notanumber

Latest Activity

1. Raising them right.

   notanumber posted a topic in Relations

   I like working with new nurses, generally, because we learn alot from each othee and I get a chance to help them mature into competent, confident professionals. But. What do you do with a young colleague who went from school to team leader of a who...

2. Sliding up bariatric residents

   notanumber posted a topic in Geriatric

   This is a difficult one, apparently. Bariatric res, never leaves the bed, doesn't tolerate bed laid flat or feet elevated very high, doesn't like slider sheets because they slide down too much (probably would be less if feet/legs were elevated more, ...

3. Are there any certifications for LPNs?

   notanumber replied to HawaiianDreams's topic in LPN/LVN

   What sort of certifications are you looking for? I have Advanced Foot Care, Palliative Care (LEAP Core through Pallium), and am going for Advanced Wound Care.

4. LTC Wound Care Kit

   notanumber replied to notanumber's topic in Geriatric

   I mean a carry-kit or tray that has basic wound care supplies ready to go, to be brought to the resident room for treatment. It's help to have certain things ready due to time constraints, but all sorts of things are thrown in (including sterile dres...

5. LTC Wound Care Kit

   notanumber posted a topic in Geriatric

   Hi all, myself and another LPN will be working on overhauling our wound care strategies. Managers would like us to start asap to get better continuity, although we will further certified in Advanced Wound Care this fall. One thing I'd like to change ...

6. Nitrospray Questioning

   notanumber replied to notanumber's topic in Medications

   I understand you are not bashing, you are educating and advising and I appreciate it. I've been in the field for several years and have never (to my knowledge) made an error like this where a patient/resident was jeopardized. I have a meeting with my...

7. Nitrospray Questioning

   notanumber replied to notanumber's topic in Medications

   We don't have a set protocol for nitro (due to the side effects) and it is rarely administered, so the rx is specific to the patient and usually a one time only order. Yes, I made an error in clarifying the order and should have specified the frequen...

8. Nitrospray Questioning

   notanumber replied to notanumber's topic in Medications

   Three together. I explained that point to the NMs as well and they both agreed that it may have been an appropriate order and I followed it correctly as stated. The typical protocol is one, wait five min, if not resolved give up to two more q5min.

9. Nitrospray Questioning

   notanumber posted a topic in Medications

   Situation - resident with cardiac hx presents with severe chest pain, altered heart rhythm (which may or may not have been chronic) and mild hypertension. Dr gives telephone order - "give him three sprays nitro and if it doesn't help, send him in." C...

10. Klazomania in Dementia

    notanumber replied to notanumber's topic in Psychiatric

    I can only say that it is the term that best fits the symptom. We are short on geri-psychs and neurologists (well, all MDs, really) in this area and the one in charge of this case isn't particularly invested. I did come across the article you linked...

11. Come On People, How Stupid Are You??

    notanumber replied to CapeCodMermaid's topic in Geriatric

    That is painful. More than one? Excrutiating. I've had some "what, really?" moments with some nurses, but nothing like that.

12. Klazomania in Dementia

    notanumber posted a topic in Psychiatric

    Wasn't sure whether this topic should be in neuro, geri, or psych, so apologies if this sounds misplaced. Does anyone have information on compulsive screaming in adults with either neuro or psych dx in combination with dementia and/or movement disor...

13. What do you do during down time?

    notanumber replied to Orion81RN's topic in Private Duty

    If she has an iPad, look through some apps designed for young children and/or developmentally disabled, especially those that provide direct cause-effect interaction (e.g. press a button, make a sound or light). One young gentleman really enjoyed a m...

14. Patient Fell and Got up?

    notanumber replied to princesspunch's topic in Safety

    At our facility, transfer to acute care is dependent on approval of a physician (with some judgment-based exceptions, e.g. traumatic amputation or code on someone who is not a DNR), and the decision to send or not depends on their level of interventi...

15. Tylenol for 10/10 pain?

    notanumber replied to notanumber's topic in Medications

    Monitored for not quite two hours with no change in symptoms, then saw some improvement, and further repositioning resolved it almost completely. Still very painful on lying->sitting->standing. Pain more or less disappeared over the next few da...