5150rn2

Welcome to the real world.. there is no such thing as a perfect unit. Legend has it they have existed but no one has seen it. You have chosen a field that is often high stress and fast paced.. and after only a month are you truly seeing the dynamic.....

As a psych nurse this is an interesting question. Because there are multiple factors. It's easy to simply say no,never..but I don't agree with never and always.. My opinion is, if you provided direct care and then start a relationship with a patie...

I am in the process of starting a full service prior auth writing service. In the course of practice I have dealt with writing prior authorizations, mainly for medication. I know how they impact daily work flow and that sometimes because of the bloc...

Excuse me, that is just one example I chose to share. How many examples do I need to be considered valid and not anecdotal? While you sounded earnest and sincere when this thread started you now sound defensive, rude and arrogant. Obviously people ma...

I have had experience with direct entry NP's and I found the experience concerning. While textbook smart this is person had no practical knowledge or skills. From general pt contact/interaction skills on up. One vivid memory I have is over insulin...

The NP trend that I find most concerning is not only the lack of specialization, it's the lack of experience and practical knowledge. Apparently there are now programs that go from 0 to NP with your RN obtained during the process. It's called an en...

Technically speaking a patient is not incompetent" until declared so. This can be incredibly frustrating when you know they aren't competent. But if they are saying no no no and are responding appropriately ( essentially) to instructions you really...

0I am in the process of starting a full service prior auth writing service. In the course of practice I have dealt with writing prior authorizations, mainly for medication. I know how they impact daily work flow and that sometimes because of the bloc...

Truer words have never been spoken. That's right up there with using the "q" word.. youvjust don't go there.. and full moons and Friday the 13ths those events raise odds for these things exponentially and if a full moon lands on a Friday the 13th, s...

Ideally my plan/intent is to be able to access EHR's remotely. I have gone through great lengths to make sure I am absolutely HIPAA compliant and my computer, fax, email is secure. Because of the services I am doing business with to accomplish this...

Actually, that's not quite right. The insurer WILLprovide formulary alternatives ( call center folks from a pre-determined protocol. HOWEVER.. when for a dozen different reasons that formulary substitute won't be appropriate or best choice, it is t...

I completely agree. It is a complete disregard for patient safety and probably an overestimation of one's ability. If someone multitasked or was not focused or distracted when doing my checklist I would feel like my care and safety were compromised...

Studies are also finding that multi tasking leads to increased errors and less optimal outcomes. Personally I wouldn't want to have. Even either pt on those codes. The pre-op is important. Do you think that anyone would excuse this nurse if as a re...

Personally, I think it's petty and short sighted of the hospital. If she provided appropriate notice and there were no disciplinary issues then why is she no re hireable? Spending money to train staff is a calculated risk anytime. What happens in a ...

@jkl33 Perfectly put. I really hope as you do, that this becomes a lesson learned and another step toward being a terrific nurse

This bothers me. I have been mulling around how I want to respond to this for over a day now. I have started and deleted quite a few times and now I am just going to go for it. Remember, all I know about you, is what I've read here. I get the imp...

It's such a good point you make here. Keeping the "human"ness in nursing. Though I have often heard about my communication" skills from bosses and back in the day, instructors. I stand by them to do this day 20+ years later and counting. I curren...

First let me say this.. what they say about school is true. It will be one of the most challenging in every way thing you do. Better to tell you up front don't you think? But look at how many survived.. and for me it was worth every minute and ev...

Neezy 84, I hope you are still somewhat engaged with this thread. I know I stopped reading the replies you were getting many pages ago. Maybe I can put a different spin on it.( psych RNs have a tendency to think a bit differently?) I believe that ...

Totally not needed. You might be trying to be coming off as being "real". But you are coming off as mean and snarky. Never heard of "therapeutic communication"? I know they taught it in school.. perhaps refresh yourself on the topic. "Sour lemon"I...

Ok, I just was about done with my less than short response and as what happens when you are about done with that lengthy chart note, poof it was gone. So now quick version no flourishes. In CA HPV is not currently mandated.. and personally as a pare...