Sam J.

Sam J.

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All Content by Sam J.

  1. Pain medicine and bone mets

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

    Here's my comment from above. BostonFNP, for clarification: "If you believe that nurses (other than APNs) can make suggestions about drugs, you haven't read the NPA from your BON." And here's a...

  2. Tattle tale? Or my duty to report?

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

    PDN that happens in the home 'is' home health care. I didn't say that CPS was the only reason possible for a parent not wanting a physician called. As far as any baby of mine, much less one with a...

  3. Uncontrolled pain- how to approach the Doc?

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

    Read my posts- you'll find I've 'never' had a patient that a physician that did not keep

  4. Phasing out alarms?!?

    Sam J. replied to al586's topic in Geriatric, LTC

    I had a famous actor (female) patient once that was best friends with Bette Davis, that had no shoes- her son, who is an 'infamous' defense lawyer/millionaire in L.A. told the social worker "I don't...

  5. Uncontrolled pain- how to approach the Doc?

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

    I stand corrected: Great idea to tell them what "isn't" working. I'll leave it at that point. Sorry I wasn't wearing my

  6. Uncontrolled pain- how to approach the Doc?

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

    Another good reply, and

  7. "State's Here!": Demystifying the Long-Term Care Survey

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

    Great

  8. Tattle tale? Or my duty to report?

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

    OP left out many possibly relevant details- does this baby have 24/7 care? Or, are we talking about 'visits'? Are there other (even spooky) details, such as CPS involvement that might make Mom want...

  9. Tattle tale? Or my duty to report?

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

    Short.

  10. Tattle tale? Or my duty to report?

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

    Sadly, many of the parents I've experienced in PDN/HHA over my illustrious nursing career wouldn't have even thought to bother themselves with calling a physician about their sick child- they had more...

  11. Pain medicine and bone mets

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

    If the physician doesn't see the patient, who signs the hospice directive/certification paperwork- the nurse? And what difference does it make if a hospice patient is at home, or in an institution-...

  12. Transcendental Meditation (TM)

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

    You betcha. Meditation Techniques, How to Meditate | TM.org Robert Slap - Eternal OM -

  13. PICC and Portable X-Ray Billing

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

    There are exceptions to every rule. Best bet- talk to your

  14. Nursing shoes

    Sam J. replied to R3G15T3R3D NUR53's topic in Men in Nursing

    Crocs, if they are allowed. Indestructible, bouncy, and GREAT for running, too, if you're into

  15. Pain medicine and bone mets

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

    If you believe that nurses (other than APNs) can make suggestions about drugs, you haven't read the NPA from your BON. And if you work in a hospice in which the doctors 'don't generally see your...

  16. Should I tell my boss that I work weekends for another HH agency?

    Sam J. replied to jlmanzano13's topic in Home Health

    Separate your Church from your

  17. Should I tell my boss that I work weekends for another HH agency?

    Sam J. replied to jlmanzano13's topic in Home Health

    My thought is that the boss mentioned worker's compensation because said boss didn't have a more credible reply at the top of his

  18. Uncontrolled pain- how to approach the Doc?

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

    Well said...that it might affect the physcian's reputation (or more) if he becomes known as difficult to deal with, in any respect. Things are changing, for sure. Good

  19. Uncontrolled pain- how to approach the Doc?

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

    Another great

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

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

    If so, doesn't make me feel warm and cozy about the ability of that police department- let's not forget, OP mentioned it is a small

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

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

    More easily said, than done. What about the nurse that refuses to assist with circumcision? Deal with gay patients, or AIDS? Or to do anything mandated by the employer, as part of keeping a job? It's...

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

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

    So you've become judge, and jury. By virtue of what, a nursing education? Other than that, you claim that you would defy your employer, and call the police. Several have said the same. I wonder if...

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

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

    If this is the case you'd only be credible if you also stated that you aren't concerned about your own Constitutional rights. Can't have it both

  24. Coumadin protocol

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

    Interesting. I'm curious who paid for or leases the machine(s), and if or how they charge for the tests. Also, if there has been any concern over the accuracy of the INRs, is there a backup protocol...

  25. CNA staffing cuts

    Sam J. replied to motherof3sons's topic in Geriatric, LTC

    Does your place have a large private pay, LTC census, to offset the dismal Medicaid payments of most LTC/Medicaid patients, and they chose to go LTC only, or maybe they lost their skilled...