oxyjen

Hi, I need to write a plan of care for a wet to dry dressing, lots of steps and I'm not sure when the sterile gloves go on. Could you help? Here is the scenerio I've come up with: position patient pad bed, emesis basin handy for later irrigation ope...

I have had limited occational contact with a 50 yo patient who has been brought to the facility with ALS or Lou Gerhigs disease. She is ventilaor dependent. She communicates by writing on a board, very slowly and hard to read. My heart goes out to...

Thanks Cin for contributing your experience in witnessing what happens with a person removed from the vent. I was so afraid she would suffer from air hunger, and that being medicated, and unable to move, she wouldn't be able to ask for help. I pict...

Just an update to this thread. Thanks for the thought provoking opinions! The students discussed this at length too. One said this woman's condition hadn't declined enough, if this was her mother, and still able to communicate like this lady could...

We didn't have this lady as an assignment today. I did visit with her before I left, and I also spoke with the staff, it was hard because everyone was so busy, but I managed to ask a few questions. She will be transfered to a Hospice, supported by...

I agree too, indigo girl. Again, this board has helped me deal with something I encountered in nursing that I couldn't do very well on my own. I honor you who helped me here. I'll see my lady tomorrow. It might be the last time I see her, but I'...

Thanks for your opinions. It is indeed a very tragic situation, and has become harder as I got to know her more personally. I really like this lady and never have cared for an ALS patient before. She still has limited movement of one arm, that is ...

Hi gr8rnpjt, I avoided saying in my original post how I came to be slightly involved here, and did present myself as her primary caregiver but I'm not. I apologize to anyone who reads this. I'm not an employee and it's not within my scope to be coo...

I'm still a bit upset since Friday. I teach clinicals to PN students. We were at a skilled floor of a LTC facility. There is a new respiratory therapist there, I've been learning from her and she is helping my students learn about aerosol treatmen...

Thanks guys, today, after asking about this, I went about my day and didn't think about it in the same way. Sometimes I have to really stop myself from thinking I did something wrong, no matter what or how stupid. Now that I have my head around thi...

Absolutely, even though I wasn't REAL upset, I realized it was on my mind too much, feels good to just talk it over a bit. Nurses pay, though better than lots and lots of jobs out there, doesn't reflect what we think we go through. I always said i...

Well! I just had a visit from a friend, who lives next door to the respiratory therapists sister. What a coincidence. Turns out he tells me that there has been arguing between these two sisters. Their father was very ill for a long time and the o...

What everyone else said. Sounds like you could use a bit of Xanax to smooth the rough edges too. We're all on your side!

Well, I heard a cute one in report Friday. Night nurse gave report on cute Mr Jones, who had been A&O in the hospital before being transferred to LTC. She said he had been confused all night. Several times he had been trying to get out of bed....

AnnemnRN, bless your heart for going to the trouble to help me with my little problem! I really, really appreciate it very much!

Hi and thanks for the comments. Well, the order is to irrigate the wound, I guess it is to both flush and clean it both? I need to make this care plan for students who need step by step instructions? Order is irrigate with normal saline and pack ...

Hi, can someone help me remember the steps to the following procedure, changing a wet to dry dressing with wound measurement using a cotton tip applicator, irrigation with a Toomy syringe, and packing a tract? I need to write a plan of care and it h...

I'm embarrassed to ask this, it's a tiny, detailed (dumb) question. Most Foley catheters are 5cc balloons and the tray comes with 10cc of sterile water. The leur cap (orange) says 5cc/10ml. My foundations book says to inflate with 10cc. I have al...

Major, I never thought about the amount it takes to fill the channel!

Thanks for responces. I surveyed several nurses last night from different facilities and they were about 50/50 on the over/under question. (I always put it over myself, btw, with the bag always below the bladder) maladi, thanks for your input about...

Two residents in a LTC home in my area are so obese! One has been there 15 years and adm weight was 99 pounds, now it's 190. Abdomen huge and very firm, hard is a better word. Trouble breathing too. Another R isn't as bad, but close. I asked a n...

Thanks, this resident has been in vegatative state for 15 years, and has a trach. Her admission weight was 99 pounds. I don't know if she was underweight on admission, she looked beautiful in the pictures in the room. It's too bad. I know the dr ...

WooWoo! Lets hear it for BSNGRAD2B:yelclap::yelclap::yelclap:

I think it's extremely low. Come to Ohio!

All I can say is I sympathize. What a horrible night. It isn't your fault, Take your minutes to cry out this frustration and day shift will be there soon to help you in any way they can.