Content That JustBeachyNurse Likes

JustBeachyNurse 78,011 Views

Joined Aug 5, '10. Posts: 36,755 (21% Liked) Likes: 22,497

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  • 7:36 am

    My son-in-law was recently released from the hospital with a Foley after surgery. Luckily both my son and I are nurses so D/C'ing the catheter was no big deal, but I don't think it's wise to leave it in and expect the patient or family member to pull it at home.

  • 7:36 am

    You actually don't need a syringe to DC a Foley. A scissors can be used to cut the port that the syringe would attach to inflate the balloon with water. The water from the balloon then just leaks out and the balloon deflates.

    What I don't understand is that you expect the patient to remove his own Foley. The normal procedure would be for the patient to return to the doctors office to be reevaluated and have the Foley removed at that time.

  • 12:12 am

    Like it or not, she has the right to refuse to write a script for any reason.

  • Jun 23

    Quote from kbrn2002
    Should such an event happen and you are on the scene you don't need a manual or textbook to provide instructions. All you need is first aid training, which as a nurse I am assuming you are required to keep current. You are not a trained first responder. You wouldn't have all the emergency medical equipment or the education a first responder has. All you really can [and should] do is call 911 and provide basic first aid as able.
    Not a requirement in my state and am unaware of any state that has it. The American Red Cross used to have a community first aid course but not sure if they still do. That being said the best you can do is to prevent further injury (to yourself or the victim), maintain ABC's and stop any life threatening bleeding. Otherwise your best tool is your phone.

  • Jun 23

    Quote from mykids4life
    The assessment was a bradens scale. I knew she was incontinent, not eating well, and pretty sedentary. It was the only one I started, but did not lock it in case it needed to be changed, which it didn't. My first RN job I worked at for over 6 years, never had any issues and have as a good reference. It's just the last 3 that have ruined me
    You have a work history that may be not be as bad as you think, including a couple long tenures. Going forward, and in interviews, just say (if asked about short tenure) "it wasn't a good fit". Employers do understand leaving an organization that has sketchy practices.

    Avoid taking short cuts in your nursing practice and know that every employer is concerned with passing surveys- so especially be conscientious about regulatory driven documentation. Best wishes.

  • Jun 23

    Why are you 'unable' to take the NCLEX now? That might give us some insight. Are you simply unable to afford it? Have you taken it previously? When did you graduate?

  • Jun 23

    Quote from meanmaryjean
    Why are you 'unable' to take the NCLEX now? That might give us some insight. Are you simply unable to afford it? Have you taken it previously? When did you graduate?
    My question as well. Can't really answer the OP's question without this information.

  • Jun 22

    Not all schools are going to number their classes the same- without knowing the school, no one is going to know if it's the same school. Additionally, this is what you have an academic advisor for. Being familiar with those courses, they should be able to give you some insight.

  • Jun 21

    If you come across a car accident, you will be unable to do anything but basic first aid which would be common sense and not in depth research. Anything beyond that and you are exceeding the Good Samaritan Law and would be liable for any harm you do. EMS would arrive within 5-10 minutes, what would you want to be doing in those 5-10 minutes?

  • Jun 21

    Quote from micstn
    It is a gray area in our hospital, sometimes we admited a patient, dr just ordered DNR by phone, no paper, just claimed patient is DNR
    The bigger issue besides who's actually entering an order is that it was a social worker who was asking you to change an order for medical treatment. For instance, if a cardiac surgeon declines to offer a patient open heart surgery, would it be appropriate for a social worker to override them and schedule the patient for the OR?

    Ideally MDs enter all their own orders, particularly code status. It's up to the Doc to enter code status, but it's also the nurse's responsibility to ensure that the entire plan of care is accurate, which may at times require entering this as a verbal, ideally when the MD has stated the code status elsewhere in the chart, such as the H&P or note.

  • Jun 21

    Call 911 and let the pre-hospital EMS providers do their jobs.

    Seriously though, I'm a flight nurse who responds to the scene of accidents when EMS calls, and I am not even considered a first responder. EMS is trained for management and transport of the pre-hospital patient.

    Now, I have had friends and coworkers who've been in situations where they've witnessed someone go into cardiac arrest at the grocery store or something and provides excellent bystander CPR in the minutes before fire/EMS arrived. That is completely appropriate.

    Long story short - let EMS do what they're trained to do. Stay up to date on your BLS.

  • Jun 21

    Do chest compressions, have someone else call 911 and have a 2nd person locate an AED. Call out to see if someone has naloxone/narcan if you suspect an overdose.

    Have the weak/pale/faint/dizzy/chest pain person sit down. Call 911.

    If it's a diabetic and they have supplies to check a blood sugar, do so. If it's low and they are alert give them some carbs. If they are unconscious, check a pulse, if there is none start compressions, otherwise, put some sugar under their tongue and let it dissolve and call 911. If their blood sugar is high and they are lethargic call 911.

    That is it.

  • Jun 21

    I don't think you envy them, exactly.

    I think you envy their perceived lack of responsibility, maybe mixed in with the attention they receive.

    Or (and I say this as gently as possible - bear in mind that I have atypical depression myself) you may have a degree of depression yet to be diagnosed or treated (or treated inadequately).

  • Jun 21

    There is no way a hospitalized patient can "sleep in". They are subjected to a constant barrage of hospital personnel that interrupt them.
    I was recently admitted overnight. I HATED required someone else to assist me in any way, shape or form.
    I would NEVER trade my health and independence.. for anything.

  • Jun 21

    Quote from purplegal
    Be honest--do you ever [envy] the patients you take care of, even just a little bit?
    Sure, because being healthy is such a drag...

    Are you seriously telling me that you'd rather be sick than able-bodied?

    I wish I could have a call light to press every time I needed every single little thing.
    You'd enjoy being dependent on others? Is this really how you feel or are you just creating posts that will likely result in a bit of drama?

    Is there any way to speed up my life so I can finally reach the age where I get to sleep all day, lol?
    That's sad. Live your life, you only get one. Old age will come soon enough.

    I don't understand you. Just recently you were worrying that time was running out for you at the ripe old age of twenty-six, now you're longing for a time when you'll be bedbound and infirm?