dian57

dian57

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About dian57

I'm an ooooold nurse. LPN since 1977, went back and got the RN in 1997. My retirement plan seems to be saving enough for a room in the facility I work in.

Latest Activity

  1. Inadequate documentation

    Our facility is trying to develop a system for adequate MDS documentation. We have tried posting diagnosis driven cheat sheets (document on at least 2 of these items/shift) posted on the chart and a check-off flowsheet with lines on the back for narr...
  2. High fall risk

    Risk for falls with injury will be reduced. Then list all the interventions you have in place to reduce the risk.
  3. A 20-something woman and her mother came in looking very, very concerned. Problem? Daughter swallowed her gum. Therapeutic wait? You betcha.
  4. Holy cow - what are people thinking

    First, I am NOT saying the facility was not at fault in this case. But a word of caution must be spoken. We (the public, not just nurses) really need to keep in mind that this story was printed in the media. The media, in my experience, is not always...
  5. fall interventions

    Since we initiated the supervised activity program the only falls we've had are rolls out of bed (onto bedside mattresses) and late night wandering out into the bathroom (although staff was alerted by bed alarm, couldn't get there in time to prevent ...
  6. fall interventions

    We have the same issue (doesn't everyone in LTC?). We instituted 1/2 hour activity "bursts," as we've determined our population doesn't have much more than 30 minutes worth of attention span to devote to any given thing. We started with the evening s...
  7. Scenario:What would you do?

    First, let me apologize if I repeat something already posted. I have not read all the previous posts. Palliative Care is a relatively new concept in our country; a country that is accustomed to fixing everything. We tend to white-wash illness and dea...
  8. Looking for On-line BSN program

    Quite a few of the nurses I've worked with have gotten their BSN from St. Joseph's College in Maine. It's a "real" school and the classes are done via home study, proctored tests and email correspondance with the professor for assignments. It's $290/...
  9. Share The Weirdest Reasons Patients Push The Call Light

    As far as visitors and excessive use of callbells and visits to the nurses station with questions: I've often considered posting a sign that says: If you have run out of conversation with your loved one, GO HOME. Do not entertain yourself by request...
  10. funniest thing you saw a nurse do.......

    I remember another student nurse experience and hope this doesn't offend anyone here. I was all of 19, a student LPN. My instructor, a student friend and I stood at the bedside of a 30ish man as I prepared to do my first male catheterization. I had t...
  11. Who places your PICC lines?

    Recent policy change here: PICCs are placed by surgeons in the OR of our community hospital. Can be removed only by IV certified RN at bedside.
  12. nursing notes

    http://bioweb.uwlax.edu/aplab/Table_of_Contents/table_of_contents.html
  13. Funny patient names by nurses

    There was a little boy down the street and his parents wanted to name him Harley with Davidson as his middle name. They settled on Dallas. The little brother was Austin. Were they from Texas? Nope, just thought it would be "a hoot." Yep, that's just...
  14. pearls of wisdom

    Always do the right thing. This means different things to different people. I always take it as Let your conscience be your moral compass.
  15. What is the hardest nursing class?

    I had the hardest time with Maternal/Child nursing. And, like HarleyGirl, I can tell you why--I had absolutely NO INTEREST in Maternal/Child nursing. As one of the oldest students in the class, I got along well with the infamously difficult instruct...