dream'n, BSN, RN 12,202 Views
Joined Aug 28, '06.
Posts: 978 (58% Liked)
The five rights have served me well for years and years. Don't think I'll be memorizing the 7,8,or 14 rights; seems like overkill.
As a former smoker I can tell you that there is no such thing as too cold to smoke. The addiction to nicotine will enable you to endure almost anything--freezing temperatures are not a deterrent. So the aides will just have to suck it up and supervise the residents, no matter how cold it is. It isn't fair, but as long as smoking is considered a right (as it should be, much as I hate to say it), we'll just have to accommodate it.
Me, I work in a state facility where neither staff nor patients can smoke. Smoking is legal, so I'm a little uncomfortable with the situation, but, again, as a former smoker, I'm not totally unhappy. Smoking is bad. It really is. But, as long as it's legal, can we really forbid people their right? I don't know...
I'm sure that Joint Commission or state surveyors would have an issue with this weird plate idea. Tell that to the COO and owners, maybe then they'll cough up the money for disposable medication cups.
You are supposed to verify medication compliance, therefore set up some medication pass rules. Things like a cup of water to take the pills followed by eating a cracker and drinking another cup of water. Have the client cough and do a mouth sweep with a penlight and tongue blade.
I've never had an issue with a client picking up their medications with their hands, some like to pour them all in their palm from the cup before taking them. The GI system is not sterile and I've never heard anything, anywhere, that they can't touch their own medications.
My concern is this seems to be a texting issue. Dare I think someone else might be signing this nurse's name to texs and the additional 'proof'. Smear campaign could be occurring. If you have other, meaning objective proof, then yes you need to report to appropriate persons. The Nuse Practice Act in my state requires this. To me, it seems kind of strange that the info is supposedly coming from this nurse, but it is from different phones. Think hard and maybe speak to her in person. Be safe and let us know the result.
Ok dog lovers, I'm going to show one of my pet peeves. I know most people are kidding, but talking negatively about cats really upsets me. My cats are my fur babies and I love them just as much as you love your dogs. I worked with a nurse once that worshiped her dog but spoke about how she should of "run over the cat that ran in front of my car this morning." I became very angry with her and wondered how she would have felt if I had said the same type of thing about a dog. Someone on here mentioned that dogs are good because they chase cats, well that really sucks. My cat was killed by a frickin' dog several years ago and it hurts me the same way as it would to someone with a beloved dog that was brutally attached and killed. Perhaps I'm overreacting, but the crap talk about cats pushes my buttons. If cats aren't your thing, fine. But stop saying hateful things about them.
No you should not get ACLS certified, even if it is possible (I have no idea). ACLS procedures would not be allowed to be done by you; you couldn't push IV medications, read EKG strips on your own and recognize heart rhythms.
off on a tangent - anyone remember when they used to have separate dining rooms for the physicians? Like does anyplace still have them?
WTH...stolen gummi bears, candy porn????
There are more cats than people in my house
That's crazy. If I'm understanding your comment correctly she was only trying to protect the patient and she didn't put it in faucet water, she put it in a toilet bowl.
What do you think of this CNN story of the patient refusing to go to the hospital after she hit her head?
Retirement home shut down after a death and a beating - CNN
Should the administrator been arrested?
I would of called 911 also with a patient pulse ox of 31% on RA and 58% on 4L of O2, that is just insane. No one should be calling you, that in itself is unprofessional.
Welcome to Nursing 2017! The agency doesn't care who they assigned you, they don't care you are a new grad. All they are interested in is that you are a RN and that you need to 'make it work'. Working in the hospital almost everything will be your fault and you will be blamed for most things that go wrong. Again, welcome to the nursing profession
I work inpatient with adolescents. Don't think I've ever had to do any ADLs or lifting at this job. The adolescents can get very physical and aggressive, but I've found that most of my patients won't ever lay hands on me for some reason. I think they understand my age and usually target each other or the bigger and stronger staff members. This happens even when I have to get between two of them that are fighting. I find this especially with the escalated males in psychosis. They seem to not want to assault an older woman. Though none of them have any trouble calling me out verbally
Agree with previous poster - by virtue of being an RN, they are competent to act in a supportive manner. They should not take a patient assignment until they've been fully oriented to the unit. Further, there may be special equipment or procedures for which a nurse may have to show competency, per Joint Commission guidelines, before being asked to do it. So floating an RN to a unit she's never been to is probably a JC violation.
How about the hospital have some of the overstaffed OB-GYN doctors 'float' over to Cardiology to see patients? All MDs went to Medical School so they should be able to function just fine out of their specialty, right? The Neurologist could handle Nephrology and the Pulmonologist could work easily for the day in Orthopedics.
Seriously though, I think floating is as dangerous for nurses as it would be for Drs. Why the ANA hasn't dealt legally with such issues (along with staffing ratios), I don't know
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