old&improved

I read somewhere recently that the fed was going to make it illegal to charge extra for out of network providers in an emergency type of situation. I don't know if it has come to pass yet.

I am hands on. It is a small facility with around 70 residents. This is assisted living where the residents are able to get around by themselves and take care of their ADLs. There is no lifting, no IVs. It is mostly medication prep and pass and since...

I'm so glad I left the hospital a year ago. I was looking to get out over a year before that due to the increased pressures of the job. I'm working in assisted living now and am so much happier. Less pay, but less stress and so worth it. I sold my hi...

I work with a CNA who puts a paper chux inside the bedpan. I thought it was strange the first time I saw her do it. But I guess it works. Of course you can't measure the urine (but you also can't if it's spilling over anyway). We also use powder arou...

These questions are why I won't interview for other jobs any longer. Sitting with a group of 5 or more people asking these questions is intimidating and nerve wracking. I've been to a few where they seemed to understand this and tried to make it less...

You're right about personality being the driving force. When I was allowed to look up my pts before my shift I did it because it decreased my stress level by being prepared before report and also because I would catch missed things from the day nurse...

This would be great if it could be done in 30 minutes on 5 pts. It could be done if we didn't need to do bedside report. But not with pts needing to go to the bathroom or wanting to talk a lot. Yes, we can try to take care of those needs before repor...

Nov 15, 2019 by VivaLasViejas, ASN, RN VivaLasViejas has 20 years experience as a ASN, RN and specializes in LTC, assisted living, med-surg, psych. 1,381 Likes; 8 Followers; 142 Articles; 9,739 Posts; 250,186 Profile Views I was fired from a j...

Are there any nurses reading this forum from northern Wyoming? I live in Arizona and would like to move to Lovell, Cody or Sheridan. I'm 5-7 years from retirement. I have worked with a few travel nurses from Wyoming and Montana and they say the pay a...

I used to look up my patients 15-20 minutes early, but they put a stop to it saying it was a HIPAA violation. They also used to let us clock in 20 minutes early. Now- only 8 minutes. Admin says its a HIPAA violation to look up your patients before y...

I have known a couple of people who quit our hospital and were not eligible for rehire. One was because she was a new grad who didn't complete the 1 year requirement before leaving for greener pastures and the other didn't give notice. Both later wan...

I agree with this completely. And the last part about that dreaded interview question, "tell us about a challenge you had" is excellent. This is a perfect example for that question followed up with what you did to ensure it wouldn't happen again. You...

You are not useless and stupid. This facility sounds substandard in not providing the necessary supplies to do your job. Yes- not putting the bed down before going to get a shirt was a mistake, but would he have still fallen out if the bed had been d...

I work nightshift and I have not called a family member about restraints unless I was also calling them to help calm down a confused, angry, paranoid patient or to come in to sit with them if they were able. I have found family generally is understan...

Ah. OK. I misunderstood what the poster said.

I agree with myoglobin that this was a systems failure- basically an accident waiting to happen. Given the RNs workloads in hospitals and our frequent rushing around to get our work done in a timely manner it seems unsafe to have a med given 2 differ...

Where I work if we don't complete our peer evals we won't get our raise. How's that for incentive? I like the idea of discussing areas for improvement with the person your evaluating.

Just curious- what is your work setting? (Hospital, home health, etc)

I had heard about the CDCs new guidelines and sent it to our infection control dept (although I probably should have sent it to the employee health dept) at our hospital. We still have to do it every year. My husband works as a customer service rep a...

That sounds awful. I'm sorry. And charging you $4000 for training with no sign on bonus having been offered? That's over the top, but if that was what you signed in a contract I guess they can get away with it. I never would have signed such a contra...

I wonder how they plan to staff the 4 hrs that are left over in a 24 hour day? I know where I work they could not do this. Adequate staffing is tough as it is. I suppose if you work at a really large hospital with a lot of staff and staggered startin...

I wish I knew the answer. I have similar problems with a CNA who will graduate nursing school in 1 more semester. She has to be told constantly to do things she should already know (she has been working at the hospital for more than a year). And this...

Was this actually workplace violence or a random act of violence in a parking garage? I am not trivializing what happened. I'm just trying to understand the circumstances of the incident. Like was she specifically targeted and known by her attacker t...

I haven't done home health in many years, but when I did (per diem) I was paid a set amount for visits and much more for intakes (admissions) because they took a lot more time and I was paid an amount per mile since I had to use my car. If I were you...

11 hours ago by Sour Lemon Sour Lemon has 9 years experience. 1,265 Likes; 2 Followers; 4,163 Posts; 29,809 Profile Views Last time I was on call, it was until 3AM (for a 7PM to 7AM shift). I rarely agree to be on call, so I'm not sure what's normal....