Misstika

Thank you for your response. I'm pretty sure the situation was simply overlooked by both the hospital staff and staff at the LTC facility. I looked at the nursing notes from when he was admitted and it stated that he had the hard distended abdomen. It just got worse over time. I think the psych issue stemmed from the urine retention. After he had the TURP procedure, this was a whole new man. He was very pleasant. I start my clinicals in September, so I guess I will get to experience nursing from the Hospital's POV.

The person came to our facility from the hospital in question. When a psych eval is needed and they are not equipped to do so, the patient can't be sent to a hospital who can? He really needed it because what he done endangered another resident. I was told when the resident was originally admitted to our facility, he initially had a hard distended abdomen. Therefore it was our fault for accepting him. After he had a urology appointment. We found out he had an enlarged prostate, which caused the urinary retention. He had the TURP procedure done and now he is fine. What I wanted to know is why the hospital couldn't of found this out beforehand. I'm just not familiar with what the hospital is responsible for before discharging a patient.

They didn't place a foley, we did after he was sent back. He didn't have referrals either. The initial admission was for psych reasons. I didn't want to say everything that happened, but I thought they would of at least done a psych eval. What he done endangered the well-being of another resident. All they did was straight cath to eliminate what he was retaining during his hospital stay. I am not familiar with protocol at hospitals but it seem as if people are getting discharged sooner than before.

Hello, I am writing this post for 2 reasons......first, just to vent and secondly, to obtain input from others. I am an LPN working in a LTC facility. I regularly care for approx 25 to 30 residents. I've wanted to be a nurse since the age of 5. I genuinely care about helping others, that's why I become so upset. I've noticed that alot of hospitals discharge people sooner than they should. Today, a resident was sent to the hospital night shift. On my shift, AM shift, I received a phone call from the hospital's nurse. She basically stated that they weren't keeping him. Afterwards she stated that they had to straight cath him and he was retaining over 1 liter of urine. They weren't trying to even find out why he was retaining urine. When he arrived at the facility, I did an assessment. His abdomen was hard and distended. To make a long story short, an order was given for foley placement. His output right after catheterization was 1300cc's. Does anyone else notice that hospitals discharge patients sooner than they should? This happens too frequently and it is really upsetting. I feel as if the patients don't be completely stable. I am attending nursing school again to become an RN. My clinicals will be in a hospital, so it will be interesting to see the other point of view.

Not the same thing.....can't compare.

I shouldn't of stated all day. Some wear them for long periods of time. Hands sweat in gloves. I just find that gross.

Oh WOW!......I've worked retail in the past too. I've never encountered the things you listed. Those are good reasons to wear gloves.

You wore them because you had a cut. Thats a very good reason to wear them. I've worked retail in the past. I did not wear gloves. I guess I should of chosen better words. I stated somewhat.....that don't mean the sight of a cashier wearing gloves just bothers me to my core.

? That's a logical reason. It's funny that everyone thinks it really offends me. I just find it somewhat unprofessional.

Thanks for an answer ? I was curious as to why they were being worn. They refuse to give an answer when asked.

I can understand wearing gloves for handling raw meat, leaking packages....etc. Overall I think its unnecessary. I mainly was saying the amount of time the gloves are worn is the issue.

Who has thin skin? I asked about everyone's opinion about the topic.....it would of been nice if more than 1 person answered. I didn't ask if I had the right to be offended about something.

Oh ....thanks

Maybe all day is the wrong choice of words. They do not change them frequently. Have you shopped at walmart when its crowded? You can be waiting in line nearly 30 mins. They are not changing gloves often. What you stated is the main reason why I think its gross and unnecessary.

I know its an assumption. They refuse to say why, as if its a top secret reason. I know for a fact its not to cover up tattoos. Its the best logical answer. I said somewhat offended. As a customer, I just don't think the gloves are necessary. It's not a big deal to me. Just curious about how others felt about it.

I never said gloves cause airbourne illnesses. The cashiers are wearing the gloves most likely to avoid getting sick. There's a greater chance of catching an airbourne illness in a crowded walmart. So should the cashiers wear masks as well? I don't care, I said I'm somewhat offended because germs are everywhere. Not just money. They don't even wash their hands before putting them on. I was just curious of what others thought about it.

The majority of the cashiers wear them. I think its supposed to be for infection control or something. I asked twice why was gloves being worn and they refused to answer.

Hi everyone, just curious about others opinion. A few times when visiting walmart, cashiers were wearing gloves. I asked what was the reason for doing so, and they did not want to say. I'm sure its for "avoiding" illnesses but wearing gloves all day without handwashing won't help. I feel as if there's a greater chance of getting an airborne illness. How do you all feel about wearing gloves as a cashier? I somewhat find it annoying and offensive. I feel as if having hand sanitizer at each counter would suffice.

Hello, I am still studying for NCLEX-PN and there's one question that I continue to encounter that has 2 answers. The question is..... What is the primary reason for administering Morphine to a patient with MI? I've studied from books and multiple online sources. The answer is split between -To decrease pain -To decrease oxygen demand I thought it was to decrease oxygen demand. When I select that answer on certain websites, it's considered wrong. One website stated that the reason for Morphine administration is to decrease pain. The rationale given was basically how painful MI's are. I'm thinking that the reasoning is to lessen pain and that will lessen anxiety. Which will lessen oxygen demand. Could someone give their opinion? I hate being unsure of things. Thanks

I talked to the respiratory therapist today. She was so helpful and nice. She gave me some tips and let me watch her today. I told her that I never asked her because she always seemed busy. She said she's always willing to help.

Thank you for your thorough response :) The fact that suctioning is a sterile technique is the main reason why I want practice. I will keep all your tips in mind.

Thank you for your thorough response í ½í¸Š The fact that suctioning is a sterile technique is the main reason why I want practice. I will keep all your tips in mind.

Thanks for the comment :) I spoke with several people and now I will be retrained on that unit. Its a good thing, but it really depends on which nurses I'm paired with. Everyone isn't as open to training me as I thought. I was very upset to hear that people believe that I'm not confident when I specifically asked to be trained doing things I never done before. I just graduated in December. The majority of trach patients has the Shiley tracheostomy. Therefore I will put emphasis on suctioning my first day training again. There's only one patient with a larytube. I find that type very interesting. She can talk a little bit but mostly communicate needs by writing on her dry erase board. I learned in my clinicals about standing to the side. Secretions literally flew across the room. I needed that reminder though.

Thank you very much for the tips. I will remember to use the inner cannula as a guide for how far to go. I heard the trick about holding your breath when suctioning before. I forgot all about that until you reminded me. I will do that too. Thanks :)

I am unsure about how open the RT would be giving me pointers. All I can do is ask. When she do trach cares, she seem to always be in a rush. Our facility want the trach sites cleaned and inner cannula changed daily. Also trach ties changed weekly. I work days, therefore when I'm on that unit, its my responsibility. I'm comfortable doing those cares. There's a couple trach patients that has thick secretions and sometimes have issues removing them. Therefore I need to practice suctioning. I literally started reading my MedSurg book again. I will look at Mosby's nursing skills next. Is the main issue is not suctioning too deep and too long? I've purchased a pulse ox to monitor them just in case.