jdub6

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All Content by jdub6

  1. jdub6

    My first dump and run

  2. Really? What type of facility do you work in and how specifically do you feel they have helped? Has anyone at your facility looked at the data on falls and found any objective evidence of
  3. jdub6

    Struggling to keep up with costs

    To the OP: I was totally unemployed for nearly a year, doing screens and treatment (inpatient, IOP, outpatient with multiple providers and on multiple meds) the while time. I was very fortunate to...
  4. jdub6

    Struggling to keep up with costs

    This may vary some depending on why you are In the program, but I think the big variation is from state to state or even between different programs within states. If the PP thinks that's a lot, for...
  5. jdub6

    My first dump and run

    You know, one of our home pts did something similar to his wife. Very sad from both sides. Husband had cancer (possibly terminal? Not sure), wife had bad dementia, needed snf. No money for nursing...
  6. jdub6

    New Grad drowning in LTC

    Not a whole lot to add to the other great ideas. Just that my best way to organize my brain sheet: a census sheet that I kept at work. The permanent copy had residents listed either by room in a map...
  7. You could also do some scouting online. I saw a product once, don't know what it was called but looked fairly inexpensive, could be easily cleaned and portable if you wanted to add it to your own...
  8. We also often have only yellow socks in stock, or no yellow socks at all. If you're going to do something, do it right? And I really have wondered how even those with no pt care experience at all...
  9. jdub6

    MDCP*Workaround- Is this fraud?

    I am not in Texas and have no knowledge of that law. I am also not a lawyer. That said, from what you described, it sounds like it may well be legal. Working for for-profit entities has taught me...
  10. Ugh, we use the "yellow" system, and to my knowledge not one pt has seen the yellow band and decided to stay in bed, lol! Seriously, I think they do absolutely nothing and every pt on my floor has...
  11. jdub6

    Residency program vs Rehab job

    To PPs: I think the OP's 2nd opportunity sounds like a LTACH (long term acute care hospital) more than SNF. If so, that would encompass acute and critical care skills: pressors, vents, wounds, IVs of...
  12. jdub6

    Quick question/needing advice

    One thing to consider before ruling out these insurance plans as too expensive: after the ACA passed my employer very quickly changed to expensive high deductible insurance comparable to the...
  13. jdub6

    Children's Hospital?

    I'm no longer in peds, but when I was, no one enjoyed doing painful procedures on the kids, but when you see them get better you know it was worth it, and most kids do get better unlike with adults...
  14. jdub6

    5 HTP

    Call your program and ask if there is a way for you to contact the medical review officer in charge of reviewing your drug screens. This is the doctor who looks at positive tests and determines if...
  15. jdub6

    Pain management RN and getting a job

    Sorry, just realized this is so old...this is a topic that really gets me though. I know the OP takes it for pain but I just don't get how people don't understand that when people take methadone or...
  16. jdub6

    Pain management RN and getting a job

    I think the main problem is the methadone. The director of my monitoring program told me she didn't know of any state, including mine, that allowed someone to practice on methadone regardless of the...
  17. jdub6

    TPAPN = prison

    Please don't take offense as we all have to do what's best for our own health. But for others eating this, I would encourage people not to give up in the first year of their program. Mine took almost...
  18. jdub6

    Reminder to keep scripts for ALL meds current!

    I think this may be state dependant. My state automatically sends any positive for GCMS before reporting the result, thus, perhaps less false positives? Just a theory (well, the first part I know for...
  19. That is totally dependant on your program. If they use an external company to randomize and report results (ie Firstlab, RecoveryTrek-these are the people you call or look online with to see if you...
  20. Sorry so long, it's just that I learned the hard way that this is not to be taken lightly and want the op and anyone for that matter to have all the info I can
  21. Comment from CT...I was in my state's monitoring program. They told me that Boards here, when licensing professionnals from other states by endorsement, will often require an inpatient eval and either...
  22. jdub6

    Methadone analgesia.

    In my experience, the trend is for methadone to be treated a bit differently and more carefully than other opioids. For example, there is variability in peak and total length of effect, and also the...
  23. Grr, I was trying to quote the post that said to get a lawyer asap or something like that. I'm new at this. That's what I was responding to with my "not
  24. Not necessarly. This must be state dependant. If the OPs state, like minE, has a confidential diversion program, and she qualifies for it (which if she is telling us the whole thruth she most likely...