Raicho

Raicho BSN, MSN, RN

SCI/TBI, Hospice, Legal Nurse Consulting

Quirky, colorful, and super passionate

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All Content by Raicho

  1. CHPN review

    Thanks! Although I don't see the actual app? I just took it and passed so all good. Thanks for
  2. CHPN review

    Has anyone taken this recently and/or looking to sell their study
  3. AALNC LNCC Exam

    Has anyone taken, or is about to take, the AALNC LNCC review course and exam? If so, approximately how much did you study, how much should you have studied, and how difficult was the actual exam?...
  4. Hospice Inpatient Units

    Hi all, Anyone who works in a hospice inpatient unit, how do you deal with multiple admissions at the same time? How do you prepare, so when you get slammed, its not so bad? How have you become more...
  5. Hospice Inpatient Units

    We are a stand alone facility with 24 beds. We usually will have 3 or 4 nurses, plus a Charge, and 2-3 CNAs, depending on census. Apparently, in the past, when admissions gave hospitals specific...
  6. Insubordination?

    Hi all, Semi new Charge Nurse here of a 24 bed hospice unit. Had a situation the other day that I need some advice about. Its shift change so I'm giving report to the oncoming Charge. We also have...
  7. Insubordination?

    Thanks everyone! I agree, Daisy4rn, using specifics, especially his name and the name, and room number, of his patient (and stating it was his patient), is something I will do in the future. I'm...
  8. Insubordination?

    Yes, I definitely should have done that. However, I dont think he (yes, male, not that it matters) would have actually taken them in. And they were needed asap. In fact, I could see him saying...
  9. Student/Nurse Confidentiality at High School

    "Lesson learned: no more giving her a head's up. It was not owed to her, nor was it required. This counselor is unprofessional and intimidated by your relationship with the students." It doesn't...
  10. Va onboarding

    Thanks for posting that
  11. Hi! I am applying for a job with the VA and would love to see that proficiency as well. I have 9 years of experience, with 7.5 in spinal cord (which is the unit I am applying for) a BSN, a MSN, and...
  12. Sometimes the five rights make us look dumb

    I would hope that within a 12 hour shift you take the time and effort to actually talk to those who are able and get to know who they are and what their name is. Even if I get a patient 1 hour before...
  13. So do you just print out the SBAR form? Or is there a,way to print out a Kardex like report for each of my patients? I just started with EPIC but need something to write
  14. Hospice ll, HAVE a PT with extreme wound odor from his sacrum, amputation sites, amputatioN sites. SACRUM is to the bone. Parts are already gangrenous. Odor is so bad they had to move his roommate...
  15. Hmm...that's nice

    I LOVE it when they are a nurse! I feel like it is a great way to establish rapport immediately. Especially when I ask what area they are in. I am very specialized so when someone tells me they...
  16. I hear a lot of people saying this isn't gossip, but constructive feedback. I have to say, that may be the case, but it may not. If this is happening on a regular basis AND she is asking YOU about...
  17. How many visits per day? (Case Management)

    Hi Nutella, Did you have a laptop stand in your car? If so, did you like it and where did you get it? If not, how, physically did you do your charting in your car?
  18. Professional (Dis) Courtesy

    In some situations, we do develop relationships like that with our patients and their families. I work in acute rehab and we have our patients any where from 30 days to 10 months, or longer. In...
  19. Professional (Dis) Courtesy

    Yes!! I always tell and I always love it when my patients, or their family members are. Especially if they do, or did, work nights. I did for 6 months the and was absolutely miserable so whenever I...
  20. I work in rehab and for the most part I let my patients swear. However, because we have kids and others around here, if they are loud or outside their room, I will tell them to "watch their...
  21. I understand that many nurses in certain facility settings may not discuss insurance with their patients. However, some of us do. I work in a specialty rehabilitation facility focusing on only...
  22. Having read 300 of the 900 pages (I am slowly working on the rest) of the actual Affordable Care Act, I can tell you that most of this article is FACT. Additionally, as pointed out above, it is also...
  23. How do you "bond" with your patients?

    I work in rehab and we have patients for 3-10 months. As a result, we get to know them AND their families and friends very well. Its almost impossible not to. Especially when you are dealing with...
  24. Platt college?

    Nothing guarantees credit transfers to other universities. It all depends on the school. My first degree was from the George Washington University, considered by many to be a very good school on the...
  25. What's the deal with Platt College in Aurora?

    FYI Platt is now accredited by the NLNAC.