Latest Comments by jaxnRN

jaxnRN 3,066 Views

Joined: Jan 30, '03; Posts: 92 (2% Liked) ; Likes: 4

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    [FONT="Comic Sans MS"]I got my Illinois license (also was a second along with my Iowa license) and I had mine done at the police station. Done the old fashioned way...ink finger print...ink finger print...etc. Made me feel like a rebel.

    You are SO right. It is truly a hassle. I am not sure if it is any different now because I did this a few years ago. It cost $10 for the prints to be done.

    ~Jackie

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    Can I also have a copy of these worksheets? I am in the same boat.

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    I am the staff development RN at our LTC center. I was asked today to create the yearly skills fair for the nurses and CNA's. :typing

    I have been a participant in countless skills fairs but have never had to organize one. If anyone can help me, this is what I need:

    I have a few topics that are necessary for our facility. I am doing the research with the policies and procedures. I have taught a lot of new nurses and feel that I do have great talent in teaching. BUT, I would like some ideas on the presentation. We don't have any resident models so will have to use "real people" for demonstrations. Any ideas on how BEST to present this?

    I need the basics. I have heard of Jeopardy games to play for inservices but wondered if there are any pre-made outlines. Trying to keep it fun but I want everyone to walk away with some new knowledge and skill.

    Our facility does not have any previous "copies" of how these have been organized in the past so I am starting from SCRATCH!!!!

    Any and ALL help would be SO greatly appreciated. If anyone knows of any websites or books... Any past experiences you could share?

    Thank you one and all for at least reading this. I didn't word everything on this post as good as I wanted but needed to get this question out there to all of you wonderful nurses. This is my pool of knowledge.

    I have a month to organize and I am just anal about organization. Help me.......

    Jackie, RN



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    sunshine63 and seamel like this.

    That's great that you want to work OB. I worked in OB for over 15 years and NEVER thought that I would want to work in any other department. In the last 5 years I have taken my career to Home Health and LTC and Hospice.

    I had several doctors who would kid me that I worked opposite ends of the life cycle back to back! :heartbeat

    The hardest part of OB nursing for me would depend on the day. It can be the BEST department to work in or the WORST! The reason being of course because not EVERY situation has a storybook ending.

    The BEST part is being a real part of the birthing team. You form a bond with the moms that can last FORVER!!! I see moms in the stores out in public and they do remember you. Your name. What you said to them during labor. The little things that you did for them. It is so important to remember that you will make a lasting impression.

    My dad is an OB/GYN and I pretty much grew up knowing the lingo and the great hours!! So it didn't bother me to be on call. I really had a great advantage in that area as far as knowledge was concerned. I used to read the ultrasound books and labor/delivery books that he had on his bookcase when I was in the 2nd grade!

    My mom was an OB nurse for her entire career. I remember hearing her stories and how BAD her legs ached after working double shifts. Almost every day. So I guess the OB thing is in my blood.

    And yes, many babies have been delivered without the doctor there. Depending on the facility you work in there may not be a doctor in house 24/7. The nurse that trains you will be invaluable. Listen to everything she has to tell you. Don't base your nursing advice based on your personal experiences. Know that one size doesn't fit all. Just because something happened during a mom's first delivery does NOT mean that it will happen again. Anything goes.

    A lot of new nurses on orientation like to tell personal stories. There will be time for that. When you orient, make sure that you do much more listening than speaking. Questions are good but I'm sure you recall nursing school theory when EVERYONE has to share what happened to them. Get as much information during your training as you can. Go to as many deliveries as you can as a student or new nurse.

    Don't be afraid to tell your nurse preceptor that you are not comfortable with a skill enough to do it independently. Make sure you DO IT with help and then DO IT with someone observing you. Be comfortable and confident.

    I'll stop rambling now. And as with any nursing specialty you will learn MOST with experience. And you can't rush that. One day you will just FEEL like an OB nurse. Experience is truly the best teacher.

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    My mother-in-law is recovering from a ruptured aneurysm (abdominal). She had an exploratory laparotomy and the spleen was removed. Received 2 units of blood. She is doing well and on the road to recovery. It is her 3rd post-op day and the doctor told us today that she has a "bruised pancreas".

    All I can think of re: a pancreatic contusion is resolution on its own, with time. Does anyone else have any info on this? Such as possible complications or residual effects?

    I wasn't there when the doctor delivered this news so I didn't get to ask any questions. I know that this is the place to come for answers!!! Thanks for ANY help.

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    You are ALL so very awesome. This is the best resource I have ever found during my nursing career. Thank you to everyone!

