jerenemarie

jerenemarie

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All Content by jerenemarie

  1. Advocated for PT against the on-calls orders

    jerenemarie replied to optimist's topic in General Nursing

    As a nurse you are the patient's advocate, you made the right decision! thanks,

  2. Tape Reporting... HOH RN

    jerenemarie replied to MystyqueOne's topic in General Nursing

    Please don't forget...your employer must accomodate you under the Americans with Disabilities Act! And if they won't help you, then report them to your state Civil Liberties Union! Thanks,...

  3. Living with poo

    jerenemarie replied to dropbears101's topic in General Nursing

    Yikes...sounds to me like your facility needs to have an infection control inservice! Soiled briefs on the floor??? Big infection no-no, if any health dept inspector would see that they...

  4. To all Night Nurses:

    jerenemarie replied to Double-Helix's topic in General Nursing

    night shift staff are awesome to work with, they are a special group! they do not get the recognition they deserve, instead the day shift comes in & starts complaining right away, grr! thanks,...

  5. Is Nursing really THAT bad???

    jerenemarie replied to johnny depp23's topic in General Nursing

    I retired over a year ago after working full time as an RN for 28 years, was an LPN for 3 years prior to becoming an RN & was an aide prior to working as an LPN so I've been around awhile! I...

  6. The dumbest thing you've ever heard...

    jerenemarie replied to AngelfireRN's topic in Patient, Colleague Relations

    A social worker careplanned on a quad. patient & his needs for sexual gratification...she expected nursing to perform oral sex on him! That is one dumb thing I'll never

  7. I am a new grad and got a job as ALF director position!

    jerenemarie replied to eve5483's topic in Geriatric, LTC

    Don't forget, you are responsible for your staff & residents 24/7 which is alot on any RN's shoulders, much less a new grad.! And be prepared for the state survey team to grace you with their...

  8. Fecal Disimpaction

    jerenemarie replied to Brenda F. Johnson's topic in General Nursing

    The state of Minnesota looks at impactions as a BIG problem...one of the first questions they have is the patient dehydrated or not & what type of meds are they on to contribute to the problem...

  9. Patient falls: What works to prevent them?

    jerenemarie replied to UPSBossman's topic in General Nursing

    Here a few preventative tips I used with care planning: 1. Making sure they have their glasses on & that they are clean, this goes with hearing aides too! 2. No throw rugs in rooms. 3. Follow...

  10. Fecal Disimpaction

    jerenemarie replied to Brenda F. Johnson's topic in General Nursing

    Manually removing fecal impactions is risky with too many potential problems that could arise. Best thing to do is call the physician & get an order for an oil retention enema (suppositories do...

  11. reamed out for using soft wrist restraints

    jerenemarie replied to newnurse012's topic in General Nursing

    I've gotten orders for a low dose of Morphine for someone who is having resp. difficulty as this helps with the distessed respiratory status & it also helps with relaxing the patient. It works...

  12. Unprofessional Administration!

    jerenemarie replied to jerenemarie's topic in Geriatric, LTC

    I have decided to take Chinup's advice, I will just forget it & be thankful I'm no longer working in that place!! Thank you for your replies!

  13. Unprofessional Administration!

    jerenemarie posted a topic in Geriatric, LTC

    10 months ago I was unexpectedly terminated from an A.L.F. by their brand new V.P. of management:down:. One week ago I get a phone call from their Administrator asking me if I had "reported" her to...

  14. PRN question... am I the only one??

    jerenemarie replied to Trubie's topic in Geriatric, LTC

    I wouldn't worry about intruding on their stomping grounds, your number 1 priority are the residents & you are doing the right thing when giving them prn pain meds before the pain becomes...

  15. Your best nursing tips/tricks

    jerenemarie replied to AOx1's topic in General Nursing

    For those folks who have problems with reddened & dry, chapped skin...udder balm works wonderfully! It has no scents, is "natural" so it is free of harmful ingredients. I've had nursing staff...

  16. Your best nursing tips/tricks

    jerenemarie replied to AOx1's topic in General Nursing

    Strain urine using a coffee filter for those patients you suspect might be having a problem with kidney stones...works well in LTC when there aren't any urine strainer devices

  17. Change of shift call lights

    jerenemarie replied to abbaking's topic in General Nursing

    What I'm used to, & it works great, is the team leaders tape report. Then they are available on the floor until the next shift listens to the report. The nurses aids make rounds together (days...

  18. MDS nursing as a new graduate????

    jerenemarie replied to TealScrubies09's topic in General Nursing

    I really would advise you to get some experience first. The MDS is part of the RAI process which is how LTC facilities are reimbursed. Sometimes it is called "charting for dollars" which is really...

  19. Choking in LTC

    jerenemarie replied to NurseSuzann's topic in Geriatric, LTC

    It still amazes me how many seasoned MD's & nurses argue over what DNR means. I've taken care of numerous residents in LTC with a DNR status...they still continue to get treated for UTI's, CHF,...

  20. Suspended

    jerenemarie replied to chellelynn25's topic in General Nursing

    Employees who work in facilities where their significant others also work (this also goes for family members who work in the same facility) are to be considered co-workers when on the clock. I worked...

  21. Foley balloon issues

    jerenemarie replied to WI_home_RN's topic in General Nursing

    I've used B & O supp. also with success for bladder spasms which cause leakage. I also found at a urology conference that large foley's (greater than 16 Fr.) can contribute to spasms &...

  22. Question about morphine

    jerenemarie replied to pharmgirl's topic in Emergency

    You did the right thing

  23. inserting foley, some tips please

    jerenemarie replied to PRETTYODD's topic in General Nursing

    If I accidently got the foley in the lady parts, I would leave it in as a "marker" so I could see where the urethra was when I opened a up a new foley for insertion! I was also taught by a urologist...

  24. Have you ever shed tears in front of a patient or a patient's family.

    jerenemarie replied to dudette10's topic in Patient, Colleague Relations

    I've shed tears with families when a loved one had passed away. This was in a LTC facility I worked in for many years in a small rural town so I knew these people. I don't see anything wrong with...

  25. Ever Refuse a MD order?

    jerenemarie replied to Leelee2's topic in General Nursing

    One time I was caring for a lady (LTC) who was complaining of constipation; I assessed & I knew she was obstructed with her abdomen being so large & tympanic. She was so miserable &...