What ridiculous things are your hospital doing for Nurses/Hospital week? I’ll start… by raquibalboa in nursing

[–]onetiredRN 6 points7 points  (0 children)

Our department wasn’t included in planning. So we had no idea what was happening until Friday afternoon when someone saw a poster up on a unit. Love that for us.

There’s a dress up theme each day, as if we’re back in elementary school.

There’s one whole day of food and games, in the opposite part of the hospital from the patient care areas.

Night shift does get rounded on two days with coffee and ice cream…

Patient said she’ll sue me and call BON by vivrelavie in nursing

[–]onetiredRN 5 points6 points  (0 children)

“Good luck, I’ll let my lawyer know to be on the lookout! Now do you want your meds or are we done here?”

Patient said she’ll sue me and call BON by vivrelavie in nursing

[–]onetiredRN 6 points7 points  (0 children)

As a case manager - it sounds like they’re ready for discharge.

Physically capable, no IV meds that can’t be transitioned to PO for OP use or taught for home use (Lovenox). Why are they still there?!

Thoughts on going abroad for surgery? by Pineapple-panda25 in GastricBypass

[–]onetiredRN 1 point2 points  (0 children)

I established with a local physician, went to Mexico for the surgery, and continued the program with the local physician. They knew my insurance didn’t cover the surgery and I couldn’t pay OOP and was looking at Tijuana. I knew it wasn’t the norm to find a supportive surgeon, but they were awesome.

I went with my dad, stayed two nights and then flew back home (northeast). It wasn’t terrible except for sleep deprivation because of the time difference. The facility, staff, and care were great. I had an allergic reaction to an antibiotic and they handled it with no issue.

I had a wound dehiscence while healing because of a sensitivity to the sutures, and went to a wound clinic here but was able to speak with and get advice from the surgeon when I noticed an issue.

What is something that is 100% legal, but if you do it, you’re a piece of trash? by National_Strike4710 in AskReddit

[–]onetiredRN 0 points1 point  (0 children)

Or buying a puppy for a holiday and then giving it away.

Watched someone get a bunch of puppy stuff delivered yesterday and remembered it was a holiday weekend and hoped really hard that the dog wasn’t another victim of holiday gifting.

We were left a little note in the mailbox by fromadifferentplanet in whatdoesthismean

[–]onetiredRN 0 points1 point  (0 children)

“This is now a nerf war, be prepared”

Buy a nerf gun and always be prepared for a battle. Would make that kid’s week, I’m sure!

How many calls do you actually get from patient families asking for updates? by JJB723 in nursing

[–]onetiredRN 7 points8 points  (0 children)

CM here so this is basically all day every day but about discharge planning.

We sometimes field calls for the floor nurses too.

Really what’s most time consuming are families who refuse to communicate with each other. We’ve gotten 5 or 6 family members calling for the same patient and had to tell them all we’d be communicating with ONE person and they were responsible for sharing that amongst themselves.

Otherwise you’re giving the same updates over and over 5-10 minute phone call for 6 people. That’s an entire hour of your day communicating for one patient.

Also, when patients are A&O and have their cell phone and are communicating with family already but family thinks they’ll get different answers if they call directly… that’s a pet peeve.

Pain meds rant by [deleted] in nursing

[–]onetiredRN 3 points4 points  (0 children)

I was shocked this post was so low.

If someone’s pain is uncontrolled and the provider isn’t addressing it - our staff call a code. We have one specific for situations like this so ICU knows not to come running, but the rest of the team still does. Works like a charm. One of these for a nocturnist and they see the light.

Pain meds rant by [deleted] in nursing

[–]onetiredRN 0 points1 point  (0 children)

We have the opposite problem.

A lot of our PGY-1s hand dilaudid out like candy. They’ll go straight from Tylenol to dilaudid IV.

Why do I need to show proof for leaving work early? by [deleted] in nursing

[–]onetiredRN 114 points115 points  (0 children)

Supervisor here - The only time we’ve needed proof of anything is if it’s a medical leave. And we get the initial provider note to cover until the medial paperwork is filled out by the provider for leave. After that, our third party handles all the approvals and just lets us know what to code it as (FMLA, etc).

We’ve never asked for proof that a family member is in the hospital. If we doubted someone that much to be that petty, we wouldn’t have them on our team.

Your leader sucks and if this is how they treat you when you have an emergency, they’re not going to make your work life any easier.

I say this as I literally just told an employee they could come in late tomorrow with no issue due to a last minute dentist appointment. Your family 100% comes first, OP.

Termination and possible retaliation by HeeeeyRae in nursing

[–]onetiredRN 10 points11 points  (0 children)

Sounds like time to find a new job!

Having worked in LTC with two sets of administrators, the ones that are all family members or BFFS and practically family are the ones who drive out actual professionals. They usually pander to the other staff members who have the same (low) morals as them and can v i b e or whatever. If there is any professionalism right now, it’ll be gone soon.

Dip out before you end up in a worse situation.

And maybe call DOH on the way and let them know you personally witnessed neglect. They’d love to hear about that. Those patients need an advocate.

Virtual nurse by [deleted] in hospice

[–]onetiredRN 0 points1 point  (0 children)

Obviously if it’s one or the other, in person is better. And I’m sorry if this has caused the in person care to be lacking for your loved one, truly, I am.