    ~J

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    Quote from DriBak
    Peripheral INR monitoring is contraindicated for anemic patients.

    I did not know this! Something I need to look into. Thanks for the info.

    ~jackie

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    [font="comic sans ms"]wow! this seems like a very simple question but sometimes the fine details are not clearly recalled. especially when you get to be as old as i am.

    i have a question regarding inhalers. what is the proper time interval wo wait between giving two different inhalers? i remember learning 5 minutes but is this wrong? has it changed?

    thank you for your kind responses. i feel like this is something i should just know. but in teaching a new nurse, i want to get it absolutely right.

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    [font="arial"]i would love some input for inservice ideas. the audience intended for lpn's and cna's. topics could include safety, medication errors, pain management, communication..etc. obviously i and wide open to any suggestions.


    it seems that our ltc facility lacks the creativity to make inservices educational but also interesting.


    i've done a search on this site but have found nothing specific.
    i am very interested in providing some much needed updates for our staff. thank you for any help.

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    Quote from hippylady7211
    You know, an LPN can and usually is in a LTC facility as knowledgable about patient care as an RN. I am an RN and I think medicare should be more worried reducing staff to patient ratio's instead of RN's on duty 24 hour a day. In my state the LPN's can do most anything an RN can anyway
    I agree with that comment. Most definitely. I was just wondering about the actual written LAW. There are many LPN's much more knowledgable than some RN's. That works both ways and we all have our strong points. That's why it's so important to work together as "nurses" and not seperate the title when it comes to working for the better good.

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    Quote from lexibear99
    I just mean that if it happens in Illinois we only have 2 RN's that work for our facility and we do not have one there on the premises 24/7. Our DON is always available but not on the premises.

    Okay. I see. Is Illinois required by the state to have an RN on site/nearby?

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    Quote from lexibear99
    The LTC facility I work for is in trouble if that happens in Illinois. We only have a couple of RN'S one being the DON and all the rest of us are LPN's

    What do you mean that u are in trouble if what happens? Having an RN THERE or NOT there?

    We have our DON and ADON to call if needed. But when I am not working, there are no other RN's on duty. ALL the other nurses are LPN's.

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    [font="comic sans ms"]the really stupid thing that doesn't make sense to me is that i actually checked the mar before putting this on! we write down the location of the existing patch so that we will be sure to find it and rotate sites.

    i saw that it was put on just a day ago! i looked at it and still went ahead and did it!
    !

    we also write directly on the patch our initials and date and time.

    i have oriented a lot of nurses through the years and stress to them that you have to pay attention and not just go through the motions!! we even are enforcing a policy not to interupt nurses during med pass unless it is something urgent! it's way too easy to get distracted on some days.

    i am glad that something good came of something bad though.

    we did find that the order should have been routine and somewhere along the line it got changed to as needed on the physician order sheet.

    i cringe at that fact that the physician i have to report this to really frowns on med errors. one of the least understanding of them all. and as you know, we have all caught med errors that physicians write. we are all human.

    thank you all!!! i love nurses who really understand. : and support each other. you are all awesome!

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    Oh yes! I know too well of the error that I made. That's probably my point. I KNOW better!

    I absolutely LOVE having students and orientees. When I had nursing students with me in Home Health and Hospice I think I tried to teach TOO much!

    I was lucky to have worked for a physician for many years who was an awesome teacher to his staff. He would explain anything to us and share unusual occurences in the OR.

    Experience is the best teacher. And that takes time!!!!! In 17 years of nursing, I can honestly say I learn at LEAST one new thing every day!!!!

    And if I don't know the right answer, I always look it up! My boss calls me a walking encyclopedia! But this is also a great place to come for info. Love this site!

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    [font="comic sans ms"]i attended a hospice conference last fall. the speaker, a very high ranking nurse in her field, was talking about ltc.

    she mentioned that in iowa, medicare is going to require an rn to be on the premises 24 hours per day. she told everyone that "yes, it is coming soon. within a year."

    i have not heard anymore about this. i can't find info online.

    while working home health our lpn was taken off of her duties as case manager as she could no longer supervise/evaluate cna's, which was a weekly duty. she could still do home visits. this change came from our state (iowa) nursing newsletter. our home health was county based. she was "demoted" in a sense from something she had been doing for over a year or more.

    so, has anyone heard about ltc requiring an rn to be on grounds 24/7?

    wish i could find my papers from that conference and be able to contact the speaker. she was great.

    thanks, once again, for your answers!


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