sis14rn

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1. Providing fluids to patients

   sis14rn replied to ods2002's topic in Geriatric

   One way I have used in the past is to get others involved. If there is an activity going on, encourage fluids then. If residents are in therapy, make sure therapists offer fluids.

2. Have you ever gone in to find a patient dead? What happened?

   sis14rn replied to DutchgirlRN's topic in General Nursing

   I had a patient that was getting a 12-lead EKG, I left the room while the tech did the test, came back in while he was unhooking the patient. i was looking at the strips when i noticed that all I was reading was pacer spikes. I then looked up at the...

3. I'm sorry, but some nursing diagnoses are just ridiculous!

   sis14rn replied to klone's topic in General Students

   Yeah, I went to nursing school way back when and learned all kinds of nursing diagnosis. Then I graduated, went out into the real world and realized what nursing is all about. When you're in this business long enough, you know the way things are, how...

4. Share Your Funniest Patient Stories...

   sis14rn replied to Trvln Nurse's topic in Humor

   I was working on an acute rehab unit with SCI patients. Most patients were on a "bowel program" which involved giving a routine dulcolax supp. My patient wanted his while he was sitting up on the shower chair. so, here I am, crawling on the floor to...

5. CPR after rigor mortis

   sis14rn replied to HealinghandsRN's topic in Geriatric

   In a LTC facility I worked in, I received an order for a Resident to have an EKG done. The tech came and began doing the EKG, I left the room. I came back a little later and the tech gave me reading. I'm looking at this reading, the tech is removing...

6. diet consistency

   sis14rn posted a topic in Geriatric

   I'm ready to pull my hair out! I'm the nurse manager in a 108 bed SNF. In July, we had noticed nurses giving liquid nutritional supplements to Residents that should be on thickened liquids. Boy did this open a can of worms! We are now starting an Adv...

7. opinions on in-services

   sis14rn replied to zuchRN's topic in Geriatric

   Sometimes, depending on the subject matter, I play games. I have done infection control jeopardy. Getting the inservice to be more interactive helps I think.

8. Tube feeders-vomiting,diarrhea,aspiration

   sis14rn replied to Blackcat99's topic in Geriatric

   Are your tube feeders dumping? I think you need to get your dietitian involved, maybe it's the feeding. How are the nurses giving meds via the tube? Is it drug interaction? Are you keeping the HOB up? Putting them on ABX could be increasing your ...

9. standards of practice

   sis14rn posted a topic in Geriatric

   I'm currently reviewing some of our policies. Some basic nursing skills are being reviewed and I am finding discrepancies between nurses. for example. Our current policy on IM administration does not say anything about limiting the amount of med in...

10. Medicare Charting guidelines

    sis14rn replied to dimpsogre's topic in Geriatric

    I am the nurse manager for a SNF. Your Medicare charting can be dependent on your FI and their guidelines. Essentially your Medicare A & B charting must reflect what dx you are skilling the Resident under. If they are in for a fx hip, you need...