Just wondering

Can anyone define what "nickle thick" means in when applying accuzyme oint??? The wound is approx 8cm X 6cm X 1.2cm depth. this is an actual term used on an order I saw....

Thanks for the replies and link....The link had the basic info but not the techniques of inserting an s/p foley. I changed s/p tube once during clinical and I did know that it is a different technique in that you don't advance the s/p foley until you have return urine. I do know the measuring....... It was the clients position and the direction of inserting the foley. When I inserted the s/p foley at 10:50pm, after charting I went to check to see if any drainage at 11:30pm and there was none. So, I reported it to the next nurse to monitor.......went home had it on my mine, following day I just followed up and the nurse that relieved me had to deflate and reinsert. The nurse told me that the direction of the s/p foley is upward which does not makes sense to me considering the bladder is in the lower cavity....I think I'm going to just call the urologist for clarification myself....

Hello, Can anyone please tell me the actual way to insert a supra pubic foley???? The patients proper position??? the direction pointing the foley while inserting???

First, :welcome:. When you start your CNA you will be taught over and over about precautions and preventions. There is a chain of infection and there are ways to break it. I wouldn't worry too much on being exposed at work place b/c once you learn the ropes of prevention your risks will be decreased. I'd rather worry about outside the work place then inside. Atleast in, it can be indentifiable and treated. Outside, you have 'em all. For instances, the shopping carts at the store, do you know how many people touch one cart? or the pen you may borrow at the register when you sign your credit card receipt. How about the veggie that other people pick up to choose and put it back b/c it wasn't appealing. Bacteria can mutate, nowadays, they are everywhere. As far as the work place, I think it would be hard to challenge that what you have acquired, you got it at work. The only way to justify that you got the bug from work is if you have an out break (or atleast that's one way I know). I worked at a nursing home and there was an out break of diarrhea. Needless to say, it wasn't pleasant we all know it's nosocomial. And there is risks with where I worked, the elderly with weakened immunity were compromised.. When you finish your school for CNA and seek for employment at a Health Care Center, you will be inserviced with education over and over, and over......Good luck. Just Me

To the OP, why not become an LPN first then reinforce with education when you start RN in '07. If your goal is to become an RN why not start with a lower title. Just wondering

This was a question to me on this thread.... What happens if you miss and had to look elsewhere to start?....

I had this client who was on hospice, had zero po intake for a week prior to passing. About a few days before she died she was scheduled on 0.5mg ativan SL EVERY 4 hours(dilute in 5cc H20), & Roxanol 0.5mL (10mg) po PRN Q 2 hours for distress. I had a dilemma one night pt RR was about 44-46/min. I gave the first dose of Roxanol and gave the 2nd 2 hours later for distress and held the next scheduled ativan. I held the ativan b/c I have no experience seeing this effect, and my pt's RR decreased to the low 30's. It made her comfortable with no distress. Does the above dose sound too much for a person on comfort measures??? Just me

THANKS AGAIN!!!

Repeat

Thank you both for your response. I had a pt who was on comfort measures and she appeared to be in respiratory distress. Her condition was declining for the past week so I placed a courtesy call to the family, they came in @1am. She was mottling to her lower extremities, I upped her 02, her sats kept dropping and was also inaccurate due to poor peripheral. Called the doc and got an order of morphine 2mg Sq every hour prn for distress. Oral suction a couple of times....at that point she was rattling (I don't know the appropriate term). We made her very comfortable including the family. I was very informative to everything I did and the family consented to the med. The family also made a request to contact the priest, and gratefully they too had an answering service. It was a comfortable environment b/c to me sometimes with family members, their most memory could be when their loved one was passing and everything that went on in that room. We provided them with refreshments and coffee. This is a new workplace for me and there is no exact care plan for comfort care for CNAs. So throughout this situation I was informing the CNAs the purposes for everything being done with comfort care and its importance. I posted this med question b/c I don't have that experience like many of you in the nurses shoes. School is half the education, the real world is the other half and it counts the most. And it all paid off when the daughter was leaving and she gave me a hug and said "thank you." just me

can anyone tell me what Rx are used for pts on comfort measures and the appropriate doses. ex. morphine? Thanks..

Thanks for the info puala... Would you do this without an order? or how would you consult with the physican about this?... just curious

I have no idea of what's in place. I just started a few months ago. I will check on it, it's probably out dated since this LTC has been around for 27 years with different owners and staffing.... During orientation I read protocols on toe nails but nothing about fingers.... humm,...I will ask.

Hello all, I need some info; I have this resident who has 3 fingers nails with hard crusty callous which looks to be disturbing and is not painful... from my pass I've seen this before and was told it's fungus.. This resident was treated with keflex with no results and on lamisil cream to areas. With your expertise, any comments???? Thanks!!! Just Me, Just Wondering:rolleyes:

I use to be a CNA at an LTC and walking rounds while giving report was mandatory. It was very excellent b/c as we were walking it's difficult to miss any event that happened with a particular resident, we just had to caution to our tone of voice when we walked pass the residents room. Now that I'm a nurse at another LTC they don't do that, they just talk briefly and previous shift is on their way out. But that was bad b/c the CNA's who just came on have been complaining about previous shift leaving things behind...and not doing certain tasks that they are assign to do, which now leaves the current shift to pick up after. I've told my shift, "Don't accept the floor if certain things aren't done, stop the nurses from report and tell them." Big change from that. After I get my complete information from report I alway give full report to the CNA's about everything and the rationale. Those of you on board that are CNA's don't be ashame to ask for report if your nurse doesn't usually give it. Hey, you would like to know if your resident who has an illness is being treated, or who is due for laxative, suppository or fleet. Communication is the key and it works.