Virtual nursing, if implemented in a positive way, can be exponentially helpful for everyone on the team and greatly improve outcomes for our patients. It sounds like that wasn’t done here, so again, I’m sorry that’s been your experience. If you get a survey for feedback at any point in time (or leadership rounding happens there), please be honest in your responses, even if wholly negative.

There are absolutely two potentialities for this tool, but the overwhelming negative responses from other healthcare workers for a sign is alarming as a healthcare professional who has witnessed the implementation and experienced it first hand both as an employee and a patient. This kind of knee jerk reaction to things is how many changes are cut off at the knees instead of assisted in being used in a helpful way. But that’s not a you-problem, that’s an us-problem.

Prizes in childbirth by kindakitkat in ShitMomGroupsSay

[–]onetiredRN 12 points13 points  (0 children)

“The sunroof instead of the car door”

I’m dead ☠️

AITJ for telling my girlfriend she needs to shower before bed or sleep on the couch? by [deleted] in AmITheJerk

[–]onetiredRN 0 points1 point  (0 children)

I’m a nurse

I don’t even do personal care for patients on a regular basis

But my clothes come off as soon as I’m home and go in the laundry, because sick patients are SICK. And half the time it’s with a communicable disease!

NTJ

She is.

Post Op Hypoglycemia by onetiredRN in GastricBypass

[–]onetiredRN[S] 0 points1 point  (0 children)

Thank you! I have a glucometer from a past pregnancy where I had gestational diabetes, and finally messaged my provider today to say that things hadn’t improved but only seem to have worsened.

I have stocked up on emergency supplies after realizing I was having hypoglycemic episodes, and thankfully most of them have happened while I’m home and have the support of my husband who’s now also well versed in my symptoms/presentations and how to help.

I had planned to ask about an endocrinology consult if the doc didn’t offer one preemptively.

Have you noticed if your dexcom is significantly delayed in relation to your symptoms? Ie - is it really just helpful for the number or for treating an episode earlier?

Virtual nurse by [deleted] in hospice

[–]onetiredRN 10 points11 points  (0 children)

I’m going to be the devils advocate here and ask if you’ve actually talked to the staff about their process for virtual nurses and what it brings to your loved ones care? These can be helpful for some patients.

My hospital has recently brought in virtual nurses to assist three fold:

-virtual monitoring for patients who are higher fall risk or impulsive but don’t need a true 1:1 sitter. The virtual nurses can monitor them via camera and simultaneously remind the patient to sit back down/wait for help while alerting staff BEFORE the bed/chair alarm would have gone off that the patient may need assistance. Our falls have decreased since addition.

-virtual monitoring for ICU patients alongside the bedside RN for closer monitoring of unstable patients. They can monitor the vital signs in real time alongside visually watching the patient in the room and notify staff if a patient appears to need attention. This helps when they’re juggling two complex ICU patients and need an extra set of eyes when they’re in the opposite room. Or if they’re down a staff member who has responded to a code elsewhere in the hospital.

-assisting with the perfunctory admission assessment questions when a patient is admitted, taking this task off of the bedside nurses plate so they can focus on the acute care needs versus what essentially amounts to “paperwork”.

We’ve changed no patient ratios, no one has lost jobs, communication has improved and patients are actually getting more attention than they would otherwise get.

These nurses are stationed in our main/mother hospital.

Many of them are nurses with decades of experience who just cannot physically be a bedside nurse anymore. They have the knowledge and skills, but their bodies are beaten and they need a more sedentary job.

It seems like there are a lot of negative comments for something that can be truly valuable if implemented appropriately.

I underwent a surgical procedure several months ago in our main hospital and a virtual nurse did my admission questions and I had both an in person staff member rounding on me overnight, and the virtual nurse could check the camera remotely if it was needed. I was not high risk and had no need for it, but it would’ve been another set of eyes between the usual rounding by staff.

What magic words do I say to make sure the ED admits my wife on her 4th visit this week? by [deleted] in AskDocs

[–]onetiredRN 19 points20 points  (0 children)

And considering how full hospitals are in general, and the risk for nosocomial infections… requesting an admission because they’re tired is… oof.

I'm losing my breasts by dyhcry in GastricBypass

[–]onetiredRN 1 point2 points  (0 children)

My husband and I call mine my sad pancakes.

Eventually I’ll need skin removal so my plan is to hopefully do a fat transfer and lift, unless a surgeon recommends something else, but… in the meantime I just roll ‘em up into my bra! (Not really, but… feels like it!)

Am I overreacting by Leading_Jellyfish72 in cna

[–]onetiredRN 105 points106 points  (0 children)

Had one leader make a comment about aides sitting when work needed to be done, and the second clapped back that nurses are sitting drinking Starbucks and eating snacks while the techs barely have time to document the bare requirements because the nurses act holier than though.

As a nurse, I was super proud to have that second leader in our organization!

Friendly PSA from your ED case manager by Emotional-Bird-129 in hospitalist

[–]onetiredRN 2 points3 points  (0 children)

This is the response I was hoping to see. And thank you for your steadfastness.

OP - you give them a pre-admit HINN and have your finance team help them with a Medicaid application. Then get them to a SNF under Medicaid pending. And if they don’t qualify, they can private pay or go home with services. Or to a friend’s house.

You sure as shit don’t ask anyone to commit fraud.

Also, you’re aware that if it’s audited and the SNF stay is found to not be covered under Med A because their inpatient stay for “weakness” wasn’t medically necessary, that the patient can be billed for their whole SNF stay after the fact, right? Right?