joprasklpn 3,027 Views
Joined: Oct 10, '07;
Posts: 99 (37% Liked)
; Likes: 57
I work peds home care and we MUST reuse the same cath over and over D/T limited supplies, but they are wiped down with alcohol prep between sx. also the yankauer can be used around the trach for coughed up secretions, but not in it. I have had emergency situations were vomiting has happened and i have used a trach cath back and forth because no time to change to yank. But generally that does not happen often.
It's a stupid thing to fire someone for that. Could've just given an oral warning or something.
I would still become a nurse. I'm not gonna lie, somedays I wonder what I was thinking. You really do need a thick skin because somedays are just horrible, but most of my working days have been good. Knock on wood.
infection, nutrition, skin integrity
I agree that privacy should be a two way street. I'm sure if you walked into a bank and just started snapping photos you would get a quick escort out of there. Nobody wants someone to just walk into their job site and take pictures of them, I don't know why people just think oh the nurse won't mind. I know I am on video tape at a home care case, but they ask first and I gave consent. Too bad you couldn't just whip out a camera and take her picture taking your picture and let her deny it then. Glad you have good support from your manager and hope nothing ever comes of this. Some of the phones now have ability to record just like video.
not everyone documents as completely as others, so we all get the punishment, but you shouldn't have to worry about letting anything out with all the flow sheets we have now. But to me a piece of paper doesn't actually mean the care was done. There will always be slackers. More attention should be given to the actual patient.
sometimes i think they are afraid of losing nursing hours if the child can tol the pmv and eventually be decannulated. not sure of your childs situation, but i had a mom who was too lazy to do anything for her child. lord knows some of these kids would be 100% better off if the parents would just listen and follow through.
family members are not your friends and will turn on you in a heartbeat, so my advice is move on to another case.
If insurance companies would get to not cover obese people it would not stop there. Too thin sorry can't pay for that either, smoke uh no to you too, dye your hair oh, sorry no to you too. Get over yourselves, if your so offended go live on an island with all 100 percent perfect and healthy people, but you may get lonely.
I know how you feel, I was in ER with my dad who cracked his ribs and they didn't even give him a pillow for his head or adjust the bed for comfort. Just in and out tons of people. I always think don't these people have grandparents? But good for you on following up hope it helps the next elderly person.
It may sound mean, but you are talking about neglect to patient care so maybe try writing them up. They may not like you after that, but at least they might do their job better. I have always been fortunate to work with great CNAs so I really have not dealt with this problem, but goodluck and keep doing a great job. Maybe helping them less would let them see how it feels.
The patient can refuse whatever care they do not want, but I would keep the O2 around for an emergency or until the doctor actually D/Cs it. I don't know the specifics of your client, but if they have care givers at night I'm sure they would be more comfortable having it there if the patient coded or suddenly became SOB and requested help, but I guess it's one of those situations where there is no winning. But good luck to ya anyway.
bedbugs will bite you while your awake. I know this first hand because I was working the night shift and always had these clusters of itchy red bumps, well one night I was just sitting watching tv and happened to look down and see this bug crawling up my pantleg of course I flung that thing sky high, but then I decided to to collect it in a ziploc bag, went home did internet search and learned it was a bedbug. Then I worried about diseases from the bites and learned they are not known to carry disease, but I still wonder sometimes. For a long time I was paranoid of every bug I saw in my house and always checking my sheets. Over it now, but seems they keep popping up in the news.
I was actually bitten by bedbugs at a home care case. The agency pulled all nurses until the client had the exterminator out to verify the bugs were gone and when I went back to the case the client was not happy with me. She said so I hear you reported us about bedbugs. That was my last shift there, not worth the itchy rash I got.
kids I have gone to school with do get the benefit of being around other children. I do agree that some teachers seem to think they have no obligation to actually teach special needs children or even interact with them when they have a nurse. I personally enjoy helping with the arts and craft projects and trying to help the kids get the most out of the school day. I have never went to school with a high school student so I really can't say much about that, but I do know younger kids like to be included in a group and not cooped up at home.
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