mama2

mama2

Ambulatory Care/Community Health

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About mama2

mama2 specializes in Ambulatory Care/Community Health.


Latest Activity

  1. I wish I could "turn it off"... that's part of my problem. I've been a nurse for 2 years now. Please tell me it will get better and that I will eventually feel more confident!
  2. I know that we all make mistakes and that we are all human, but sometimes I am so hard on myself and let my confidence get so low that I start wondering if I should be a nurse at all. I love nursing. I love what I do. But, in the same breath, nursing...
  3. Coumadin

    obviously there is more to our protocol than I can write about here, but we have a very good success rate with keeping patients within their prescribed therapeutic range. A lot of patient teaching is done, and continuous monitoring. I think it's more...
  4. for those truly special patients, I say, (in my sweetest voice) "I understand how frustrating this must be for you, and I'm truly sorry that I am unable to get you what you are asking for. Let me transfer you to our practice manager, perhaps she can ...
  5. I've just accepted a position with hospice, and am excited and nervous all at once. Excited to begin a new career with an amazing team that I know is dedicated to compassionate care (they came in to my home to help my family while my father was dying...
  6. Telephone Triage

    I do a lot of telephone triage at my current job. Basically, you're answering patient phone calls and deciding whether they need to go to the ER, come in for an urgent visit, wait for next available apt. or try home care and follow up in a specified ...
  7. Coumadin

    We use a standard protocol for 5-10% increases or deductions depending on INR and therapeutic range. INR 5 or greater will warrant an MD notification (when 2- 3 is the range). If the range is 2-3 and the patient's INR is in the 4's, I will hold one d...
  8. I've only been a nurse for 7 months now :)
  9. I try to look at it this way- we are not losing skills, we are acquiring different skills. Acute care is completely different from ambulatory care- two different skill sets. I may not be using some clinical skills very often (straight caths) and some...
  10. Patients destroying pain meds?

    Where I am in MA, we have prescription drug disposal drop-boxes at the local police stations. Call around- see if a program exists where you are, and if not, see about starting one! It's good for the environment, and keeps pills out of children's/tee...
  11. Charting/Documentation

    Hi CarreBarreLPN, Typically, I was seeing about 16-20 clients per day in-office for "nursing visits", plus giving about 10-20 injections (immunizations) per day (to patients who were seeing Dr.'s), plus answering/triaging about 20-30 patient phone ca...
  12. I love my job at a community health center! I have a ton of freedom, get to do a lot of patient teaching, dressing changes, suture removal, immunizations, coumadin clinic, routine sick visits like UTI's, flu swabs, and sore throats, etc. My favorite ...
  13. Someone clearly didn't see the DNR order...
  14. I commend your enthusiasm :) You can start by calling the schools in your area. Find out what the curriculums are, and who the people are in charge of developing/implementing them. Lots of school nurses work with school social workers and teachers in...
  15. Charting/Documentation

    I need advice on how to handle a situation. My immediate supervisor- the practice manager at an ambulatory care clinic (who has NO medical experience whatsoever) has told me that she feels that I spend too much time charting/documenting. Honestly, I ...