Latest Comments by mercurysmom

mercurysmom, RN 6,545 Views

Joined Jul 25, '11 - from 'New England'. mercurysmom is a Disabilities Advocate; Consultant. She has '27' year(s) of experience and specializes in 'Early Intervention, Nsg. Education'. Posts: 165 (72% Liked) Likes: 548

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  • 1

    On the same subject, albeit obliquely...

    I am disabled and receive PCA care. In 2019 all PCAs and clients will be tracked, purportedly just while clocking in and clocking out. That part is absolutely fine with me, since the fiscal intermediary screws up the time sheets more than they get them right. By all means, please clock in and out on my home PC. However, Medicaid wants the PCAs to agree to GPS tracking via their personal cell phones. Nope. Nope nope nope. If I need my PCAs to agree to be tracked by Medicaid on their own phones (rather than MY phone or MY home PC) I'm going to have a hard time finding care providers. On top of that, I don't get cell reception in my house, so if they're going by cell phone GPS, no one will be providing care unless we leave the house!

    I'm all for accountability, and I think my PCAs will actually benefit because the billing won't be my word against the fiscal intermediary's. VNAs have tablets that are tracked for time and GPS. But to have a mandatory tracking app placed on someone's personal phone...or to go a heck of a lot further and have physically implantable tracking devices? That's overshooting the mark to say the least! Insane!

    mercurysmom

  • 4
    Nurse Leigh, ruby_jane, BeckyESRN, and 1 other like this.

    My kid was drawn to the nurse's office like a moth to a flame. He received meds every day and also had snacks available (metabolic disorder). He never faked actual illness, fortunately, since that usually ended with stuff that he avoided at all costs. Boredom often became hunger, so he needed to take a leisurely trip down to her office. Math made him particularly hungry. When we amended his IHCP, we sent cans of Pediasure to the math classroom, and he could only go to the nurse's office if he had anything going on besides hunger/thirst. His visits dropped by more than 50%. Imagine that!

    So Hubby and I are [I]those parents [I] who worked with the school to keep his butt in his seat and cut down the social visits. :-D Meanies!!!

    mm

  • 3
    bluegeegoo2, Kitiger, and elkpark like this.

    In homcare? I wouldn't chance it. The first time anything lands on a wet surface and a spot goes through the page onto someone's kitchen table...

    There are so many quirky aspects to home care (visiting nurse or private duty) that could end up with your supervisor calling you in to discuss some inconscionable act that the client/parent complained about, like...oh, I don't know, using more than 4 squares of toilet paper during your 12 hour shift, mixing formula at 4:59 instead of 5:00PM on the dot, re-dressing a child in pants that didn't come with the shirt because the pants got wet but the shirt is still clean, getting a microscopic spot of betadine on a disposable chux after straight cathing...

    The super duper important and life-threatening stuff. Obviously. ;-)

    Why add even a theoretical catastrophe to the list if you don't have to?

    mm

  • 0

    Three in 27 years.
    2 for narcotic diversion, one for stealing from a patient. A LOT. Repeatedly.
    I also know a sweet woman who used to work in LTC that clearly had mild dementia who was "encouraged to retire." She still came by once a week and read the newspaper to residents. The management at the LTC handled the situation beautifully. This was in 2005, and I doubt everything would turn out as well as it did. She was a warm body and held a current license, so there you go! Scary!

    mm

  • 1
    Not_A_Hat_Person likes this.

    I'm one of those people who need to stop and think when I encounter < or >. I was consistently hopelessly confused by then in elementary school. In desperation, perhaps, my second grade teacher taught me to think "Arrow points to the smaller number." Light bulb moment!

    Now I'm working in Adult Basic Ed and initially I teach the words for the symbols separate from the equation. Most of the adult students I've encountered completely missed the concept if they were expected to learn it in grade school.

    I love love love the idea of writing out "systolic BP less than 120" rather than SBP<120. Kind of like the old orders for APAP gr X q4h.

  • 1
    KatieConnolly likes this.

    My son had a similar experience. He took ASL1 and didn't study or do the work. His lack of effort earned him an F. (I'm Deaf and we sign at home, so he really had to work hard to fail that class!) We now refer to it as his "therapeutic F." Honestly, it was the best thing that could have happened to him. He retook the class on his own dime and earned an A. All of that "you're responsible for your own education" lecturing that went in one ear and out the other finally stuck! He'll be earning an AS in Computer Engineering after the Fall 2018 semester and plans to transfer to one of the big geeky schools full of students just like him.

