Biggirl71

Biggirl71 specializes in Med/Surg/Tele, Neuro, IMU.

Latest Activity

1. Does a pressure ulcer = incident report???

   Biggirl71 replied to optimist's topic in Geriatric

   Incident reports are important because they allow for trending of issues. So, if your patient is discovered to have something new; wound, abrasion, skin tear, etc. document it on an incident report. By doing so, you may enable the facility to purch...

2. Husband Worried

   Biggirl71 replied to kittypie's topic in Home Health

   I am a home health nurse and I work in and around Houston. I am here to tell you that I bring my husband with me on calls that are located in parts of town that I am uncomfortable in. I have arrived at some homes to be greeted by what appear to be ...

3. While you're at it...can you clean my poop too?

   Biggirl71 replied to Miller86's topic in General Nursing

   I use reverse psychology on patients over a certain age. I say to them, "Who is going to do these things for you when you are discharged home?" When they can't answer the question, I say to them, "We better start practicing these things now because...

4. Charge Nursing in Acute Care Settings

   Biggirl71 replied to MomRN0913's topic in General Nursing

   I see the charge nurse as a resource not an extra person to do the work for all of those in her charge. The truth is, as nurses, we should be autonomous but also know when to ask questions. I would not expect my charge nurse to do something for me ...

5. Associates vs Bachelors Degree

   Biggirl71 replied to ysin's topic in ADN/BSN

   Everything that I am reading these days is leaning toward the BSN as entry level for RN's. Because of the wicked nursing shortage (right now ~100,000) and the expected increase (~800,000) over the next decade, hospitals will demand that the RN's be ...

6. Now, if ALL places were run like this...tell me what you think!

   Biggirl71 replied to AngelfireRN's topic in General Nursing

   I just hope for the sake of the physician that those patients who are chemically addicted get his referral to the appropriate drug treatment facility because the first line of the Hippocratic Oath is. . ."First do no harm. . ." I full-on agree with ...

7. Gonna get stuck?

   Biggirl71 replied to marinka18's topic in New Nurse

   Who knows, you may fall in love with your new position and not want to leave. . .just a thought.

8. No Narc count????

   Biggirl71 replied to ennylyecats's topic in General Nursing

   I would also like to add that anyone who practices above board would not have issue with counting. . .it just makes me wonder about these nurses. . .

9. No Narc count????

   Biggirl71 replied to ennylyecats's topic in General Nursing

   I would stick to your guns and training on this one. Count, each and every time you take responsibility for the cart. Who cares what everyone thinks of you. The truth is, you're there to make a living not friends! I agree that it is illegal and a...

10. dealing with difficult students

    Biggirl71 replied to bsyrn's topic in Educators

    I am speaking to you as a nurse, not an instructor. I have a vivid memory of the first few days of class where the instructors talked heavily about "accountability." That lesson has resonated with me for 13 years! The instructors spoke about nurse...

11. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    I work for a home health agency in The Woodlands and a LOT of the referrals we get are for one-time assessments for insurance companies. The assessments are MMSE's for claims on long-term insurance policies. The other large part of our work is for ...

12. BP: how high is too high (at 2am)? i.e., when will Pt stroke out?

    Biggirl71 replied to allthesmallthings's topic in General Nursing

    The thing that jumped out at me was the hx of ETOH. Usually, the patient will tell you they have a "couple drinks" and that generally means many more! I would be concerned that the b/p is going up day by day because the patient is NOT drinking. Th...

13. HELP! They are investigating my license :(

    Biggirl71 replied to abigl's topic in Recovery

    First things first. Arizona is a "right-to-work state." This means that an employer can fire you for any reason and without union protection, you are at their mercy. If there is an Accudose or Pyxis machine dispensing the drugs, they can run a rep...

14. Lip care for patient on oxygen

    Biggirl71 replied to MissIt's topic in Hospice

    Correct. Water-based is the way to go.

15. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    OK, I am employed part-time with a Home Health Agency in Texas and I am considered the Alternate Administrator (on paper). The very little I know is as follows: 1. You can design your own forms with your logo at the top. You can use Word to get ...