Larrythenurse

Larrythenurse has 24 years experience and specializes in DD, Community nursing.

Latest Activity

1. please explain delegation to me?

   Larrythenurse replied to esunada's topic in General Nursing

   Excellent comment. Indeed, in Oregon there is a specific section in our nursing rules, Division 47, that covers Delegation. Other intricacies include that the RN must individually observe the staff's performance, within 60 days of the initial delegat...

2. HIPAA, yet again

   Larrythenurse replied to Larrythenurse's topic in Legal

   Thanks for the reply. That is what i have been doing to, however I am concened that a google or yahoo mail even with such a note may not be considered protected enough.

3. HIPAA, yet again

   Larrythenurse posted a topic in Legal

   I have a small one person nurse consulting business. I write and email and store and fax/receive confidential patient information. Does anybody have any suggestions for HIPPA compliance? The companies I have spoken with so far are all geared to bigge...

4. How do the male nurses feel about perineal care?

   Larrythenurse replied to johnny depp23's topic in General Nursing

   Most of my DD/ MR and physically impaired folks either can't or won't clean themselves. I not only wash 'em, (male and female) I make sure they are well washed! And I do very clear teaching with staff as to what I expect. This can be embarrassing dir...

5. Insulin given by nursing assistant?

   Larrythenurse replied to LightsMyWay's topic in Disabilities

   Hi there. I am an RN consultant for DD folks in group homes and day program settings. In Oregon we have a process of formal delegation described in our nurse practice act that defines how we can train unlicensed staff to do tasks of nursing care. The...

6. Newer nurse to DD/MR nursing

   Larrythenurse replied to HappyNurse09's topic in Disabilities

   Good for you- we should not only do what we love but most importantly love what we do!

7. Just had an interview for DD Nurse and need help PLEASE!

   Larrythenurse replied to Samira.RN's topic in General Nursing

   Yikes, sounds like a tricky position for a new grad. I would check your Practice Act to see if this training is covered. Here in Oregon we have formal process for delegation and nurses need to be aware of it. I agree with the comment that having Unli...

8. PLEASE help - advice needed on how to set up room for dd patient

   Larrythenurse replied to shadane's topic in Disabilities

   What specifics of licensure are you worried about? If you have made earnest and repeated attempts to understand this person's non-verbal communication and determined this is what he wants, his treatment team should come up with a way to support this....

9. med administration by DSP's

   Larrythenurse replied to dmacrn's topic in Disabilities

   Good question- I have not yet explored the MAR application in Therap; my agency is still rolling it out. I have general concerns about Unlicensed Assistive Personal (UAPs) giving meds. How much is the RN considered to be responsible for the adherance...

10. Top 10 Myths of the "MURSE"

    Larrythenurse replied to mikethemurse's topic in Humor

    Great post Brother Nurse! I wear my "male nurse" title proudly. Whenever I meet a teenage male I always ask them if they have thought of nursing as a career option. Twenty years ago none of them had, now I find some of them have considered it. Mike,...

11. How Did You Decide On Nursing as a Career?

    Larrythenurse replied to BeanTrees's topic in General Students

    Here is a story: I was sitting with my mother in the cool clear Medina River in central Texas bemoaning the fate of an English major looking for a job. Mom asked me what I wanted to do. I said I wanted to to practice the ethic of good work, be employ...

12. male pts who pull out foleys?

    Larrythenurse replied to erin01's topic in General Nursing

    Ouchee. But there are several thing to be done if the person has a potential for this: 1. Ask your MD how necessary the cath really is. Sometimes the person is cathed because of incontinence so try to just d/c it (with all other attendent risks) and ...

13. triple lumen feeding tubes

    Larrythenurse replied to busy-bee's topic in General Nursing

    By coincidence, I have a community based patient discharging with a new one of these today. The Gastrostomy port should be used for medication (and med flushing.) You can also use it to vent air from the patient's stomach and/or aspirate stomach resi...

14. Ever develop a medication administration class?

    Larrythenurse posted a topic in General Nursing

    Anyone ever develop a medication class for a day program? The program serves developmentally delayed folks who are medically stable and may have the occasional routine or PRN med to take during the day. The agency is state certified as providers but ...

15. DD Consulting fees

    Larrythenurse replied to Larrythenurse's topic in Entrepreneurs

    Sorry it took me a bit to get back to you. Thanks for the tips. I had already done most of your advice. So far it is going well. There is a DD nurse program here in Oregon but there are not too many of them. And they are, to put it nicely, not too co...