    Your path to a nursing degree is nowhere near over. In fact, I'd say that you're much closer than you were before you had that "therapeutic F" semester. Consider it a learning experience, retake the classes, and move forward.

    mm

  • 4
    Here.I.Stand, OrganizedChaos, llg, and 1 other like this.

    Quote from Asystole RN
    I know a nurse who was licensed at 18, as in she graduated BEFORE she turned 18.
    This was me. I entered a hospital-based LPN program at 16 and proceeded to have the stuffing knocked out of me. I grew up...FAST. I graduated at 17 and sat for my boards the day after my 18th birthday. If my birthday had been even a day later, I would've been forced to wait the 4 or 6 months until state boards were held again. Yes, this was in the 80's, which makes me a COB.

    My first job was on a Med-Surg floor of the hospital that offered the LPN program. I wanted to work 3rd shift as a GPN, but couldn't, as I needed a work permit. Yes, I was embarrassed.

    I went right into an ADN program immediately after I finished the LPN program in July. My birthday is at the end of September, which means I was 17 for the first few weeks of the ADN program. I vaguely remember discussing it with my first CI, and I think I was able to start clinicals because I had already graduated from the PN program. If I hadn't passed my boards on the first try, however, I think I would've been jettisoned from the ADN program pretty quickly.

    If I had the opportunity to start over, I probably would have taken more courses at a community college, perhaps studied abroad for a semester, or any one of the exciting things that I could have done in those "pre-mortgage/relationship/marriage/kids/life/etc" years. I don't regret going into Nursing, but I do wish that I hadn't been so gosh darned impatient.

    My son is in a similar situation, as he participated in a dual enrollment program at the community college where I currently teach. Starting in his sophomore year in HS, he took college level courses and received both HS and college credits. He graduated from HS in June 2016, and had enough college credits to transfer to an Engineering program...if he wanted. Instead, we've encouraged him to take courses that "sounded neat" as well as pursuing anything that he had ever thought to himself, "I wonder what it would be like to..." He took an introductory piano class...and quickly learned that he's better suited as a music aficionado rather than a musician. He took an ASL class and earned himself a "therapeutic F" by ignoring the syllabus, and replaced the F with an A by repeating the course (paid 100% out of his own pocket, too.) This semester, he's taking a heavy math and science course load, as well as a fencing class. I'm doing my best to encourage him, but inwardly cringing as well. All of these experiences are helping him develop skills and insight that are setting him up to be a much more successful, well-rounded Engineering student.

    I understand your daughter's desire to forge ahead and finish college as quickly as possible. I felt the same way. However, she has opportunities available to her that are quite unique, given her age. My suggestion would be to choose some situations she had never imagined experiencing...and experience them. She has the time to take classes for the sake of satisfying her curiosity, trying something entirely new, without worrying about completing a degree on a strict timeline. (I agree, however, that she needs to be aware of any financial aid limits, and consider taking courses through a community college or utilizing private scholarships.)

    Good luck to her!

    Mercury's Mom

  • 14
    oldpsychnurse, kalycat, RN35years, and 11 others like this.

    Fire retardant bibs for smokers.

    The way the test tube would heat up after you put in the clinitest tablet to check sugar in urine. Not really something one should multitask...I don't know how many test tube I dropped and broke because I held it too close to the bottom.

    Cleaning inner cannulas of Jackson trachs. Brush and bowls were from sterile supply closet and H2O2 and sterile water came in big jugs.

    Harris drips for post-op gas relief

    milk and Molasses enemas...and the smell going in vs coming out (gag)

    Being reprimanded for wearing gloves while bathing a newborn because "What will the mother think if you see her baby as "dirty" and refuse to touch it?"

    "Pouring meds". The med room had communal bottles of pretty much every tablet and meds were prepared in soufflé cups nested into a green tray with holes. The med cards for each patient went into a slot above each corresponding cup. Pray like heck that the patient didn't ask what meds they were getting and what each one was for. And heaven help you if you slip and fall while carrying the tray!

    mm

  • 0

    Quote from Eschell2971
    First, take a deep breath! What you're describing has been experienced by 99.99% of all nurses who have SUCCESSFULLY graduated nursing school AND passed their NCLEX. There is hope.

