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How to cope with Hand Psoriasis
Goldbong recently released a psoriasis relief hand lotion, I have been using that and having great success. Lowers the recurrence of the plaques and hydrates at the same time. Highly recommend.
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Is it a HIPAA violation?
You're allowed to say you took care of them. And if she is a staff member, you are discussing a former patient.
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Withholding bonus due to oustanding medical bills?
Heres the deal. Our hospital gets TRP , or a bonus each year if we meet performance standards as an organization. I received an email in May stating that I had unpaid medical bills (due to my place of employment) and that they would be with holding my TRP bonus check indefinitely if the bills were not paid.. To be honest, I didn't pay much mind to the email. I thought I knew which bills it was referencing and figured I would just take care of it. Fast forward to now. I find out the bills are still due (gone to collections, none the less) and I owe the hospital $1800. I pay it off, finally, but mentioned it to a coworker who stated that because my bills were overdue at the time of the email, I will not be eligible for the bonus check. To me it seems my medical bills should be none of my employers business! How is that not a HIPPA violation? I'm less upset about losing the money than I am about HR being allowed to see which bills I owed to the hospital.. Am I wrong? Does anyone have any legal insight to this? I live and work in Delaware, if that affects anything!
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The sloppy image of nurses today
I love how worked up everyone is getting about this thread. Sure the buzz cut and the eye patch may not be any of our business, but there is a way to appear professional and clean without looking like a glam queen. As a female in this profession, I keep my nails short and clean. I never let my nail polish chip. I keep my scrubs clean, and (mostly) wrinkley free. Should I get stains on a set of scrubs, its off to the trash with them. I keep my shoes and equipment clean too. I wouldn't want to be a patient when a nurse has a dirty stethoscope. Its important to have a clean, happy face at work. Dark circles? conceal them. I may be tired but I never let on to my patients how little sleep I get. I do think its important to keep long hair tied back. its an infection risk (and down right gross) to let your hair dangle in the patients face as you lean over their bed to listen to heart sounds. But there is a difference between a pony tail, braid, or bun, and a messy/frizzy glop of hair on top of the head. As far as jewelry goes, again, infection risk. But there is nothing wrong with some small stud earrings and a wedding band. When my mom was in nursing school (many years ago) she was graded on her appearance, and I think that serves an important lesson. Just because we wear comfortable clothes to work (and sometimes work when most people are sleeping or relaxing) doesn't mean that we can't be professional and present ourselves in a clean, neat way.
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Can you recommend a medication?
At my facility, we are SUPPOSED to recommend. part of our communication system includes a recommendation by the nurse. You aren't practicing medicine, but we are also experts. We know the patients pretty well too, so sometimes what the MD's first recommendation would be is contraindicated. Especially when on nights, I include a recommendation with each call. Ex: "45y M with pmh constipation, c/o abd pain, LBM 1/18. Suppository? Success in past."
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Osteoarthtis
Hey there- I have psoriatic arthritis... Tylenol! 650mg at the beginning of the shift. Also know your limits. Ask for help when lifting. Alternate between sitting and standing. Get extra sleep. I have found a low carb diet helps reduce the carb-crash pain associated with gluten. Also good shoes!