needlesmcgeeRN ASN, RN

Care Coordination, Care Management

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All Content by needlesmcgeeRN

  1. needlesmcgeeRN

    RN's are you happy with your career, why or why not?

    A few months ago I left a good, laid back Primary Care office job with great co-workers, in order to work closer to home. I am really enjoying my new position and awesome co-workers, but there are...
  2. needlesmcgeeRN

    Inclement weather conditions...mandatory to work?

    What about your co-workers and their loved ones? Why are you a priority? It's called planning ahead.
  3. needlesmcgeeRN

    Did I make a bad new job choice?

    I'm sorry, but LTC/SNFs require you to use many of your skills! Your friend is not
  4. Recently started 12 h nights and I LOVE it so far. I was worried, because I worked 12 h nights in a SNF, which I DID NOT love. I was muuuuuuch busier in a SNF, but time seemed to drag on and
  5. needlesmcgeeRN

    psych techs working with nurses?

    We have MHTs who are CNAs or STNAs (cannot remember which). They are AWESOME and INDISPENSABLE. No college degree required. They do a bulk of the direct care, 15 min checks, VSs,
  6. needlesmcgeeRN

    Geri-Psych Admissions: Where's the Line?

    We have admissions of patients with dementia. I don't think these admissions are appropriate for our unit. Why do SNFs have special units, if not to provide specialized care to seniors with dementia?...
  7. needlesmcgeeRN

    What sort of unit do you work in, and what is it like?

    I work on a 12 bed secure senior behavioral health unit at a local hospital. I work nights, and we are staffed with a great group of people. We don't spend a lot of time with the patients like day...
  8. needlesmcgeeRN

    First SNF Job and seeing awful DM care

    I haaaaaate sliding scale. I worked as a Care Coordinator in a family practice. Often, our patients who went to the hospital ended up on sliding scale. I wish hospital providers would get some updated...
  9. needlesmcgeeRN

    Right...or Revenge?

    Pet peeve - it's HIPAA. Health Insurance Portability and Accountability Act. WHY is this so hard for
  10. needlesmcgeeRN

    Cdiff disease

    Why do you feel it is your responsibility to bring this up to the owners of the facility? I am sure the medical professionals, i.e. the nurses are aware these residents have c. diff. and what...
  11. needlesmcgeeRN

    New nurse

    With your pt. with the UTI - did you reassess the BP? Did you assess the whole patient or just look at that group of symptoms? Same with the patient for whom you suspected c.diff. Did the patient have...
  12. needlesmcgeeRN

    Should I work in a SNF?

    You would be responsible for...maybe 25+ residents - med passes, documentation, treatments, checking physician's orders, calling physician or NP, possibly lab sheets or collecting specimens for labs,...
  13. Any hiring manager who would pass someone over for a position based upon their absolutely perfectly natural hair being "ethnic" should NOT be a hiring
  14. needlesmcgeeRN

    Reasonable time frame for prn medication to be given?

    I do not think non-nursing folks should be allowed on these
  15. needlesmcgeeRN

    Cna incident investigation

    You were "overwhelmed" and "stressed"? You need to learn some stress management skills before you even think about nursing
  16. needlesmcgeeRN

    Trouble for taking Doctors candy

    What the what...? Jeeze. What an overreaction. I work in family medicine - patients, specialty reps, and drug reps often bring in various "treats" for the providers (though, usually the drug reps...
  17. needlesmcgeeRN

    Non-hospital jobs for ADNs

    Which
  18. needlesmcgeeRN

    Homelessness

    There are forums out there dedicated to the "van life", I have family who do this, though not full time. It truly is not as crazy as it
  19. I am THAT RN. And frankly, I spend FAR too much of my time following up on patients who have gone to the ED for non-emergent medical care, time that I need to use to focus on our more high risk...
  20. My thoughts, as a nurse working in family medicine and following up on our patient ED and Inpatient discharges: "Customer service", or the lack of getting what they want has not deterred many of our...
  21. needlesmcgeeRN

    We fail our old people and it's heartbreaking

    Do you not have a local/regional Area Agency on Aging or Council on Aging? This is a great place to
  22. needlesmcgeeRN

    body odor

    I am not a school nurse, so forgive me for overstepping - and also, forgive me for suggesting you take on more work than you already do - but what about a hygiene presentation, so for all of the...
  23. I've been at my current position for a couple of years. In all honesty, it is not a bad job - no nights, holidays or weekends, work with some truly great people. In spite of it all, I am not happy...
  24. needlesmcgeeRN

    Creatinine and eGFR normal levels

    Why are these labs
  25. needlesmcgeeRN

    prioritizing

    As Double-Helix stated, in real life your prioritizing will be different. However, keep in mind, when it comes to the NCLEX - don't read into the