Hello everyone! I am looking into going for a doctoral program in nursing. Originally, I was going to go for ARNP, however one of my colleagues at work is advising me to do doctorates. I am not really sure what the difference is in doctoral vs ARNP. ...
iluvnoodles replied to Nurse_mike2016's topic in LTAC
I just had a recent experience where I questioned the care that I have in providing to my patients has done nothing but bite me in the ass. I have been caring for a patient on hospice who was transferred over to our unit because the nursing staff wer...
Hello everyone, I need some help in understanding something.A patient who has diabetes and has glucose levels in the that range from 200's for breakfast and 300-400s during the day with Lantus BID + sliding scale AC/HS. The MD ordered for a controlle...
iluvnoodles replied to iluvnoodles's topic in Emergency
I tried to put him back on the nasal cannula, & he would desat once again. Lungs were clear, no changes in mental status. Only issue was that off of the NRM he would desat. He does have COPD, CXR ordered, already on Xanax.
There has been a couple of cases where I have had to use a non-Rebreather mask. So here is a question for the more experienced nurses. I have a patient who is a frequent flyer to the ER. Within 24 hours he starts de-sating in the 80s on 2L. I come an...
iluvnoodles replied to iluvnoodles's topic in Geriatric
Yes, cuz this is the first time seeing it in long term. If I see it again, Im just gonna ask the doc if they want to continue with 30 days or change to daily.
Hi guys there's is a concern that I have that I wanted to share with everyone. I would appreciate your input. Hospital discharge med lists are noted to have some meds for 30 days. What I am being told is that hospital medlists will sometimes indicat...
iluvnoodles replied to gloryfied's topic in Stress 101
I love doing the night shift. It's so much less stress than days. Inrecentlynchanged from 8 hours to 12 hours to have more days off. I'm finding thatbitsnhardermto adjust and I'm feeling even more exhausted. I'm actually looking for a more normal sch...
Hello everyone, I need advice on one of my residents. His ostomy continuously keeps on leaking. I started this position of wound care nurse at a LTC facility for about 9 months and am completely new to wounds. I dont really know much about ostomys e...
iluvnoodles replied to Mochafrap_RN's topic in New Nurse
That's how I felt to but I left after 3 months. I really hated waking up in the morning. I just found a job in a SNF and it's a different stress level. Instead of 5-6 patients you have 20 or more patients and all your doing is pushing the cart of med...
iluvnoodles replied to iluvnoodles's topic in LTC Directors
Is it H*LL like the hospital? I almost thought I was hearing wrong, when the patient ration was 30:1. I still dont know if I heard right. But if training is 3 days to 5 days max...I figured it would just be passing meds. But than, I wanted to those t...