Latest Comments by CelticGoddess

CelticGoddess, BSN, RN 9,112 Views

Joined: Jun 6, '11; Posts: 842 (76% Liked) ; Likes: 3,525
from US
6 year(s) of experience in Palliative, Onc, Med-Surg, Home Hospice

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  • 3
    Orion81RN, Davey Do, and Kitiger like this.

    when I worked LTC I had a resident who was a bilateral BKA who was also diabetic. One evening he asked me to trim his finger nails and I told him I would be able to do that. I then went on to explain to him I couldn't trim his toe nails because as he was diabetic, it was against policy. Almost immediately after I said that, I realized my mistake. My resident just burst out laughing. He found it very amusing. He didn't let me live it down but he was amused.

  • 4
    Crush, NightNerd, Chazzie_Made_It, and 1 other like this.

    Quote from cwilliams032
    I had a really confused pt today with high blood sugars. He wasn't violent, but was incredibly aggressive, and I was worried he would become combative. To what point do you force these pts to take meds (iv, subq)? I had a resident insist that there's no way a confused or can refuse meds. It's my job to give it no matter what. Do i get several nurses to force him down, potentially making his behavior worse? And if I already feel that this pt might become violent with me, do I have to wait for him to actually hit me? I'm more annoyed that she said, well he hasn't become violent yet. I think you all get the issue I'm trying to figure out. At what point is it "okay" to place yourself in harm's way to ensure a confused pt takes their meds?

    Also, I just want to note, they really didn't want to add anything iv/im to help calm him. I asked.
    When I was still in acute care the only time we held a patient down was when it was a psych patient whose MD's (always 2) write an order "Pt may not refuse meds". And we only used that when they got violent and would call security to told them down while we gave them Zyprexa or Geodon.

    When I had confused patients refuse meds, I would walk out of the room and give them a few minutes, then try again. I would also ask them if they wanted me to help them feel better and often times, if I gave them a bit of time, they would agree to the meds. I never forced them, per se. I will admit to manipulating them into taking them. But they, in the end, would agree.

  • 2
    sallyrnrrt and brownbook like this.

    Quote from Been there,done that
    Search the insurance industry. I ended up working from home for 6 figures.
    where did you search for those jobs?

  • 11
    psu_213, TriciaJ, saskrn, and 8 others like this.

    Of course there is commercially prepared .45 NS. I've hung it several times. That and .45NS with D5

  • 2
    sevensonnets and vanilla bean like this.

    May I ask the reason you are asking this question? Is this for homework? Or is this for you to apply dressing to a loved one?

  • 1
    sevensonnets likes this.

    Quote from aquababee
    What kinds of dressing supplies are used for non-purulent and purulent cellulitis?
    What was ordered?

  • 0

    This is true for ANYONE. Find out how to access the policy and procedures manual and use it. Do not assume that if your preceptor tells you it's okay it is okay. (or the MD or anyone else for that matter).

    If you have a conflict with your preceptor, talk to that person first. And if you can't resolve it, ask for a new preceptor.

  • 5

    OP do you have short term disability insurance through work? If you do, find out when it kicks in, what you need to do to qualify for payments and file for FMLA now. (My husband had to be out for 2 weeks before his disability kicked in, but only if he filed FML). You should be able to get this info from HR

  • 2
    mso819 and Davey Do like this.

    Parts of SC still hire ADN's and I'm not talking about rural areas. I know that the two teaching hospitals in upstate SC are hiring ADN's. They are having to use travelers to fill the gaps. And there are 3 BSN programs in the upstate. You might need to relocate, or get a job outside of a hospital but you definitely can get a job with an ADN.

  • 0

    Have you thought about getting your ADN then going on to get your BSN? Do they hire ADN's in your area.

    You need to look around for another school. Best of luck

  • 2
    Julius Seizure and brownbook like this.

    Quote from Chevy2783
    Yes, I have one of those and they are easy to come by. I prefer the light blue one made by tubex. I was just curious to see if anyone knew where I could get one or had one by chance.
    Check out Ebay. A coworker of mine got his tubex on Ebay. It might take a while before someone lists it but you might be able to find it

  • 2
    brownbook and Kitiger like this.

    Quote from Wuzzie
    RSV and Mycoplasma pneumonia. AT THE SAME TIME! They wanted to intubated me but I refused.
    Wow, glad you recovered. And I completely understand why you wouldn't want to be intubated. It's not exactly high on my list of priorities. Fortunately, BiPap has helped me!

    I might have gotten mycoplasma pneumonia from a patient I cared for. we weren't aware that she had pneumonia so she wasn't on precautions. I got sick not long after that.

    I recently got the flu from a resident in LTC when I went to visit one of my hospice patients. The only exposure I had and a few days later, I got sick.

    I also got the flu from an RT, who was hacking up a lung when she gave me my breathing treatment. Found out a couple of days later she had the flu. And of course, I got sick. (I was in the hospital for asthma exacerbation)

  • 1
    DextersDisciple likes this.

    Quote from Sunnysideup1
    good thing i didnt do anything wrong since it was open book. thanks for you input
    And how sure would you be that we gave you the right answer? You'd be better of phoning a friend. A lot of us on this board do not like doing students homework for them (And yes, that does include a quiz)

  • 3
  • 18
    not.done.yet, TriciaJ, Kayauhs, and 15 others like this.

    I have asthma and there are only 2 scents that don't trigger my asthma: lavender if very diluted and rosemary. All the rest make my airways twitchy (sadly, even peppermint oil, which is great for masking c-diff smell). Honestly, they are just asking for trouble.

    I have had so many people offer me their special blend of oils to help with my asthma, and a few have gotten downright defensive when I have explained that most really bother me. It's amazing that people get so cranky when you say no.