ktwlpn 21,770 Views
Joined Aug 17, '00.
Posts: 4,686 (32% Liked)
BOur policy and procedure states all are pulled.A central line is not the type of access used in embalming.They use giant trocars,as big as my thumb
I started a job as the DOC at an assisted living facility and I am trying to get my CNA's to start charting (they only have been writing in a communication book little notes to each other but nothing on legal documents). I just need help or advice on the best way to teach them how to write progress notes since none of them have any experience charting!
The patient had become unable to communicate due to a catastrophic event. She had become deeply depressed because family abandoned her and since she was visiting from out of state, she had no coverage. She was left at a 'personal care home' to be taken care of by a family. It was church volunteers who took the initiative, applied for medicare/medicaid, asked hubby to authorize taking her to the hospital, stayed at the hospital with her 24/7.
A very tiny piece will dissolve on the tongue.If a host falls or is not consumed they take it back to the church and bury them after saying a certain prayer.....You can BUY wafers on Amazon.If you are in the mood for a laugh check it out and read the comments people have made.
It's taken me close to thirty years to learn to shut my mouth and listen to the message.It's a hard but valuable lesson to learn.Good Luck.
Update: I wrote the original post on April 28. Today is June 11.
The patient is alive and well today. We had to hatch an elaborate plot to extricate her from the 'care home' she was dumped into by her family and left by hospice to die.
She had cared for her 4 kids and hubby till she herself became disabled. The moment she became disabled herself, everybody dumped her.
Suffices to say, when she arrived at the hospital they said her kidneys were shutting down. After two days of hydration kidneys started producing urine, she is tolerating tube feeds after a bowel program was initiated. She was transferred to an LTACH, from where she would be sent to a nursing home.
OK this is long post, and we all have been going on and on about this lol... Basically everyone has their own opinion, and they are all valid. We aren't always going to agree with each other, but cutting one patients pubes (with a purpose) isn't going to get someone fired or their license taken away....[/QUOTE]
Tell that to the two CNA's I know who were fired for that.And I know another who cut a woman's filthy ,matted hair in the hospital and was fired and still another who shaved an Amish man's beard who also lost her job.....
I'm back ktwlpn, thanks for waiting! About thirty minutes ago before my computer died, I promise you I wrote out the longest reply in reference to your statements about the difference between a nurse and tech in regards to respecting patients cultural and religious preferences. lmaooo But fortunately for you my computer did die so the world will never know how ignorant I think your comments are. I suggest you do a little research to find out how much education Certified nursing assistants receive about topics such as ethics, cultural, and religious preferences before you make a silly assumptions. No one is Holding a patient down with out their consent to give them a Brazilian wax - at least not me. For a incontinent patient I think it is a good idea to trim pubic hair so I can clean them properly instead of the hair holding a strong odor or a poop ball being lost amongst the madness. If I'm starting an iv I prefer not to stick someone aimlessly because thick corse hair on their arms. If the patient does not want me to do it I wont do it. Thank you for your patience in waiting for my response! I hope I have answered all of your questions, if not I know you know where the reply button is.
I stay away from pubes,lol.[/QUOTE]
Words to live by.....Still waiting for the OP to acknowledge she has read the responses.Want to hear her opinion on cultural,generational hygiene practices....
Yes,worth the investment.Take the online practice exam as well(it was not free,but worth it)
As a CPHLN I find it all really interesting.I always try to personalize my tips to make them more interesting to the staff.
Why "cutesy"it up? Never have been a fan of that.It's a pretty important specialty and should be treated with gravity,IMHO. monthly palliative care tips?
Pages and pages on pubes. Seriously? Wow
In defense of "visitors" who I prefer to call care partners, they often do not understand acronyms. NPO except Ice needs to be interpreted for them saying DO NOT GIVE HIM/HER anything except ICE! Also, post written instructions on the PCA medication. Never assume that they know these things just because you do and don't question their intelligence because they don't know "nursely" things.
Every patient needs a trusted advocate by their side while they are in the hospital, but they do not need droves of visitors including tiny babies and toddlers, who will exhaust them and disrupt everything. The designated advocate can be the note taker or the recorder of doctor visits, keeping a list of medications, special instructions, etc. Then they can relay pertinent information to the rest of the family/guests as appropriate.
There is a way to work out all of these things, and communication is the first step in all of it.
As a friend it's not your job to educate-you risk losing that friendship.Your job is to provide emotional support and encourage them to seek and accept support and education from appropriate sources .I have worked with many families who tried to strictly control and aggressively manage their demented parent's health.Do you know how many regretted those decisions in the end? When confronted by the horror show of the end stage of the disease they realized what they had done.That's why support from groups like t he Alzheimer's association is so important-it helps to talk to people who have walked the path before you.
Talk, Discuss, and Share your experience at your favorite Nursing School.
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