KarangRN

KarangRN specializes in 5.5 years Long Term Care, 0.5 years ER.

Latest Activity

1. Question about Online RN-BSN progams in Hawaii

   KarangRN posted a topic in Hawaii

   Have any of my fellow colleagues in the state completed an online RN-BSN program? I have the itch to go back to school and finish up my BSN. Just trying to do some research on whether to go back to campus for my degree or try the online approach. I'...

2. Anyone using dopplers in your facility?

   KarangRN replied to KarangRN's topic in Geriatric

   We really just need a simple one to check for pulses when the staff nurses can't feel a radial or pedal pulse they can do a doppler. Thanks for pointing me in a direction so I know where to start research. Does it matter what mhz because I've seen 5 ...

3. Anyone using dopplers in your facility?

   KarangRN posted a topic in Geriatric

   Our DoN gave the go ahead to get a doppler ultrasound for the facility. Do any of you use a doppler in your facility, and if so, what kind do you use? Any recommendations? Thanks

4. Help with Starting a subcutaneous PCA

   KarangRN replied to KarangRN's topic in Pain

   The plan is for continuous infusion. At this point we have the resident on around the clock routine Roxanol and Ativan in addition Fentanyl patch increased to 200mcg and it seems to be keeping her a lot more comfortable. I'm having our pharmacy orde...

5. Help with Starting a subcutaneous PCA

   KarangRN replied to KarangRN's topic in Pain

   Thank you, its been a while since we've had someone with with a portacath but I know we have some huber needles in our IV cart.

6. Help with Starting a subcutaneous PCA

   KarangRN posted a topic in Pain

   I hope these are not stupid questions but here goes hehe: When starting a subcutaneous infusion, can you use both a regular IV catheter and the butterfly IV catheter? At our facility we have both the BD Insyte Autoguard IV start catheter and the BD S...

7. LTC Smell?

   KarangRN replied to michael79's topic in Geriatric

   wow i should count my blessings, our admin lets us have kinda decent ratios for direct patient care... This is for a 120 bed SNF/ICF facility with 2 units 60 beds each 06-1400 & 14-2200: 1 charge nurse (RN), 2 licensed + 6 CNA's per unit 22-0600:...

8. I need to vent

   KarangRN replied to evilolive07's topic in Geriatric

   WTH...docs orders always trumps what the DoN wants, nuff said. If a doc orders me to send a person with a little pinky sore to the ER I would try my best to paint the picture for him but if he continues to say send to the ER...baibai~ DoN can yell at...

9. Weekly weights

   KarangRN replied to CapeCodMermaid's topic in Geriatric

   At our facility we have an IDT Nutrition at Risk committee with our Reg. Dietician as chair and we decide on who to upgrade or downgrade to weekly vs. montly weights. Anyone on the team, soc. svcs. included can ask for weekly weights but if its broug...

10. LTC Smell?

    KarangRN replied to michael79's topic in Geriatric

    CapeCodMermaid: I mean I applaud housekeeping for regular rug shampooing and are pretty good at taking the bins out, spraying deorderant and stuff, but our cert. wound nurse loves sween and we drill it into the cna's to use that during all change rou...

11. LTC Smell?

    KarangRN replied to michael79's topic in Geriatric

    Just make sure the aides use sween cream and the whole facility will smell like sween cream

12. Littmann 3M 3000

    KarangRN replied to JenHCC's topic in Uniform/Gear

    How is the Littmann 3000 compared to the Littmann 4100?

13. Your boss?

    KarangRN replied to goldeneyes181's topic in MDS

    I work at a 120 bed SNF facility. The DoN is my boss, monitors my calendar and does my evaluation.

14. Aloha....introduce yourself

    KarangRN replied to NRSKarenRN's topic in Hawaii

    Howzit everyone. I'm Carl. I was born on Oahu, raised in Waianae and moved to Hilo before high school. I attended Hilo High School (GO VIKS GO). I joined the Army National Guard right after high school to pay for college because my parents didn't hav...

15. OK to push Dig IV without a monitor?

    KarangRN posted a topic in CCU

    Is it safe to push Digoxin via IV if the patient is not on the monitor? I work at a skilled nursing facility. Coming back on from the weekend I heard in report that an MD ordered IV digoxin on one of the residents on the unit where I work. Scenario: ...