Latest Comments by menardca

menardca 1,799 Views

Joined: Oct 4, '08; Posts: 7 (0% Liked)

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    Is the dumbest thing that I have every heard of. But the cherry on top is that it is 3 times a day. Crushing tums makes them chalky and a mess. Not to mention clogging the damn tube up. I have had to do this for the last 3 days and every time i start my process my mind begins to wonder 1- is there not some other medication that could be doing this better,
    2- omg not again, and 3- if the doctor that wrote this stupid order had to do this just once the order would be changed due to the pure stupidity of it.

    Ok I have ranted thank you. Anyone else have moments like these when doing a task and thinking boy if the doctor that wrote this order had to do this it would be changed?

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    I have a question.
    I had a patient that had 2 diarrhea stools in the bed. I went in to talk/clean with him, each time he thought he had to pass gas. We attempted to ambulate to the bedside cam-ode earlier in the day but were unsuccessful due to sever leg pain from compartment syndrome. He had a bedpan in the room but didn't realize what was happening so wasn't calling. I offerred an adult brief for a short time to see if he could call next time and he had an urge and then we would take it off ect. OR we could do a trial of him calling with the urge. He wanted to brief. We applied the brief and I passed it on in shift change that he had a brief was ok with it and we could see what he does-if he can call or the diarrhea passes- with the intention of this being temporary and reassess the next day.
    I haven't worked since so I don't know what happened but because I am new and OCD and I go home and think about this stuff. I am now wondering was that the right thing to do?
    My question is what would some of the veteran nurses done?

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    I would like to get some advice about a patient i had yesterday. My first shift off of orientation was kinda crazy. My patient had a PEG tube, Rectal tube, ostomy with a PEG in it to administer vanc and a triple lumen cath. Everything was going well until about 4pm. Then I had a order for a mag rider and potassium 60meq over 6 hours. The K would start at 4pm. At 6pm there was an order for Zosyn iv and the vanc through the ostomy tube. There was iv nutrition also running all day.
    I ended up leaving alot of work for the night shift which I am still beating myself up over. I really didn't want to do that. So I am trying to see what I could do better.
    Could I have run the Potassium and Magnesium at the same time? I ran them one after another. Which put everything was behind. Could I have ran the Zosyn at the same time. I ended up leaving the zosyn and vanc for the next shift as well as 3 K. I am know it's a learning process so an advice would be helpful.

    I would have call the pharmacy for help but I had 4 other patients that all started having there own problems at about 4pm also. So I didn't have the time.

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    I would like to get some advice about a patient i had yesterday. My first shift off of orientation was kinda crazy. My patient had a PEG tube, Rectal tube, ostomy with a PEG in it to administer vanc and a triple lumen cath. Everything was going well until about 4pm. Then I had a order for a mag rider and potassium 60meq over 6 hours. The K would start at 4pm. At 6pm there was an order for Zosyn and the vanc through the ostomy tube. There was also iv nutrition also.
    I ended up leaving alot of work for the night shift which I am still beating myself up over. I really didn't want to do that. So I am trying to see what I could do better.
    Could I have run the Potassium and Magnesium at the same time? I ran them one after another. Which put everything was behind. Could I have ran the Zosyn at the same time. I ended up leaving the zosyn and vanc for the next shift as well as 3 K. I am know it's a learning process so an advice would be helpful.

    I would have call the pharmacy for help but I had 4 other patients that all started having there own problems at about 4pm also. So I didn't have the time.


    Thanks

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    Hi everyone,
    I am a recent New grad from a LPN to RN program. Before I graduated I was working at a HMO in an ambulatory setting. I graduated in Nov and then the economy took a dive.....so I have been unable to find a job in an acute care setting in my area.
    I live in Denver and all of the hospitals are on hiring freezes. I was able to get a job at the HMO I was working at.
    Before all of this I was certain I would be in a hospital, but after many tries and talking to many recruiters it didn't work out that way. After I accepted my current position a position became available at a LTAC.
    I was thinking of waiting the recession out where I am and learning all I can. The place I'm at is really busy with several chest pain walkins a day, constant phone and patient triage, and IV's. Once hospitals are hiring,I want to start applying to gain acute care experience. I realize the importance of acute care experience.

    My question, Will my ambulatory experience be helpful to my future career? Will my experience look good or bad when I apply for hospital work? Would I still be considered a new grad because was never in an actue setting.
    I want to do case management but I would like to do some hospital work also. I have to be realistic....I needed a job.

    What about LTAC experience. How is that looked upon by recruiters?

    Thanks for everyones advice.

    Courtney

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    Thank you for the info.....I was more grossed out than anything. I just wasn't sure if it was something to be worried about. Or if it is something I should report. I washed my hands several times....and all I got on my hands was lube.....but ya never know.

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    I put my hand in the trash...dumb I know...and rubbed against some lube on a glove. The glove had been used to do a rectal on a hep c pt. It did not have blood on it and it brushed my hand. I scrubbed my hands three times after.

    Should I be worried? The glove had no blood on it....I looked nothing
    Should I report it?

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    I have to take the Hesi exit exam and my school requires a 900 to graduate. My problem is that we have take 3 practice tests over the past 6 months and my score trend has been going in the wrond direction. The first time I took the test I did very well. The last time I took is, after I passed all of my clinical courses, I did significantly worse. I don't know what to do. I'm at a loss and looking for some advice. I have been studying cram master and I thought it was heping. The really frustrating part is that I feel as though I understand more stuff and I'm 'getting' more of the questions and concpets yet my scores are not reflecting this.
    Any suggestions my final one, that I have to Make a 900 on is in 2 months and I just don't know what to study.
    My first test score from April was 890. My second score from Sept was 856. My third score from this past Friday was 796!!!!

    I have been an LPN for 3 years and it has been in ambulatory care.

    Any thoughts, suggestions.

    Thanks
    Courtney



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