Latest Comments by southern rn

southern rn 5,261 Views

Joined: Feb 25, '03; Posts: 229 (34% Liked) ; Likes: 330

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  • 2
    Paws2people and NightNurse704 like this.

    Quote from Nrsvn11
    Thank you so much for your answer. I pray my administrator sees this point of view. I do my best to provide the best care I possibly can. As one of the others said, I should've changed the patient myself; I have done that many times. In my experience in that facility, myself and one of the managers are the ONLY ones that don't mind getting our hands dirty. I change, give showers and bed bathes all the time to help my aides. Once a CNA always a CNA, and I don't mind the work. I just wish administrator backed me up to understand that I had only good intentions for my patient. My intention was not to allow her to fall even though that is what happened. Family backs me up and still THANKS me for taking care of it right away. I stayed 4 hours after my shift to get xrays done and waited for results yo come in to keep family updated. I would be caring if I just left my shift wether patient was taken care of after or no. Again, thank you for your response.
    You may not mind providing personal care, but your original post doesn't sound like it, and if events were described to management the same way, they possibly think the same thing.
    You stated you took the resident to her room because she was wet, left her alone to look for an aide, then proceeded to help the aide pass out trays so she would have time to change the resident, while also taking care of dietary complaints.
    Honestly, every decision you made from the time you removed the resident to her room was a poor one.

  • 0

    I did it.graduated from high school at 17, started college that fall and took my prereqs simultaneously with nursing program.I took CLEP exam for one course, a summer semester and a couple of night classes along the way.graduated two years later at age 19, had my first son 10 days later

  • 5

    Having medical knowledge
    The title/ role "RN"; I like that distinction
    The paycheck
    I really do enjoy taking care of people and making them feel better

  • 0

    I have done telephone triage for the hospital system I work at. I believe some of the insurance companies utilize them as well so that may be an option to investigate as far as still being able to move around with your job.We used a specific program with a triage tree to dispense advice and preapproved certain web sites, so your really not having to do too much off the cuff.

  • 1
    sevensonnets likes this.

    One ounce is 30 ml

  • 6

    Quote from LPN9200
    My patient did ultimately pass this evening on my shift. Family was present at the time of passing but still fighting any and all comfort medications up until her passing. They did permit me to give the lowest dose of morphine about 2 hours prior to her passing but once she was gone attempted to blame it on me and my medicating her. Of course I understand their grief. I'm just more upset that it just truly wasn't a peaceful passing and I wish I could have done more.
    Good Lord. I'm sorry you had to deal with that and that poor woman wasn't allowed to be comfortable.She probably died to get away from them.

  • 0

    Your talking about hospital based skilled nursing (SNF) nursing.I've worked on them for two different hospitals and yes, unfortunately most are closing. I truly enjoy this type of nursing as well. You need to shop around for positions at freestanding facilities and rehab hospitals.

  • 0

    I always ask the other nurses these questions. We see more and hear more on the front lines what goes on in different facilities as far as care.The social workers probably do not.As an aside I'm now starting to deal with caring with my parents and i know how hard it is both emotionally and physically.

    UOTE=Imnotanurse;9155932]Examples of my interactions w/ SWs over the years:

    Me:"Are there any nursing homes on this list you gave me that have better reputations than others?"
    SW: "I don't know."

    Me: "Are you aware of any nursing homes that care for (fill-in-the-blank-condition) better than others?"
    SW: "I have no idea."

    Me: "If you were in my position, how would you deal with the overwhelming responsibilities of caregiving? Are there any resources in the community that I can turn to?"
    SW: "I don't know what to tell you."

    Example of bad advice: Looking for a nursing home for dad. Hired a SW from a very expensive private case mgmt firm. SW's top choice was a facility that was closed six months later due to deplorable conditions and years of state and federal violations. (Dad died before we placed him in LTC.)

    I could go on and on...[/QUOTE]

  • 0

    Quote from KelRN215
    You will not be able to finish your ADN in 2 years right out of high school. The program is 2 years after you are admitted but there are many pre-reqs you must complete first. At your age, you are much better off going for a traditional pre-licensure BSN program.



    I did it. It's hard to do but it can be done. I was an RN at the age of 19.

  • 4

    Generally speaking, if you start a sentence with "I'm sorry for your loss BUT... in reference to someone passing, you should hit the back button and keep your mouth shut.This wasn't intended to be an argumentative or debate thread.Inappropriate at best.OP, I'm truly sorry for your loss.

  • 4
    KThurmond, KelRN215, xoemmylouox, and 1 other like this.

    I was stuck with a dirty needle ( from an IV start) when I was about 7 months pregnant many years ago.Nothing bad ever came from it, my son is now 25.I know it's hard but try not to stress.Best wishes for a healthy uneventful pregnancy

  • 9

    Is it because they don't get paid well enough?
    Gossip? Mean doctors? New grads? stress at work?


    Because they continuously get asked this question?

  • 2
    angelseeker and LadyFree28 like this.

    Quote from janfrn
    It's standard treatment of severe epistaxis (nosebleed) and other types of airway bleeding to use something like Afrin or Otrivin. These drops are fairly potent vasoconstrictors - oxymetazoline (Afrin), xylometazoline (Otrivin) and phenylephrine (Sinex) work by local constriction of blood vessels which then decreases the congestion associated with allergies, sinusitis and colds. Nebulized epinephrine can also be used to decrease airway congestion and edema via the same mechanism. So the use of Afrin drops or spray was completely appropriate for Jahi.

    The drip in question was most likely protamine, tranexamic acid or aminocaproic acid. Protamine reverses the effects of heparin and although I can't think of any reason heparin would have been used in her surgery, our own bodies produce a certain amount of heparin in basophils and mast cells that then acts in the natural lysis of clots over time. Tranexamic and aminocaproic acid, on the other hand, prevent the breakdown of clots and are used when there is excessive post-operative bleeding. Recovery room nurses would not be familiar with the use of any of these drugs, and PICU nurses who don't care for cardiac surgery patients likely would not either.
    The drip that came to my mind was ddavp .I have seen it used for bleeding in emergency situations before but it's been a long time.Not very familiar with critical care nursing anymore.

  • 0

    Quote from W'sMama
    I'm an RN. I have 2 years experience in a small rural hospital in New Mexico. My family wants to move back to Elizabethton, TN. I've been trying since January to find a job. No one will call me back, only generic answers to emails.. My resume is impeccable. I don't know what to do.

    Any suggestions????
    There isn't much going on right now. The two big hospital systems have had layoffs and there is pretty much a hiring freeze right now.

  • 8
    wooh, Dazglue, brillohead, and 5 others like this.

    I'm curious to know if $100,000 is possible without working nights, weekends or crazy amounts of overtime...




    no.


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