joies1

joies1

acute, critical, home, assisted, MRDD

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About joies1

joies1 has 25 years experience and specializes in acute, critical, home, assisted, MRDD.


I have been nursing since 1984. Most of that time was in our local community hospital. 5-6 years of that in critical care and the rest largely med/surg. However I did work in and with patient education, cardiac rehab, home health, new murse orient

Latest Activity

  1. My ! How this thread and topic has caused such a wonderful expanse of thoughts since its arrival !!! The area that I seem to be missing is the lower middle class. Being a 'single' mother when my children were younger I went into nursing. But only w...
  2. This is an area of nursing that is so dear to me. After years in acute and critical care I had to modify my activity for health and physical reasons. Begrudgingly I began nursing in an ALF. I have to admit, I wasn't very good at the first one. I ...
  3. The Unemployed RN

    Always a day late ! Or, in this case a month...... As sad as it is, I am glad to see that other competent nurses are in my position. At least I know it is not just me ! I started nursing school in my mid 30's (change of vocation) and got my RN in ...
  4. Deer in the headlights pain assessments

    I have not read through the entire thread either, but hope this isn't too redundant. We all learned in nursing school that not only different cultures, but also, different generations express discomfort>pain in their own way. I really think that ...
  5. Retired, now what?

    I so much relate and am empathetic to your concerns. I, along with -I'm sure - many others who have similar concerns share with you right now. We loved being a nurse. We loved the hands on care, education and support we could give. Though I left a...
  6. As usual, I am a bit late to respond - which probably isn't a concern. What is nursing's greatest setback? Well, many of you seem too avant guard for me. I may be old, but I am not particularly 'old fashioned'. So here is my gist of things. I beca...
  7. Am I Babysitting or Supervising?

    First of all ~ let me say that I am soooo sorry that you {or anyone} have had that experience. That would sure be a way to turn you off nursing in a hurry ! Now, I am an older nurse and have been nursing a few decades. What's the first thing you l...
  8. Hey worldtraveler - - so am I ! (born in Panama, kindergarten in Japan and high school in France) Long time ago because I'm 61 now. Ugh.... Still travel when I can [a month in Peru a couple years ago] Anyway, back to the subject........ You did not h...
  9. Not to worry ~~~ Good nurses will always be needed. It just may not be where or how you had in your plans. I know everyone comes through and out of school with 'their plan' and preference. If you can get it right away - go for it. I have worked ...
  10. Dementia care - altercations

    Thank you so much for your concern and direct response. Like the old movie said "Let it be said. Let it be done !" All those concerns have passed. Yes, one was sent to another facility - the most volatile. Another has passed away. Another that ...
  11. Dementia care - altercations

    Surely you jest ! ~ A psychiatrist at hand ! No, I know you are not. But surely must be accustomed to a different environment. As mentioned before, our first resource is the county psyche specialist. She covers 2 counties and is hard pressed for time...
  12. Dementia care - altercations

    Thanks to all that wrote with your responses. I appologize for being so tardy with my return. Just dealing with holidays, work and illness has kept me away. I couldn't agree more about staffing. I feel we are terribly understaffed for the needs and b...
  13. Dementia care - altercations

    OK ~ I had been in acute and critical care for 20 years. But since 2004 I have been in assisted living. Currently I am in a 'memory care' facility. All residents have significant dementia along with their other medical concerns. You may probably know...
  14. High fall risk

    Gosh~ I'm going to jump right in here! Not that I have any great wisdom to contribute...... I work in assisted living and falls are one of the greatest concerns. I always wonder how to deal with a resident that you just know is going to fall. As you ...
  15. Insulin

    So good to see such a discussion. I am new to this forum, so this is my first post. However, I have been an RN in acute and critical care for 20 years and insulin and heparin always required 2 signature checks [not 2 people at administration]. Believ...