    Here are a few tips, strategies, and constructive feedback I learned and/or received during nursing school:

    1. STOP second guessing yourself-usually, as a test strategy, your first answer is the right one

    2. There is a Nurse educator on youtube.com, Megan McClintock, who hosts a series of videos on test strategies and common mistakes nursing students make on exams. THIS IS A MUST SEE. I found it on my own, after I failed one of my nursing exams in school. Here is the link: Test Taking Tips for Nursing Students - YouTube

    3. Learn how you learn best. Maybe you're an auditory or kinesthetic learner, but, you have to sit through lecture. So, as part of your study time, DO or LISTEN to a different nursing source on the same subject. Another valuable resource I found on youtube was like a lifeline: Michael Linares
    - YouTube


    4. Study with a partner or small group (no more than 4). The best way to learn a subject is to teach it!

    5. I was VP of my nursing school class and I did not have the absolute best grades. Grades flucuate and can be improved. But, when taken in context with your whole persona, character, etc, your classmates and advisors need to know you are trustworthy, safe, and confident to be able to help them with the needs of your class. I caution you to NOT take on a role if you are not organized, disciplined, and if you truly don't have the time to spare, while still maintaining and accomplishing your own goals, needs, and responsibilities.

    6. Also, get some nursing study books, with lots of practice questions. I always saw my grades improve when I practiced questions as I was studying (even in a group), and as part of my final study before an exam.

    So, calm down; refocus; restrategize. You can do it!

    Let us know how you're doing in the future.
    LOVE these suggestions!

    The other suggestion I would add is to set up a situation that requires you to "teach" the information. In order to teach a concept and explain how it relates to other concepts, the information must be firmly entrenched in long-term memory and connected with previously learned concepts. It simply can't really be done without accessing Bloom's higher order thinking skills. Teaching strategies could be accomplished by joining a study group and have each member dive deep into a specific topic while all of you study the outlines on your own, pairing up with a classmate who has trouble connecting the concepts learned in each chapter and combine them to form a realistic profile of a patient, or anyone else who will listen. (My kids were excellent listeners when they were infants. Now that they're grown, my dog has very patiently listened to my semi-private lectures about learning theory and second language acquisition...or perhaps he's too polite to tell me to stop. Ha!).

    The other great thing about teaching the concepts is the opportunity to respond to questions and comments coming from different perspectives. In my experience, nurses think like nurses and answer questions like nurses. By including a non-nurse in your studies, you automatically need to frame the concept in a different, non-nurse perspective, which gives your own brain a chance to access additional schematic in your long term memory. The trickiest part is to find a willing victim...I mean surrogate student...I mean...aw heck, that's why babies and dogs make such great team members!

  • 1
    HouTx likes this.

    Some community colleges allow students to retake a class to earn a higher grade. The previous attempt stays on the transcript, but the grade of the retake is the one counted in the GPA. This can only be done once per class.

    I earned my ADN in 2 years, but this was 27 years ago (and I had already completed a hospital LPN school.) in order to keep up with the work and graduate on time, I took as many CLEP exams as I could, and I took the few courses that I couldn't CLEP and might impact my GPA at a different CC and transferred the credits to my RN program.

    Here's the link to info about CLEP exams: CLEP - College Level Examination Program (CLEP) -Save Time. Save Money. Take CLEP | College Board CLEP Site
    Here's the link to DSST, another exam program similar to CLEP but focuses more on business classes, which aren't as easy to apply except as electives, or could help if you're eventually hoping to get into the business end of nursing: http://getcollegecredit.com/assets/p..._Exam_List.pdf

    Before taking CLEP exams, check with your college to see if they award credits for completed exams or if they only count them as exemptions, without credits awarded. In addition, the exams are pass/fail, so if it's a course that you know will boost your GPA you'd probably be better off taking it online or at a brick-and-mortar college.

    Many online businesses offer "prep courses" for CLEP exams, which seems like it kinda defeats the purpose of taking the exams, which is to save money and time. (CLEP exams cost $80 for a 3 to 4 credit course.). If you feel like you need a quick review of the subject before the exam, check open courseware to find a free review. If you're learning entirely new material, then the CLEP exam isn't the way to go.

    Good luck! [emoji4]

  • 1
    JustBeachyNurse likes this.

