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Things you'd LOVE to tell coworkers...and get away with it!

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General E. Speaking, RN is a RN and specializes in floor to ICU.

4 Articles; 22,711 Profile Views; 1,337 Posts

You are reading page 49 of Things you'd LOVE to tell coworkers...and get away with it!. If you want to start from the beginning Go to First Page.

Jensmom7 has 36 years experience as a BSN, RN and specializes in Hospice.

1,907 Posts; 11,350 Profile Views

You may be a hotshot facility NP, but there's a reason the Hospice evals are entrusted to the lowly Hospice RN and not you.

It's because you don't know diddly-squat about LCDs, what a terminal diagnosis actually is, and who makes the final determination regarding appropriateness for Hospice.

In the span of 10 minutes, you told me:

- "They don't use that 6 month thing for eligibility anymore." Really. The legal definition of Hospice, per Medicare, is still "Hospice care is for people with a life expectancy of 6 months or less if the disease runs its normal course."

- "The family has approved Hospice." No, the family has come to accept the concept of Hospice. The Hospice team decides if Hospice admission will be approved.

- "I see PAD as the terminal diagnosis." Good thing you aren't the one deciding eligibility then, because while it can be very painful, it's actually a co-morbid condition. Meaning it ain't gonna kill ya.

This conversation today has just put you on my "pay no never-mind to" when it comes to gathering information about patient decline.

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Sue Damonas has 37 years experience as a BSN and specializes in Cardiology, Oncology, Hospice,IV Therapy.

217 Posts; 4,799 Profile Views

You may be a hotshot facility NP, but there's a reason the Hospice evals are entrusted to the lowly Hospice RN and not you.

It's because you don't know diddly-squat about LCDs, what a terminal diagnosis actually is, and who makes the final determination regarding appropriateness for Hospice.

In the span of 10 minutes, you told me:

- "They don't use that 6 month thing for eligibility anymore." Really. The legal definition of Hospice, per Medicare, is still "Hospice care is for people with a life expectancy of 6 months or less if the disease runs its normal course."

- "The family has approved Hospice." No, the family has come to accept the concept of Hospice. The Hospice team decides if Hospice admission will be approved.

- "I see PAD as the terminal diagnosis." Good thing you aren't the one deciding eligibility then, because while it can be very painful, it's actually a co-morbid condition. Meaning it ain't gonna kill ya.

This conversation today has just put you on my "pay no never-mind to" when it comes to gathering information about patient decline.

I agree with you on this! I have thought that to myself so many times. I could not have said it any better!!

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T-Bird78 has 6 years experience.

851 Posts; 14,371 Profile Views

Get off your lazy @$$ and DO SOMETHING! There is no reason you need to sit on your butt and order supplies while dirty rooms need cleaning and two charts are ready and pts need to be brought back. You can order supplies at the end of the day, not in the middle of the pt rush. And why are you coming in late every day, while I'm here on time, and you leave before I do? No, if you insist on coming in late you should be the one to stay late. (Too bad this offender is my supervisor and I can't say anything to them or to management.)

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vintagemother specializes in Med-Surg, Psych, Geri, LTC,.

2,703 Posts; 44,590 Profile Views

Why do you sit back on your behind when you can clearly hear/see a pt is escalating?

And why didn't any of you respond to my calls for help?

And why are all of the pts call lights placed out of reach by being placed under the mattress?

Oh, and I wish I would have said, "I know you heard me call for help. You were in the room next door."

I'm a traveler. Your own staff was assaulted and you did nothing. Why?!??!

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Mikey31079 specializes in long term care, alzheimer's, ltc rehab.

80 Posts; 10,274 Profile Views

And from last night's LOVELY pick-up shift:

Look, honey, I know you're upset because you had more patients than the other tech. I know you're frustrated, and trust me, I get why. I was a tech for 15 years before I took this job, so I understand. However, when you brought this up to me at the beginning of the shift, I advised you to either work it out with your shift partner or go to the charge nurse if that didn't work (which she did not do). The time to complain would have been at START of shift, not by proceeding to have a full on meltdown 30 minutes before shift change. Or, if you must, do not then try to drag the unit clerk (me) in the middle by going "well, Mikey knew!" at which point I repeated what I said earlier, which is WORK IT OUT AMONG YOURSELVES or GO TO CHARGE! **smh**

This one I wasn't there for, but I'm still shaking my head over it...In what universe is it even remotely okay to sit in the tele room, turn the lights off, pull out an Ipad, and proceed to get so engrossed in the movie that you lose all track of the monitor? It sucks that you two were caught by house sup and immediately suspended, but you brought it on yourselves. And you guys were cool too.

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Pat_Pat RN has 8 years experience and specializes in ER, Med/Surg.

472 Posts; 8,993 Profile Views

"You should really come to work clean-shaven." -To FEMALE nurse...

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sideshowstarlet has 4 years experience as a BSN, RN and specializes in LTC, Med-Surg, Geriatrics.

1 Article; 65 Posts; 3,318 Profile Views

I'm so glad I worked the 2pm-10 pm shift with you, the last 4 and a half hours of it, anyway. I'm so glad I came in to drop something off at the facility at the time and stopped to talk to your crazy self. I can't believe they had you working as the only nurse in the building. They really don't appreciate you enough. You are a gift to your residents, their family members, and your CNAs. I loved how we were able to handle that surprise admission together. Yesterday was the first time in a long time I enjoyed working second shift. Come work graveyards with me when the other night nurse goes on maternity leave!!!

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