pyroknight

Anyone been tasked with providing patients with a tablet to register themselves and assist with getting their payment? A LOT of things fall under "other job duties as assigned," but I am thinking I draw the line somewhere on this side of patient registration. I am already my own ECG tech, phlebotomist, and RT, now it's my job to confirm their insurance information and make sure they pay their copay? I have something for admin to suck on and I don't think they're going to like it.

Has anyone every been told that they should slide the protective cap on an insulin syringe up just short of the lock position during the stroll to the patient, retract the cap, administer the insulin, then slide the cap all the way to the locked position? I know you are not supposed to recap needles anymore, but I always place the orange cap back on, walk to the patient, administer the insulin, then dispose of the sharp appropriately. I am reasonably sure the manufacturer does not recommend engaging the safety cap on the syringe until after administration and then engaging it fully. Just curious if anyone else had any experience with this direction.

Does anyone NOT working in a HCA facility use the FACES scale to document the appearance of pain in adults (versus the patient's stated pain level or in non-communicative adults)? I am not talking about non-verbal patients who can point. I am talking about documenting how much pain a patient APPEARS to be in, versus the amount of pain they STATE they are in. Neither scale is ideal, but if I am not offered an adult non-communicative scale, the FLACC scale, to me, seems more appropriate than using FACES.