Latest Comments by ClearBlueOctoberSky

ClearBlueOctoberSky, LPN 7,492 Views

Joined: Dec 1, '11; Posts: 393 (60% Liked) ; Likes: 885

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  • 0

    Quote from That Guy
    Kansas. Seriously. The NCKTC program there is fantastic, most of it is online.
    Is this the one through Hutch CC, or a different one?

  • 1
    ~Mi Vida Loca~RN likes this.

    Quote from Emergent
    I would never in a million years criticize a patient or family member for their personal hygiene. Believe me, working in the ER I'm exposed to some very ripe folk.

    If people don't know about bathing and deodorant by now, they are extremely socially challenged. There are ads on TV up the yin-yang. My kids became shower obsessed in middle school without any prompting from me, social pressure was totally sufficient.

    You made a serious faux-pas there. If you were a school nurse helping a clueless student, that would be a different story.
    In Skilled Rehab and in long term care, if State inspectors come in, smell offensive odors, or notice a Resident that has bad body odor, the facility could be tagged on dignity and in providing adequate care to the Resident. I've known some who try to slap a neglect tag on as well. Unless the you have adequate documentation and multiple care plans and interventions put in place to show that the "problem" is being addressed.

    OP: I don't think you did anything wrong, and I think suspension is a little extreme for the situation. I would certainly watch my step with that particular family from now on, and make sure I have a two-person approach when I go in there, either with another Nurse or with my CNA. I would also think about asking for a rationale on why you were suspended, rather than "re-educated", unless there is some other things that are going on that you are not fully aware of.

  • 0

    I currently work LTC/Memory Care. I get told "I love you" all the time, in which I reply "Aw. I love you too." There is no feeling behind the sentiment, it is a validation statement made for that resident.

    I also get kissed...usually after I have been slapped and have told the resident not to hit me. *sigh*

    No love, no respect. (that was said with sarcasm, for those wondering.)

  • 4
    Pricker, Kooky Korky, Nurse Beth, and 1 other like this.

    Paying for Medicare! Yes. My mom has Tricare, and is still required to carry Medicare B, which I pay for to the tune of over 400 for three months. I also struggle with the Dr/patient relationships for her appointments.

    If we see her regular NP, it is not a problem: we communicate great. IF she sees one of the multiple "specialists" that she needs to be referred to, the ball is in the air. The last appointment was due to concerns regarding her oxygen, memory loss at altitude due to lack of oxygen, and so on. We were told (because she is on Lasix) that her breathing issues were due to CHF, and I need to cut back on salt while cooking, she needs to cut back on her pain medication, and she needs to exercise more (can only walk short, and I mean short! distances without becoming dyspneic).

    If I tell them I am a LPN and retired Paramedic, I get dismissed. If I don't say anything, I get treated like I'm stupid. What's a caregiver to do? Except become more assertive, and develop their own plan of care with the blessing of the NP who is able to think outside of the box.

  • 0

    I work in our secured neighborhood for Dementia, and we don't report every RTRA. For it to be reportable, the Resident has to demonstrate understanding of the incident and there has to be significant injury. I'm in Colorado, so even though our standards have tightened up in the last few years, it is probably different than where you are.

  • 5

    Quote from OrganizedChaos
    Why would I slack off? I'm not, I'm trying to get ahead because I have a kid this go around. Just because I'm trying to get ahead on my assignments doesn't mean I'm doing them half asked.
    Like I stated, I have a son this time. So I can't take my time like I could pre-baby. Yes my son is daycare but if he gets sick (or today he was teething) & I have to pick him up early, I have no one else to watch him. So there goes my day & I can't do any more work.

    But this post explains that one.

    When you have kids & go to school, working ahead is in your best interest.
    I'm sorry you misconstrued the true meaning of my post, and I wasn't very clear with that, and offended you.

    I understand about trying to keep ahead. Although I don't have children, I do care for an ailing parent at home, on my own. Last semester, when I took A&P 1, I was also working 60 hours a week as a nurse manager. I am much happier this semester to be only working 32 hours, back on the floor.

    Again, I'm sorry I offended you, that wasn't my intention.

    Keep up the good work.

  • 1
    vintagemother likes this.

    I love Melba toast. It is actually very light and crisp. Yummy with Jalapeno jam and cream cheese!

  • 0

    Quote from OrganizedChaos
    I know. I just hope she didn't think because I've taken A&P before I'm an A&P expert & to a different level than everyone else taking the class. I just wanted to get ahead now because I have a son & today he had to come home early from daycare. Days like that I won't be able to get as much or any work done.
    Don't slack on the re-take. I did that last semester with A&P 1. In the end I pulled it together, but still...it's my bad thinking that since it is my umpteenth time taking A&P, it would be my easiest class. I'm such a dunce.

  • 1
    nurseactivist likes this.

    Quote from vintagemother
    Zwieback crackers are very yummy! Like a thick graham cracker!! Yes, I used to eat my daughter's zwieback crackers!
    Thank you. I don't have children, and now I might have to go buy some to try.

  • 3

    I think I'm in withdrawal from working.

    Going from working 50 to 60 hours a week as a Nurse manager back to part-time floor nurse has left me feeling discombobulated and feeling I don't know what to do with the extra time off. I'll be glad when school starts up next week.

    I love olives, btw. A nice salty bite.

  • 10

    Yeah, that happens sometimes. I wouldn't feel bad, for it isn't a TERRIBLE mistake. The nurse probable should have asked what you needed it for, and then dolloped some out into a medicine cup, or given you the individual packets.

    My concern is that using Vasoline with oxygen could cause burning or irritation, because it truly is a petroleum product, which can interact with direct flow oxygen.

    I think the Nurse overreacted, and shouldn't have spoken to you like that. It was rude, condescending, and inappropriate, and uncalled for.

  • 1
    ReadyToListen likes this.

    Quote from blondy2061h
    Or cleaning up spilled juice with peri wipes.
    The ones we have are actually quite absorbent. I keep a clean package at my cart for cleaning Resident hands and faces. The other day, one of my Residents spilled her Prune juice and I grabbed a handful to clean up with. It beat making five trips back and forth for the useless paper towels we have.

  • 8

    Quote from Emergent
    There are canes with hidden sabers in them, maybe they want it as a weapon.
    You don't need a saber for it to hurt. I've been on the receiving end one too many times. I also learned, as a Paramedic, not to hang my stethoscope around my neck when I am bending over a angry, confused patient.

  • 2
    nrsang97 and nursel56 like this.

    This isn't as colorful, and one of my pet peeves. Watching people on the street pick up their walker/cane and walk. Ugh. If you are able to do that, you don't need the darn thing.

  • 1
    SHGR likes this.

    Ixchel,
    There are those of use who try very, very hard to NOT send out our Dementia patients; because of everything you mentioned. It is heartbreaking to be suspected of abuse because your Dementia patient who fell and has a knot on their forehead is scared and frightened and away from the ones that they recognize and is really combative. It is also heartbreaking when you get the same patient back who, you now have to detox off all the ativan and haldol and seroquel and zyprexa that was used to control said combative behaviors; medications that they were never on in the first place.

    What I have learned this week? It's hard when your nursing style is so different than my counterpart. It is difficult/embarrassing to hear "thank you, because "The Other Nurse" never does this".

    I have also learned, that while difficult on the budget, going part-time in prep to finish pre-reqs for my bridge program was the best decision I have made.


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