Kooky Korky 14,388 Views
Joined Feb 12, '10.
Posts: 2,542 (51% Liked)
Are you required to use the device?
Return the ad eggs to the store, get your money back. Do the grass/foil thing, too.
New to school nursing and I am trying to do things "by the books", which has apparently caused some upset with a parent or two. Elementary age student with asthma has proAir prescribed 2-4 puffs q4-6h PRN cough/wheeze. Student presents to clinic prior to pe requesting inhaler. Student says mom sent her since she had cough this morning. Student takes 4 puffs, with no pauses between and runs off to pe. I called parent to advise that I did allow student to use inhaler, however, I needed clarification order from Doctor if student needs inhaler prior to exercise in the absence of symptoms listed for use. I wasn't rude, just letting her know that isn't how it was prescribed and that the doctor could just fax over something clarifying in the event it was just omitted in error. The parent began to chastise me and in no so many words question my ability to do my job and said I was causing "problems" already. Fast forward, student comes in the following day, requesting inhaler prior to pe. No SOB, wheezing or cough noted. Lungs clear. Allowed student 2 puffs from inhaler and provided education to allow 30s to 1 minute before taking another puff. Student then went to PE. The student returned about one hour later (nearing end of pe) and was short of breath. Could have been the exercise or asthma or a combo. No wheezing or coughing. Allowed student remaining 2 puffs of inhaler. Instructed pursed lip breathing and monitored until sob discontinued. I am fairly sure I will be getting a call Monday and it will likely be worse. My thoughts are this 1)I am already technically going against physicians specific prescribed method, however, I also didn't want child going into full blown asthma attack because I refused inhaler. 2) I considered the likeliness of the increase in heart rate through exercise and medication and opted for 2 puffs since no symptoms were present. Can someone please shed some light on this? I am dreading the parent communication when I get the call that the child had issues because I didn't give 4 puffs. I don't know how to deal with the parent who apparently gives the child the inhaler frequently in the absence of symptoms as well as max puffs and improperly (consecutive puffs with no pauses). I hate that it's my first week on the job and there is already a parent I can tell will give me grief all year long and probably go complain to principal about me. I am a parent myself so I understand how we often know our own children better than strangers. On the flip side, I have a license to protect and nursing judgment to guide me in making decision with children that are not my own. Help!!!
We aren't allowed personal bags at the nursing station. Any resources you need should be on your intranet. You shouldn't have to provide your own supplies.
OP, have you presented your concerns to your boss? Can you put your stuff in a binder or on a clipboard? Ask where you are supposed to keep tampons, specifically.
These rules don't usually last too long. Someone will be bold and bring their bag, especially on weekends, 3-11, 11-7 when boss is off.
Is there a cabinet or drawer you can stash some stuff in for the shift? Med Room maybe? Try to bring less stuff with you.
So why did the person have a scalpel? Was it clean? Why was her bag in the way of where the other person needed to work? Is the one who got cut OK? Did the knife puncture the bag or was he reaching into the bag?
Don't you just hate petty baloney like this?
Definitely plan ahead for this idea. I know a lot of students who went to a private LVN program (same as LPN in other states) and later found out the information provided by the school was not exactly accurate as far as being able to easily transfer into an RN program at a later time, as far as credentials go. In addition to this, the cost was extremely inflated compared to other LVN programs. I've met students who ended up redoing their LVN at a better accredited nursing program after getting into a ridiculous and unnecessary amount of debt through these disreputable programs, just so they would be able to transfer into an RN program.
Also, I know a lot of LVN students from the aforementioned program, as well as others that were actually legitimate, who thought they could transfer into the RN portion of the ADN program at a local community college with the same wait as any other student. They later found out that in order to have the average wait of two to four years for a person who started off as a CNA (which is required in this program), did all the prerequisites, and then applied for the ADN program, instead there is an eight to ten year wait because the program only takes two students per year who became LVNs elsewhere.
You may become an LPN much sooner with an expensive private program, rather than if you chose another route, but there may be hidden caveats you won't find out about until it's too late. Do your research and don't give up. If you want this badly enough, you can make it work.
The bottom line in, if it sounds to good to be true, it probably is.
Nursing school is not a slot machine. It's not something you "take a chance on". You are either willing to do whatever it takes to finish, or you are not. That mindset is something that has to be within you. Whatever the outside influences are, good or bad, really are of no concern. This includes bad relations and "lots of stuff going on."
At my school's new student orientation, the program director told us: "History shows only one third of you will graduate. So, do you plan on graduating? Then look to your left. Now look to your right. If you are graduating, they are not." She was right. To be frank about it, she was not only right but she was being generous. We started with seventy something students, about eighteen of those original students graduated.
Nursing school is hard. It will challenge you academically, socially and every other "ly" you can think of. You can wait for the circumstances in your life to work themselves out to give you a better chance to succeed, but they are not the primary factor in determining if you graduate or not. Your mindset is.
You say part of the reason you failed "Rad tech" was because you were in a bad relation. This tells me you were not in the right mindset. How do I know this? Because, someone with the mindset that is necessary for graduating a nursing program would have ended said relation the second they saw it affecting their schooling.
So, ask yourself if you will do things differently if the same problems came up while you were in nursing school. Would you have been willing to put school ahead of your dating life? If yes, you might have the right mindset. If no, you will more than likely run into "stuff going on" that will keep you from reaching your goal. School has to come first.
Do you think if I pass and get my LPN, would an RN program consider me? Considering I flunked out of my second semester when I was going for Rad Tech
Comparing imbedded hardware closed with sutures to an I&D of an encapsulated abscess that is left open to drain is apples and oranges.
Yes, file an incident report for correctly doing a procedure.
I could understand if the doctor licked the blade first, but that doesn't appear to be the case. I think sometimes we as nurses forget that we also don't know everything, and sometimes should defer our knowledge to the people who were formally trained for years of their life in what they're doing.
It was Nights' job to clean the frij each week. We did it on Saturday, put up notices that it would be done on Thursday and Friday. That gave everyone notice to either label their food (dressings, ketchup, creamer, stuff they liked to keep in there for a while) or throw it out/take it home.
I never threw out anything that wasn't spoiled, labeled or not, because food is costly. But some staff tossed anything unlabeled. There was an awful lot of yelling on Monday morning. Sup backed up the wrongdoers. So we sort of backed off on cleaning. If there are rules, they should be upheld by Supervisors. Otherwise, what's the point of having the rules?
To expand on this. I currently work with a nurse who came THIS close to being fired fir this attitude. Towards the end of shift, a nurse was looking for an open computer so she could chart, all were taken so she turned to go elsewhere. This rn says "you can just make one of these lowly CNA's to get up". Cue crickets. One of the CNA's didn't report her, the computer seeking nurse did. Luckily the CNA's did not want to see her get into trouble. She had to apologize and complete sensitivity training. Darn lucky nurse.
People "that" do whatever, instead of people "who" do whatever.
Does 4 kids in the NICU give anyone else pause?
This is criminal. And I mean the judge. What do you think?
Article Credit: Huffington Post
An Arkansas Judge Sent A Cancer Patient To ‘Debtors’ Prison’ Over A Few Bounced Checks
The court system in the town of Sherwood is destroying the lives of poor people, a new federal lawsuit alleges.
08/24/2016 05:52 pm ET
Ryan J. Reilly
An Arkansas Judge Sent A Cancer Patient To 'Debtors' Prison' Over A Few Bounced Checks
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