig for a year at a place doing twelve hour nights on a simple 2-on, 4-off schedule, which was 'sweet', even if the shifts were not so...

  4. PLEASE HELP New Lpns in Atlanta get paid. ..???

    Sam J. replied to loveLPNs2014's topic in Job Search, Interview, Resume

    Pay is lower in the south, fact. But many LVNs in CA would like to start (if they can find one) a job at $19, and the cost of living might be twice in CA than that of Atlanta. I have a sister in MI,...

  5. Tattle tale? Or my duty to report?

    Sam J. replied to CloudySue's topic in Private Duty

    Took care of a baby once from 6 weeks to 16 months, 10 hours a day, was paid $15/HR which then was great money, more so since he slept so much. Still, there's only so much Sesame Street and 'baby...

  6. Uncontrolled pain- how to approach the Doc?

    Sam J. replied to Sam J.'s topic in Pain Management

    Interesting and not wordy at all in my view, starting with your mandatory pain conference. With all the varied advice in these replies it's apparent more than a nurse or two has dealt with difficult...

  7. Uncontrolled pain- how to approach the Doc?

    Sam J. replied to Sam J.'s topic in Pain Management

    This is a good illustration of how so many things are taken to one extreme, or another. Another is a sign I just saw posted on the front of an urgent care center, visible from the street: WE DO NOT...

  8. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    Doesn't your place have some way to register homeless folks for Medicaid, or ACA, etc.? Then again in that unfortunate population so many are mentally ill and have other issues, I bet at least a few...

  9. Like, wow- WHAT?

    Sam J. posted a topic in Burn

    Tonight on TV (Shark Tank) some guys were peddling organic skin care oils/cosmetics. When the Sharks asked them where they got the idea that their oils were good for cosmetic reasons, they said: "Our...

  10. Qualifying hospital stay

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

    There's no mention of any change of status/decline, or any skllled services or even evaluations being ordered. Seems like the hospital stay was custodial, and not a qualifying stay that would allow...

  11. Pain medicine and bone mets

    Sam J. replied to esrun00's topic in Hospice, Palliative

    Although this post is really closed, by virtue of OP's disappearance, I'll add a few final thoughts, since my 'reading comprehension' has been discredited: -Nowhere did OP mention a physician was...

  12. Is there a legal way to do this...

    Sam J. replied to BrnEyedGirl's topic in HIPAA Challenges

    Exactly. The issue is- do you buck your employer's policy, and risk your job? Since this is such a hot button issue- a suggestion is to be aware of your employer's policies, about anything, then, if...

  13. Is there a legal way to do this...

    Sam J. replied to BrnEyedGirl's topic in HIPAA Challenges

    'Knowing' a man is a child killer is not your own personal deteremination of guilt, outside of the judge and

  14. Tattle tale? Or my duty to report?

    Sam J. replied to CloudySue's topic in Private Duty

    Maybe a babysitter is in fact more appropriate in this case than a nurse that probably costs a few grand per week? After all, it's required to 'text' Mom before proceeding with care issues, and OP...

  15. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    On your unit they ought to pump it up to the floor by the gallon, like they do in soda fountains. When I worked in one LTC place it was like pulling teeth to get enough supply of that stuff from the...

  16. Transcendental Meditation (TM)

    Sam J. replied to Krzysztof's topic in Health, Stress Management

    Yes, you may. It will clear your head and stabilize your mood and your outlook about life, and help cure almost any ail you have, in one way or another. If you do it routinely, you'll find yourself...

  17. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    I didn't realize Slivadene had been delisted to the OTC category, but if it was, the information online hasn't been updated to reflect that. If it hasn't been made OTC, and ever is, though, hopefully...

  18. AOL pits 401Ks against healthcare benefits.

    Sam J. replied to Sam J.'s topic in Activism, Healthcare

    Not to mention there could be 10's of 1000's of AOL employees that pay premiums, and never cost AOL a dime in healthcare services. Why pick on babies? Easy targets. It's the typical Republican view:...

  19. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    And please 'stage' the 'whopper' of a burn your patient sustained. And, be aware that, in case you simply made typos, that both Silvadene and Neosporin are proper nouns. I'm also curious, really, how...

  20. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    You obviously, also, in fact, did NOT see this show: The Sharks that wanted out used the excuse that the brothers were too good looking (and they were all young, handsome, buff, men) to 'opt out' of...

  21. Like, wow- WHAT?

    Sam J. replied to Sam J.'s topic in Burn

    This post isn't about sexuality- it's about misconceptions about burn care. And yes I have worked in a burn center. And this isn't even about a healthcare environment- the burn, since you say you say...

  22. Pain medicine and bone mets

    Sam J. replied to esrun00's topic in Hospice, Palliative

    Despite all the lively debate about what nurses should or should not suggest, or recommend- the question has not been answered about whether the physician has been notified about the continued...

  23. Tattle tale? Or my duty to report?

    Sam J. replied to CloudySue's topic in Private Duty

    A rose by any other name is a rose. But are you suggesting there's a different standard of care between, say, a half-hour visit, and and an hourly night shift? Does it matter how long a nurse is in...

  24. Uncontrolled pain- how to approach the Doc?

    Sam J. replied to Sam J.'s topic in Pain Management

    Good idea- more so since the MAR speaks for itself. And if the physician sees that MAR and that nurses are documenting ineffective pain control (rather than just telling him/her about it) it might...

  25. Tattle tale? Or my duty to report?

    Sam J. replied to CloudySue's topic in Private Duty

    It does seem odd, considering the expense, to have skilled nursing 10 hours every night for a baby that is labeled as normally healthy, despite a trach, being treated with ABTs for a week, then...