joprasklpn

joprasklpn has 19 years experience and specializes in pediatric and geriatric.

Latest Activity

1. Questions involving Trach Care!!! HELP!!! CLEAN TECHNIQUE? WHAT?

   joprasklpn replied to skittlebear's topic in General Nursing

   I work peds home care and we MUST reuse the same cath over and over D/T limited supplies, but they are wiped down with alcohol prep between sx. also the yankauer can be used around the trach for coughed up secretions, but not in it. I have had emerge...

2. I have a question to nurse that smoke

   joprasklpn replied to BOOYARN's topic in General Nursing

   It's a stupid thing to fire someone for that. Could've just given an oral warning or something.

3. If you could do it all over.....

   joprasklpn replied to GeminiRN2007's topic in Relations

   I would still become a nurse. I'm not gonna lie, somedays I wonder what I was thinking. You really do need a thick skin because somedays are just horrible, but most of my working days have been good. Knock on wood.

4. pt with traumatic brain injury

   joprasklpn replied to kubebe's topic in General Nursing

   infection, nutrition, skin integrity

5. Has anyone had a pt's family member take pictures of you during care?

   joprasklpn replied to TonyaM73's topic in Relations

   I agree that privacy should be a two way street. I'm sure if you walked into a bank and just started snapping photos you would get a quick escort out of there. Nobody wants someone to just walk into their job site and take pictures of them, I don't k...

6. more vent: how/why did we let this happen?

   joprasklpn replied to HannahLeah's topic in Home Health

   not everyone documents as completely as others, so we all get the punishment, but you shouldn't have to worry about letting anything out with all the flow sheets we have now. But to me a piece of paper doesn't actually mean the care was done. There w...

7. How to handle this...is it neglect or stupidity?

   joprasklpn replied to nocnurseiniowa's topic in Home Health

   sometimes i think they are afraid of losing nursing hours if the child can tol the pmv and eventually be decannulated. not sure of your childs situation, but i had a mom who was too lazy to do anything for her child. lord knows some of these kids wou...

8. Pedi Home Health...difficult parents?

   joprasklpn replied to kyowalpn's topic in Home Health

   family members are not your friends and will turn on you in a heartbeat, so my advice is move on to another case.

9. Seriously?????

   joprasklpn replied to CNABESS's topic in General Nursing

   I know how you feel, I was in ER with my dad who cracked his ribs and they didn't even give him a pillow for his head or adjust the bed for comfort. Just in and out tons of people. I always think don't these people have grandparents? But good for you...

10. CNA Task Delegation & Patient Care Coordination Advice Needed

    joprasklpn replied to Umrn1's topic in General Nursing

    It may sound mean, but you are talking about neglect to patient care so maybe try writing them up. They may not like you after that, but at least they might do their job better. I have always been fortunate to work with great CNAs so I really have no...

11. Bed Bugs

    joprasklpn replied to Prissilla1484's topic in Safety

    bedbugs will bite you while your awake. I know this first hand because I was working the night shift and always had these clusters of itchy red bumps, well one night I was just sitting watching tv and happened to look down and see this bug crawling u...

12. Bed Bugs

    joprasklpn replied to Prissilla1484's topic in Safety

    I was actually bitten by bedbugs at a home care case. The agency pulled all nurses until the client had the exterminator out to verify the bugs were gone and when I went back to the case the client was not happy with me. She said so I hear you report...

13. What to do at school

    joprasklpn replied to Not_A_Hat_Person's topic in Private Duty

    kids I have gone to school with do get the benefit of being around other children. I do agree that some teachers seem to think they have no obligation to actually teach special needs children or even interact with them when they have a nurse. I perso...

14. Confused about new medicaid rules

    joprasklpn replied to Blackcat99's topic in Private Duty

    what about the childs emotional health. so sad that everything comes down to money. it's really not fair to the child who is already struggling with disabilities to be further limited in activities they enjoy.

15. PERRLA / Eye assessment of INFANT???

    joprasklpn replied to H_2_O's topic in Pediatric

    i looked in a book i have called current pediatric diagnosis and treatment by lange and it says newborns should be checked for extraocular movements, the iris should be inspected for abnormalities, cornea should be observed because cloudy corneas cou...