CompleteUnknown

CompleteUnknown

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  1. The patients you love working with.

    I actually like the more difficult ones, love it when I can turn them around, even if it's only a slight turn around. I think there's way too many patients that become difficult because of what we do or don't do, and often we don't even see our part ...
  2. Please Help - I have no where else to turn

    That's absolutely horrible abbaking. Awful. No other way to describe it. Give yourself some time before you decide 'that's it' though. I wonder if, as horrible as it was, it was more that it was just the last straw that particular shift? Maybe you no...
  3. Advice please? Dementia pt resisting necessary intervention

    If the catheter is occluded but urine is leaking around it and there's no distension, you have to wonder if it really is necessary. If it is, I'd try the side-lying idea first. For the resident, it's generally not a confronting position to be in whi...
  4. Is it possible.....

    I've seen this several times too. It's really not that unusual. I voided over 2 litres about six hours after I had my first child (vaginal delivery). I didn't feel I even needed to go; it's only that they said 'if you don't go soon we're going to hav...
  5. Death

    This is a great post and I think that most nurses feel the same, that 'it is huge' to be present when someone dies. It's easier when it's an expected death (no matter what the age of the patient) because things are usually relatively calm. Codes and ...
  6. Never Argue With Dementia (and Other Nuggets of Nursing Wisdom)

    I seem to spend a lot of time checking train timetables, planning trips, finding out why husbands are late home from work, making sure the baby is okay, reassuring people they don't have to worry about the cost of staying another night because the ro...
  7. Never Argue With Dementia (and Other Nuggets of Nursing Wisdom)

    Make a molehill out a mountain. I've never heard it said in quite those terms before, but what a wonderful way to describe what we should be doing!
  8. To resign early or risk getting fired?

    Many years ago, I was told by my boss that I always looked like I had the weight of the world on my shoulders and that I needed to lighten up a bit. Honestly, I was pretty hurt. I mean, I was new and there was so much to worry about and what if this ...
  9. Behaviors and Failing to Chart Them

    We only chart behaviours if there is an increase in frequency or severity of existing behaviour, if there is a new behaviour observed or noticed, during an assessment period, or during a review period such as when there's a trial of reduction in medi...
  10. "Pull-up" high-absorbency overnight diaper for adult male?

    That's great news CabanaDay, hope the Abena pads do the trick! :) Totally agree that the more expensive pads are worth it, and probably cheaper in the long run.
  11. What's Wrong With 21st Century Nursing

    I don't want to sound harsh either, but I agree with this post. If I'm looking after a patient with a tracheostomy, I need to know how to manage it. If I don't know, or don't feel confident, it's my responsibility to make sure I do find out, become c...
  12. Texting while doing patient care?

    Unbelievable. And to then snap a pic of the BP reading because she didn't have a pen??? I have never sent (or received) a text to another staff member about an administration or patient issue, it wouldn't even occur to me! Besides, I don't even have...
  13. Documenting on patient falls or what looks like one in LTC

    I'd be willing to bet that, one day, a resident fell and someone wrote an unsatisfactory note that happened to include the words 'found on floor'. Then, a surveyor came along and saw that note (we all know they have an uncanny ability to choose to re...
  14. Why is it the highest paid among us...

    Off topic I know, but has anyone ever actually developed an ear infection from sharing stethoscopes? We all tend to use the facility stethoscopes where I work and I've never had an ear infection in my life. Most of the doctors who round bring their o...
  15. State Surveys And Wound Care

    I would add that when the assessors are in the facility, while they may not actually stand next to someone and observe every medication round that happens during the survey period, they DO have eyes in the backs of their heads and will notice errors ...