Sam J.

Sam J.

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All Content by Sam J.

  1. Calling off-what are your company's policies?

    Sam J. replied to mclennan's topic in Case Management

    Sounds like you work in a some type of a call center, not a case management company- case management is about providing appropriate care to patients while conserving sporifice resources, not about the...

  2. IS HOME HEALTH SLOW?

    Sam J. replied to HHNURSE0960's topic in Home Health

    HHAs are opening every few seconds to deal with more old folks being discharged from hospitals, and more states finding that home based care saves them billions versus nursing homes. You must have...

  3. not enough CNAs

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

    Families can be your best friends, and make your job a lot easier- or they can be you worst enemies. You said their questions are you last priority- that said, no advice from anyone on how to make...

  4. Traveling in Sarasota/Brandenton area

    Sam J. replied to SteamboatRN's topic in Travel

    You heard right, except Sarasota is not 'South Florida'. It is far enough south though that it avoids typical winter, and it's a gorgeous place, the closer to the Bay you can get. It's at the tropic...

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

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

    Did I say 'reeks' of fraud? My bad- I meant to say REEKS of

  6. Pain medicine and bone mets

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

    Not to mention the fact that even in this day and age some nurses hold even scheduled pain meds (much LESS take the effort to give PRNs), based on their own beliefs (patient is breathing too slow,...

  7. Pain medicine and bone mets

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

    I've seen it first hand zillions of times, and even in family members. The fact is, OP did 'not' mention that the physician had been informed, at 'all'. Maybe after that, and not having gotten any...

  8. Tattle tale? Or my duty to report?

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

    OP then clarified that this baby was in fact on an ATB for 7 days post 'cold with fever'. So, a trach baby was put on an ATB for a 'cold', and a week later same baby was diagnosed with pneumonia, even...

  9. Pain medicine and bone mets

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

    The pain is 'horrendous', yet the Roxanol is 'as needed', and yet OP is asking for pain control advice (medical advice) in a nursing forum, without indicating that same OP has advised the patient's...

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

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

    Reeks of fraud- meaning, your place lets it make it appear any required skilled documention was completed on a certain date before midnight, even though it was completed on the following date. If...

  11. Tattle tale? Or my duty to report?

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

    A symptomatic trach baby is 'recovering from a cold and fever', and showing signs of decline, and the nurse 'texts' Mom, and Mom (who is at work) makes arrangements for follow up for the next day, yet...

  12. Seizures Real vs Fake

    Sam J. replied to princess pickles's topic in Correctional

    And if they are NOT faking it? Are you kidding me? Is that 'trick' in your procedure

  13. Preventing spider veins?

    Sam J. replied to Manda92's topic in Scrubs, Uniforms, Gear

    Since people only lived to an average age of 45, 100 years ago, you can say that 58 is the 'new 29'. I wore thigh highs, and had to duck into a room to adjust them now and then, else people would...

  14. PICC and Portable X-Ray Billing

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

    Some SNF pharmacies also employ PICC nurses, that are included in the pharmacy contract, or the SNF only pays for their time. With CCM's place having an all-RN staff, and having several PICC nurses,...

  15. PRN hours decreased because of the ACA

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

    Correct. Times

  16. PRN hours decreased because of the ACA

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

    You mixed it up by asking if you should also feed and house your employees. If you keep to the health care issue you wouldn't confuse me so much. Glad to hear you're a liberal- that means I like

  17. About Pediatric Oncology

    Sam J. replied to careerhelp22's topic in Oncology

    OP: Your image is also linked to 'several' online data bases. I'm just

  18. About Pediatric Oncology

    Sam J. replied to careerhelp22's topic in Oncology

    OP: Your photo is linked to your Twitter account. That means your Twitter account is also linked in here. That means everything you say there, or here, will be forever recorded in the public realm, to...

  19. First-time DUI applying to nursing school in Fall 2012

    Sam J. replied to erik88's topic in Licensure: Criminal History

    Patently

  20. Housing & Transportation in CALI

    Sam J. replied to apr08's topic in Travel

    Other than S.F. proper, unless you have $1000/month for parking. Then again, you can park out of town for much less, and still have a car available. I agree with the above though, if you go to CA and...

  21. Tactful education; Obesity

    Sam J. replied to BlueLightRN's topic in Patient Education

    Obese people know they are obese. More commonly then not they are also well aware of the risks. If they want your opinion or advice, they'll ask for it if and when they decide to alter course. I...

  22. Tattle tale? Or my duty to report?

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

    I'd suggest that you ought to have called the physician yourself, rather than 'texting' Mom, if you expected your patient had pneumonia, before you tattle-tale on another nurse that you claim was...

  23. Interdisciplinary Bullying!

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

    Social workers and nurses are historically arch enemies. Much of that is based on the pay disparity, but as nurses get paid less and less, the two groups may even end up as the best of friends, which...

  24. Doesn't It Make You Want To Scream, Part 3

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

    Makes you wonder how many of your nurses might be walking around with their own guts full of stool for 3, 5, 8 days, thinking that's

  25. Coumadin protocol

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

    Couple years ago a place I was at had one- an INR range was specified on the MAR, for each DX for the Coumadin. Every physician in that place signed off on the same ranges, for the same DXs. Sounds...