HalfmoonMaggieRN

HalfmoonMaggieRN has 25 years experience and specializes in neuro, ortho, peds, home, home cardiac.

Latest Activity

1. How do you handle patient information on security sign in sheets?

   HalfmoonMaggieRN replied to Chi-townHomeRN's topic in Home Health

   No. You're not revealing any personally-identifiable health information by recording the name and location of the patient/client.

2. I didn't chart like a patient wanted me to...?

   HalfmoonMaggieRN replied to shhhh's topic in General Nursing

   A couple of things occur to me here. First, a musculoskeletal assessment documentation with a verbal report to the appropriate medical practitioner would have provided you more protection. Perhaps as important would have been multiple notations of ...

3. Question regarding insulin administration

   HalfmoonMaggieRN replied to mappers's topic in Medications

   This reminds me of the old "sick-day rules". Insulin-dependent diabetics were taught to give 50% of their usual insulin dose on days when they were ill and would likely not be taking their usual diet. I'm not a diabetes educator, but my recent read...

4. Are doctor offices likely to hire new grad RNs?

   HalfmoonMaggieRN replied to emptyboxcars's topic in New Nurse

   Most of the nurses posting here are focusing on alternative work settings. My experience and opinion is that you will need to work in a supported setting prior to moving to a more independent role. The head of my college's nursing department told ...

5. Do home health (visiting) nurses usually work on holidays?

   HalfmoonMaggieRN replied to lsvalliant's topic in Home Health

   It depends upon the agency and its caseload, the availability of per diem and/or "volunteer" nurses, and the contract (if there is one) stipulations. In my experience, patients and/or families are asked well ahead of time if a visit will be needed ...

6. Compassion or reality for obese patients?

   HalfmoonMaggieRN replied to stefanyjoy's topic in General Nursing

   Obese people usually know they're obese, and stating the obvious only serves to make the patient withdraw from contact with the health care system and its providers. This is counterproductive on two counts. First, it doesn't allow us to continue ed...

7. NOT going to the pinning ceremony

   HalfmoonMaggieRN replied to CaliforniaRNnow's topic in General Students

   Many years ago, I was a newly-minted professional nurse who also had previously earned a baccalaureate degree in another academic discipline. I had no interest in attending my college graduation, to be held the day after the pinning ceremony. Nothi...

8. What do you call your "greatest" compliment?

   HalfmoonMaggieRN replied to Been there,done that's topic in General Nursing

   The daughter of one of my home care patients said to me, "You know that movie, Mr. Holland's Opus?" "Well, my mother is your opus." 'nough said! :D:D That one still helps me through the tough days.

9. 30+ page care plans

   HalfmoonMaggieRN replied to Boog'sCRRN246's topic in General Students

   The documents attached to some of the comments here are more than nursing care plans. They're academic exercises with the goal of teaching the students to put the nursing process into practice. Most of the verbage is documentation of the assessment...

10. 30+ page care plans

    HalfmoonMaggieRN replied to Boog'sCRRN246's topic in General Students

    Boog's Girl has succinctly described the steps of the care planning process. The exhaustive listings of some of the posts: "every single lab value", "every single medication and their interactions", your assessment and your patient's medical diagno...

11. 30+ page care plans

    HalfmoonMaggieRN replied to Boog'sCRRN246's topic in General Students

    I see how it would be possible to get 30 pages if the assessed needs of the patient were viewed in an extremely focused and isolated manner, and when beginning to write care plans this will probably be your approach. As you write more of these howev...

12. would it be appropiate for me to attend the funeral?

    HalfmoonMaggieRN replied to smartnurse1982's topic in General Nursing

    You absolutely should attend, and as much for you as for the child's family. Though you are a professional, you are also starting to progress through the stages of grieving. Consider writing a short, simple note to the family, expressing how your c...

13. Making an occupied bed-help me settle a debate!

    HalfmoonMaggieRN replied to Dorali's topic in Oklahoma

    Grandy's point is well-taken. However, the issue is a real one. There is always a preferred procedure in EVIDENCE-BASED practice. Rather than memorizing 23-steps, though, we need to maintain critical (based upon science, not widely-held fallacies)...

14. Making an occupied bed-help me settle a debate!

    HalfmoonMaggieRN replied to Dorali's topic in Oklahoma

    If I understand the question, neither choice is correct. If you keep the clean linen "behind" the soiled as you advance the sheets , you can keep them separated.

15. Clients? Are they no longer patients?

    HalfmoonMaggieRN replied to bassadict69's topic in General Students

    There are, as is usually the case, (at least) two sides to this issue. While "client" admittedly has the connotation of a business relationship, there is also the perspective of control in the therapeutic relationship. Some writers have discussed ...