TwoLayi ADN, BSN, RN

TwoLayi has 9 years experience as a ADN, BSN, RN.

Latest Activity

1. New California Nurse to Patient Ratio

   TwoLayi replied to painmeds's topic in General Nursing

   In the long-term acute care hospital I work at in CA all the nurses have been at 1:6 for tele and 1:7 med/surg every day, every shift for the last two weeks, with CNAs at 1:20. Alot of nurses think our facility is taking advantage of the situation be...

2. Narcotic Question

   TwoLayi replied to Purple_Clover's topic in Geriatric

3. Have Not Worked Since Graduating Nursing School

   TwoLayi replied to OrchidLoveYIZ312's topic in General Nursing

   If I was the OP, I would give a very vague answer and quickly change the subject. Such as " After nursing school and passing the NCLEX, I took a little time off. Since then I have been actively seeking full-time employment. I was was thrilled/excite...

4. Death and Denial. Need Advice

   TwoLayi replied to TwoLayi's topic in General Nursing

   This patient had expressed a fear of dying in the hospital, prior to this prognosis. And at this point, the patient could go home on hospice. Also after the prognosis, the patient bought online tickets to event that is 6 months away, so I was a littl...

5. Death and Denial. Need Advice

   TwoLayi posted a topic in General Nursing

   I am looking for advice on how to respond to a patient who is in denial about their terminal illness. Patient is in an acute care setting and prognosis gives the patient about two weeks to live. MD has communicated all this to the patient and family....

6. Cant find work while on probation in Ca

   TwoLayi replied to Jaronson81's topic in Recovery

   Oh, I didn't realize that, but it makes sense. I have never been on it myself, but have worked with other coworkers who were.

7. Cant find work while on probation in Ca

   TwoLayi replied to Jaronson81's topic in Recovery

   I would look into SNF positions again, specifically MDS positions, which doesn't involve patient care or handling of medications. Also in the bay area, there are home health agencies-not through the hospital system, that have positions that are calle...

8. Nurse vs Respiratory

   TwoLayi replied to TheSixFootThree's topic in General Nursing

   I did not mean legal as in breaking the law. But say a nurse administers medication and fails to document it right before her lunch break. The relief nurse comes, sees a medication is due, so he administers it and documents administration in the EMAR...

9. Nurse vs Respiratory

   TwoLayi replied to TheSixFootThree's topic in General Nursing

   I don't believe you did anything wrong, RT should have documented the administration of the neb treatment. I see a lot of responses saying that a lot of RT's don't document on time or wait until the end of their shift. This still doesn't make it righ...

10. Is disclosing a mental health record that awful of a thing to do?

    TwoLayi replied to Lorie Brown RN, MN, JD's topic in Career Support

    Nurses can be prescribed controlled medications and a medical review officer does review positive drug tests. Being prescribed a controlled medication does not prevent a person from becoming a nurse or getting a job. I think the real issue is why th...

11. How long to run a code?

    TwoLayi replied to smary8055's topic in Critical

    From Texas BON "Texas Senate Bill 823 (1991) amended Section 671.001 of the Texas Health and Safety Code and gave RNs the legal authority to assess a patient/client and make a determination of death, unless the pronouncement is clearly prohibited und...

12. RN/LVN Ratio Acute Care

    TwoLayi replied to frenchxtoast's topic in Safety

    I believe you are correct.

13. Preceptor is SO BAD!

    TwoLayi replied to Guest606's topic in General Nursing

    Playing the Devil's Advocate... Hi All, ICU nurse here with several years of experience. Recently I have been precepting a new grad to our unit. I let her observe at first because I don't really know how much she learned in school and what she feel...

14. New To This Area of Specialty

    TwoLayi replied to Reiincloud's topic in General Nursing

    I once did in home care for a child who had petit mal seizures. In that case, there wasn't alot I did as a nurse, except record and document the time it started and stopped. With the child, they had a particular "tell" that indicated it was occurring...

15. DON on cart

    TwoLayi replied to arainh20's topic in LTC Directors

    I realize this is an old topic but I felt I needed to add my two cents I was a RN floor nurse at an SNF and I really admire all the DON's who said they work the cart. I am not saying it should happen on the regular, but it shows real teamwork. In fa...