UM Review RN's Nursing Blog

UM Review RN's Nursing Blog

UM Review RN, RN (16,298 Views)

Joined Aug 7, '04. Posts: 9,291 (17% Liked) Likes: 4,283

Real Nursing

Nursing interventions are created moments. To me, "real nursing" is a moment created to identify and intervene, to connect with a patient and influence that patient to modify a behavior or an erroneous thought that holds them back from healing. It's one of the most satisfying activities that my job entails. Last night, I noticed that an A-Fibber had refused Coumadin. That's bad, because A-Fibbers are at a very high risk for stroke and MI, so anticoagulation is crucial to their therapy.... Read More →

Just One Person

My feet started aching just thinking about it. Here at the nurse's station, the tele monitors were blocked by people trying to pick up their assignments. I decided to get report first, then come back to see what my patients' heart rates and rhythms were. The day shift nurse, annie* was nowhere to be seen when I got to the end of the hall. But even with all the noise, I heard something else--wheezing. I followed the sound -- crackly rales topped by a short wheeze-- into the last room. My... Read More →

The Value of Transfer Boards

There are some tools that have been around for a long time, but are rarely used because Medicare or Medicaid will not pay for them. Transfer boards, also called slide boards, fit into this category. When I asked why they were not covered by Medicare or Medicaid, I was told that a sliding board is a tool that helps the caregiver ‘s back more than the patient. While it is true that a transfer board does cut down on back strain for caregivers, sliding boards are certainly a good option for those... Read More →

My First Nursing Instructor

We communicated solely by gesture and body language, but the little old German lady taught me more about nursing than any English-speaking patient ever did. I was in my teens when I started work in a local nursing home. This was eons before HIPAA, way before the nursing home industry was regulated. This was when nursing homes were true hellholes, where residents could be restrained for days, where dressings were changed once a week or whenever someone felt like it, where doctors made... Read More →

Positioning for Pain Control

Proper positioning of a patient in pain has nearly become a lost art with the advent of patient-controlled analgesia and the focus on pain as the 5th vital sign. However, proper positioning, used as an adjunct to appropriate analgesics, can often help elderly patients find an acceptable level of pain relief. Most nurses and CNAs have been taught the obvious -- elderly patients must be moved gently and carefully due to fragile skin and weakened bones - but few of us have been taught the... Read More →

Lest We Forget

i was in the process of discharging a patient. i thanked the patient and the family for being so wonderful and helpful to the staff. it was true; the whole situation was awful for the family and they all came through it like real troopers. the way their faces lit up, i could see that they were pleased. later in the shift i had to discharge a patient who was very difficult to care for. the patient was very demanding, very miserable and made sure that we all knew it. the family was worse, if... Read More →

Things That Go Boooop In The Night

I figured something out last night. The maker of grocery carts changed jobs. You know, you grab a grocery cart, the wheels start shimmying like four strippers with thongs full of loose change? Yeah, that's the guy. Well, he went south. To florida. To manufacture dinamaps. Every blasted one has wheels that don't turn, cords that catch under, over, and onto anything that passes near. The machine is accompanied by a constant booooop-boooooop-boooooop sound the moment it's touched by human... Read More →