Latest Comments by Duranie

Duranie 1,211 Views

Joined: Feb 18, '08; Posts: 10 (50% Liked) ; Likes: 16

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  • 0

    What about using something like this: Tile - Never lose your phone, keys, or wallet, again using Tile’s Bluetooth tracker | Tile .
    I'm pretty sure you can "assign" a tile to an item, and that way you can use multiple tiles to track various items you want to keep track of. There's a keychain or tag type; or there's an adhesive version.

    I would contact the company, they have probably already implemented their tiles to track company assets for some company or another, and can instruct you on the best way to use their product for the purpose you need.

    good luck.

  • 6

    Quote from Meeshie
    I learned that getting a mortgage now is a lottttttttt more complicated than before the housing bubble went boom. I might have to get an apartment for a few months while I sell my current house and keep everything in storage. There's just not enough time to handle the move for my new job any other way.
    No kidding that things are so much more complicated. I learned some related things:

    I learned that sellers are now being advised by their real estate agents to not even consider an offer unless the potential buyer has already been pre-approved for their mortgage. Pre-qualified is not enough anymore. Almost all sellers require your pre-approval documentation to be included as part of the offer to purchase. Seriously...

    So, it's better not to start looking at homes until you get those particular "ducks in a row" because it really, really sucks to fall in love with a house, only to find out that by the time you get pre-approved, (which is pretty much the whole process, so all that's really left is to get the appraisal...) it will probably be under contract to other buyers 😕.
    Unfortunately, loan officers don't tell you that pre-qual, and pre-app. are different things (unless you know to ask), so when your agent asks if you've talked to the loan officer and gotten "the letter" you think "yeah, we already did that" only to find out that no, you really haven't....

    I also learned that if you have a fair amount of equity in your current house, it somehow works out better on paper to keep that home as a rental and then it gets counted as income, and you will be approved for a bigger mortgage than if you sell it. Obviously, this means you have to be honest with yourself about whether you can afford the payment on a larger mortgage... But with a low enough interest rate, the payment might be fairly close.... Just don't assume that, "if I was approved, I can afford it"-- that's what got so many people into trouble before....

  • 0

    Quote from Jen4nursing
    she yelled at me at the nursing station and said she is my friend i can call her and tell her i tried to explain but she kept screaming at me so i yelled back enough we are giing outside now.
    i git wrote up explanation was you have a history of yelling at staff which is completely false.
    well, not completely false, you had gotten written up before...
    Quote from Jen4nursing
    She was friens with management and staff so i got a write up immediately for being mean.
    The write-up actually said "for being mean"? More likely it was for yelling at staff.
    ever since management takes every complaint to the administrator she never attempts to do it through the chain of command.
    What do you see as "chain of command"?.... Management -->>administration.... Seems like that was going up the chain to me...
    i told him that i needed help with a resident before he falls on the floor he knew i needed help to pull him back up in his chair. As this resident slides oyr of his chair all the time i even tild he is almost ob the floor. The second was when i said outside she smokes so i said lets go outside if i need more detail i apologize i just didnt feel like writing a book. I wanted her away from the nursing station.She knows by outside i meant in the smoking area. But what she said at the nursing would take me 10 pages to write and the family of the decreased was right there listening to her screaming and yelling i figured if i had her come outside smoking area that i could get her out of the nursing station
    i needed help with a resident and asked nicely for a cna to help me real quick and they responded ill be there in a minute so i raised my voice a little in a sense of urgency no now
    These two descriptions just don't jive with one another....

    Maybe it's because you are posting this in dribs and drabs, or because of your train-of-thought, run-on-sentence, no-capital-letters writing style (Or some combination of both, I think) ... But I don't think you are going to get the answers you are looking for. We can't comment on a situation when you've only told us like 1% of it the first time and only slightly more the next post, and honestly, after that I am no longer interested in trying to decipher what you mean, if you can't be bothered to actually tell us.
    You don't have to write a verbatim transcript of what was said in order to tell us what happened with enough clarity to get meaningful input. But to expect strangers to give you advice on something that even someone who was there wouldn't be able to figure out with what you've given us (at least in the first post or 2), I think you are asking for the moon.

    I will offer this: The interactions you've described here, would result in a write-up or other disciplinary action at any job, nursing or otherwise. You would be doing yourself a favor to seek help to learn how to communicate effectively with co-workers. You need to learn how to say what you mean... Not just, "she should have known I meant....", or raised voice means urgency..., etc. Your communication style is lacking, at best... and likely to end up getting you fired someday, at worst.