    Quote from JustBeachyNurse
    That will mean nothing to the IRS. Is this online coursework? Exclusive use can mean your family cannot use the computer. No watching movies unrelated to school. The teacher can say what they want but it will have no baring on the determination as to whether you can utilize a portion of the cost in your itemized deductions. It's not a credit so most students it's irrelevant. It's not a write off bit potentially part of the cost may be included in itemized deductions of your itemized deductions exceed the standard deduction.
    The teacher is not with you 24/7 to ensure you only use the device for school activities.

    Are you taking online classes?
    Just Beachy is right: "exclusive use" means that in the most restrictive sense. Here's an example...

    I have an iPad and a laptop that are strictly for work. (I'm a lecturer and professional tutor.). The laptop is only used by my C-Print Captionist. The only things on the laptop are the C-Print program, my antivirus software, and Google. Google is only used to access email, so that my Captionist can send me a copy of the C-Print transcript after the lecture. The only files stored on it are transcripts and materials/PPT's I use with different lectures. Period. My Captionist doesn't use the laptop to check her email or Facebook page. That's all, folks.

    In addition, I have a dedicated iPad that only contains apps that I use when I'm teaching and/or tutoring. Since I teach in ASL, I end up making videos about core concepts. I use the Collaaj app for that, and then I post them on Blendspace. I also have my account from my dept's Dropbox on the iPad. Other than that, it's just educational apps, student portfolios, ASL dictionaries, and a Videophone app.

    Some of my work is done as a self-employed consultant, so you better believe that the IRS checks up on my deductions. I've never had a problem claiming devices as business expenses. However, I have duplicate devices for personal use. Given Murphy's law and all, if I checked Facebook only once from a business-only device, that's when I'd be asked to provide the laptop and iPad for an audit! [emoji33]

    In other words, unless you have an identical device for personal use and don't let anyone use your school iPad/laptop for anything, even to google a Pizza Hut menu. It just isn't worth the potential trouble.


    mm[emoji252]

  • 13
    betabob, canoehead, LadyFree28, and 10 others like this.

    Quote from BuckyBadgerRN
    I was going to guess that you are very young, and then saw in your tag line that you're 18. This isn't high school anymore. We're talking about your future CAREER here. You need to worry about YOU and if your friend can't understand that, then she's no friend. This is a great time to grow a spine and just tell her that you have to focus on your studies and don't really have the time to help her with hers. If she feels she has ADD, she needs to take it upon herself to be evaluated. Do not let her guilt you into doing for her what she needs to do for herself
    This. I agree 100%.

    As for your family members who are giving you a hard time for "not helping her in her time of need," her time of need was the first day of class! She had several options available to her, but she *chose* not to pursue them.

    This is not her time of need. It is her time of desperation. A couple tutoring sessions will not radically change the trajectory that SHE established, all by herself, on the first day of class.

  • 1
    klm4446 likes this.

    The Oley Foundation has some really nice info regarding Home Enteral Nutrition. Checking HEN (Tube Feeding) - Oley Foundation would be a great place to start.

    You can find lots of great info about the Entralite Infinity pump here: Education Materials - Feeding Tube Awareness Foundation

    The rest of the website is full of great info, as well.

    Good luck! [emoji4]

    Mercury's Mom

  • 3
    ICUman, Wuzzie, and sapphire18 like this.

    Quote from nurse2be13
    A PICC line is NOT a central line.
    Um...really? A PICC line is a Peripherally Inserted Central Catheter. You might want to check your facts.

    Lippincott NursingCenter

  • 4
    Debilpn23, kbrn2002, Christy1019, and 1 other like this.

    When my sisters and I were young, my Mom worked nights at a little nursing home/rest home type facility. Our babysitter usually went on vacation for a few weeks in the summer, and we spent the night sleeping in the back of our huge green station wagon. The patients knew the three of us kids, and the cook used to make us breakfast around 6:00. (This was in the late 70s/early 80s, and no one complained or thought it was odd.) Until one morning...

    Do you remember Figment, the purple dragon from the old Imagination ride at Epcot center? My grandparents had just come back from a trip to Florida to see the brand new park, and brought back a hat for my 6 year old sister. Purple hat with huge googly eyes and yellow horns. She was wrapped up in a patchwork quilt, with the hat perched on top of her head. My Mom noticed a lol with a very puzzled expression on her face, and asked "What's wrong, Mabel?" Mabel took a few more seconds to stare at my sister, drew in a deep breath, and said...

    "I don't know what kind of animal that is, but it's eating a kid!" [emoji33][emoji33][emoji33]


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