Sam J.

Sam J.

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All Content by Sam J.

  1. Need Advice on how to handle situations with NM

    Sam J. replied to adviceneeded's topic in Nurse Management

    I've never worked in a place that the first and only no-call-no-show didn't end in ternination. But I have worked in several places that even considered a call-out within two hours of shift start to...

  2. Travel Time

    Sam J. replied to amble26's topic in Home Health

    Whether your day begins or ends at the office, or at your first or last client's house, you can't generally deduct that travel time- you deduct travel time (mileage) within those two end points. But...

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

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

    Whether the police have DNA or not (did they publicize that??), and whether or not he is guilty, or even a suspect, is up the system we have in place that includes a jury trial. I suspect that by...

  4. Assignment of breaks and lunches

    Sam J. replied to D.R.A.'s topic in Nurse Management

    A unit having 12 patients that has 3 CNAs and 4 nurses doesn't sound, on its face, to be a walk in the park. It sounds more like a ride in a gilded, horse-drawn carriage through Central Park, complete...

  5. Private Duty Nursing vs. Agency Nursing

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

    [quote=AreaNurse;7720020 I soon found that many nurses are asking the same question. How can we affordably go about getting a private duty job without handing over the majority of our wages with an...

  6. Pain medicine and bone mets

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

    All I saw was the comment 'the doctor is very much aware of her pain', without OP specifying just how the OP would know 'the doctor is very much aware of her pain'. I don't see where OP has discussed...

  7. Pain medicine and bone mets

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

    OP has not only NOT indicated that OP has talked to a doctor, OP also has since clarified that OP 'has become a hospice nurse' and further, went on to ask about 'combination drugs' to treat bone pain?...

  8. Another one bites the dust...

    Sam J. replied to Umberlee's topic in Nurses Recovery

    Not to mention cameras, video recordings in the work place, and the overall loss of privacy and move to monitor not only employees, but even people walking down the street. We are all being watched...

  9. Here's a new one: chart assessments before midnight.....

    Sam J. replied to mom-wife-nurse's topic in Geriatric, LTC

    A simple fix would to have night shift start at 12, days at 8, and evenings at 4, then night shift 'would' unequivocally start the day, without the confusion. I've never seen that,

  10. Private Duty Nursing vs. Agency Nursing

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

    Assuming if you work for an agency, that that agency is ethical and plays by the rules. Plent of them are fly-by-night. Your claiming that you can't shortchange your earnings (even if 'done right')...

  11. Here's a new one: chart assessments before midnight.....

    Sam J. replied to mom-wife-nurse's topic in Geriatric, LTC

  12. Traveling in Sarasota/Brandenton area

    Sam J. replied to SteamboatRN's topic in Travel

    So CA pays higher, but don't plan on being able to buy a house with all that landslide of cash? Seems a bit contradictory. As far as all these 'highest paying' jobs in CA, the masses of nurses in...

  13. Private Duty Nursing vs. Agency Nursing

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

    I'm hardly spreading fear. I'm throwing out things for people to consider. The not being paid thing has happened to me, myself, three times- this is where I got my information. As far as other...

  14. "Just" a CNA?!

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

    Interesting slip of the tongue about LPNs, considering the

  15. Nurse to Patient Ratio in a SNF

    Sam J. replied to 1mommy03's topic in Patient Safety Issues

    Five patients per RN in rehabilitation and skilled nursing units? 'To amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in...

  16. Private Duty Nursing vs. Agency Nursing

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

    Another risk that most people aren't aware of (I'm only familiar with CA, on this)- if you 'work' as an IC through an agency, and the client doesn't pay the agency for your work, the agency does 'not'...

  17. Traveling in Sarasota/Brandenton area

    Sam J. replied to SteamboatRN's topic in Travel

    Maybe not for travellers, no. For many other nurses? Fact. More so considering the cost of living, and the vast distances many people drive to work all over CA. FL defintely takes the cake, however....

  18. not enough CNAs

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

    One place thought outside the box for this reason, and hired CNAs (they were never pulled to work the floor, however) as activity assistants and for staffing and for central supply- that way there was...

  19. Private Duty Nursing vs. Agency Nursing

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

    The IC thing has often been the target of IRS reviews, and may even become a thing of the past, in the future. Many people that present themselves as IC don't pay all the taxes they are required to...

  20. Essential Personnel

    Sam J. replied to FransBevy's topic in Dialysis, Renal, Urology

    OP must not be 'essential personnel', if OP can't find a way to work 15 miles to provide a life-saving service because of a snow storm. If OP were 'essential personnel', at least the EMS system would...

  21. Who is responsible in this situation?

    Sam J. replied to Amanda026's topic in Patient Medications

    *Not for the faint of heart: An un-PC reply follows. 1/3 or more of human pregnancies self-abort. A majority of those are from women that didn't even know they were pregnant. This is Natural...

  22. "Just" a CNA?!

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

    I've always worshipped the ground that CNAs walk on. And every CNA I've ever worked 'with', knew, that if they were to say "I'm just a CNA", that they would be in the 'dog house'. It's offensive for...

  23. False Documentation

    Sam J. replied to Daytona.67's topic in HIPAA Challenges

    Oh? "Lawyers- you can't live WITH them, and you can't live withOUT them." -Unknown

  24. Pain medicine and bone mets

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

    (And if you are a soldier? Kudos! I'm a veteran warrior, myself, and a REAL nurse- but as far as you know I could be a circus monkey, or a tattoo artist, or even your boss?) -Keeping it

  25. Pain medicine and bone mets

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

    OP made no mention of contacting a physician. I don't assume anything. For a nurse to ask about pain meds makes me suspicious, more so with the lack of stating that a physician was first consulted....