    Good luck.

  • 1
    wooh likes this.

    Here is a link to a MedscapeCME on this very topic--

  • 0

    Quote from SharonH, RN
    Chronic pain is very misunderstood and I used to find that the people who laid on the light frequently were fearful that they would not get their drugs in a timely manner and they were usually right.
    I agree. Sometimes it is also because they are not getting enough med to really relieve their pain fully, and are afraid of even worse pain if they miss any at all. Most often these are pts who are opioid-tolerant and are getting doses recommended for opioid-naive pts -- nowhere near their baseline dose @ home. {Why don't surgeons look @ that & figure it out, call pharmacy for help with appropriate dosing, or get a pain consult!?}:angryfire (Happened to both my mom & my sister when they had terminal cancer.)
    Or... it could be that the pt. is finally on top of their pain and desperately don't want to have it get bad again.

    I know when I've had surgery, my biggest fear/concern is waking up in pain, either immediately post-op, or later on the floor. This most often happens when my pain is relieved, I fall asleep, and wake up later having missed my next dose. Invariably, the nurse will come in & say "well I just checked on you 1/2 hour ago (or 45 min ago, or whatever) and you were sound asleep. Now you are telling me your pain is at an 8," and do one of these:icon_roll. I'm like "yeah... I'm sure 1/2 hr ago when my pain was just coming back, I was able to sleep but I guess in that time it finally got bad enough to WAKE ME UP!!! Please get me my shot..."
    I:heartbeatthe nurse I had after my bladder reconstruction who (after I asked if she could) came in to give me my IV pain meds on time all night so I wouldn't have that happen. She came in quietly, and I would open my eyes to see her there and smile and whisper "Thanks," and go back to sleep. Iher - she was an.

  • 5
    MichelleB34, netglow, JBudd, and 2 others like this.

    Actually, you may not have to disconnect the legbag at all. If it is not the hard plastic, twist-to-open type, you can use a connector and tubing to attach it "in-line" to the night receptacle (bag or bottle, as the case may be) thus preserving the integrity of the system. I think it's COLOPLAST that recommends this method with their legbags.

    I used this technique with my own urostomy for nearly 1 year. The bonus was being able to use a shorter length of extension tubing to reach the legbag, and being able to secure the various tubes exiting my body extremely well (with duoderm and tape) to avoid any inadvertant tugging or pulling. FWIW, personally, I preferred the bottle for overnight drainage.
    I am now "tube-free", lol Yay!!!

  • 2
    Jules A and SharonH, RN like this.

    Quote from vashtee
    What I don't understand is why physicians continue to write narcotic orders for frequent-flyer drug seekers. It seems unethical to me. Isn't there anything else that can be done? (Sincere question; I'm a new nurse.)
    In some cases it is because they have a legitimate reason to be in pain, like post-op or kidney stone, etc. It is unethical to allow a patient, even an addict, to be in uncontrolled pain (unless it is b/c you need to avoid sedation for eval of CHI, etc) Some docs will try non-narc meds first (i.e.torodol & APAP) or even other modalaties such as TENS or epidural anesthesia. If you are concerned, bring it up with the doc next time they round (as a concern in the interest of the pt., not accusatory)

    I personally think PCA is a good compromise if the pt is truely in pain (after lengthy discussion of this topic with an experienced anesthesiologist)... a small loading dose, then small frequent doses when they push a button, erring on the lower end of what may be needed, and increasing if there are objective s/s of pain... it's the larger amts of narc hitting their system all at once that creates the high -- given in small amts over time, diminishes that rush.

    Keep in mind though, that pts who are opioid dependent for any reason (pain pt. vs. addict) will need larger than typical doses to do any good. Sometimes enough to make you go !! In some hospitals, a "Pain Team" or anesthesiology will manage these pts.

    Sorry this ended up being so long....

  • 2
    Cora Zone and VivaLasViejas like this.

    Try using elastic net "panties". They are frequently used in OB. They will hold the kerlix in place and keep it from falling down. To address the toileting issue you can cut the netting to create an open crotch. Just be sure to make the cut a lot smaller than you think you need because it will stretch. You can always snip more later to make it just right.
    Depending on how far down the thigh the dressing needs to extend, you may need to use standard elastic net bandage retainer to hold the thigh portion.

    Good luck