PsychNurseWannaBe

PsychNurseWannaBe BSN, RN

LTC, Nursing Management, WCC

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All Content by PsychNurseWannaBe

  1. Another rant regarding MA's and Nurses

    PsychNurseWannaBe replied to samirish's topic in General Nursing

    Having CNA and MA experience will definitely compliment your skills and learning but both are roles that are supervised by someone who is licensed. Neither role can assess. That will be a huge...

  2. Another rant regarding MA's and Nurses

    PsychNurseWannaBe replied to samirish's topic in General Nursing

    That is not a statue or law but merely a job description of what MAs can do but it is broad based. You should not rely on that for what you can and can not do as the state determines this. For...

  3. Another rant regarding MA's and Nurses

    PsychNurseWannaBe replied to samirish's topic in General Nursing

    I'm not a stickler on that portion of the statues. I don't care if an LPN says she is a nurse, because really, she is, the key difference is practical vs professional. I have no problem sharing the...

  4. Keeping up with Assessments

    PsychNurseWannaBe replied to DixieRedHead's topic in Geriatric, LTC

    I only put out the assessment assignments one week in advance. I assign them to the nurses on different shifts. They have to turn in the sheet to me. But you can't just put out the list and leave...

  5. Another rant regarding MA's and Nurses

    PsychNurseWannaBe replied to samirish's topic in General Nursing

    Also, in Wisconsin the term nurse by law means only a registered nurse and nursing means professional nursing (services provided by an

  6. Another rant regarding MA's and Nurses

    PsychNurseWannaBe replied to samirish's topic in General Nursing

    When I answer the phone I say my name and either RN or registered nurse. Ashley and all MA's should be doing the same. If the phone states to talk with a nurse and you get an Ashley, then I would...

  7. question about narcotic dispensing

    PsychNurseWannaBe replied to kappykatlpn's topic in Geriatric, LTC

    If a resident goes to the hospital and is in an obs status, we will keep the medications. If admitted, the narcs are destroyed and the remaining medications are returned for credit. If our patient...

  8. Bending needle after injection

    PsychNurseWannaBe replied to christinehardin's topic in General Students

    This is an old school thing. Did the needle not have a sheath to pull up to cover and lock the needle? I work with a nurse who has over 20 years experience and "back in the day" they would chop the...

  9. Can someone help me with nursing diagnosis on this patient?

    PsychNurseWannaBe replied to starrys's topic in Nursing Student Assistance

    This is a student forum and most programs do not allow students to use medical diagnoses in their care plans unless it is a secondary to: What we do in the real world is a different

  10. is it a trap!?

    PsychNurseWannaBe replied to ThePrincessBride's topic in General Students

    I would of made mine up. College is no place for people to know such intimate things. People talk and suddenly you are the topic of

  11. Popliteal pulse, I can't find it in a friends leg.

    PsychNurseWannaBe replied to Thujone's topic in Nursing Student Assistance

    No popliteal pulse! That's never good! :) His vein maybe deeper or you may be applying too much pressure and occluding the vein or, maybe God did move his vein a little to the right or left. :) But I...

  12. Powerlessness Nursing Dx

    PsychNurseWannaBe replied to rosatikr's topic in Nursing Student Assistance

    Well with this nursing diagnosis, the majority hinges on how the person feels. Does he/she feel powerless? What statements did they make? The AEB would more than likely be verbal statements made by...

  13. Stubborn pilonoidal cyst

    PsychNurseWannaBe replied to smashms's topic in Wound, Ostomy, Continence

    I'm sorry that you are having such a chronic wound problem. However, we can't offer advice. All we can say is to see your provider. Possibly ask for a wound care clinic consult. Best of luck......

  14. Wet-to-Dry Dressing

    PsychNurseWannaBe replied to PediLove2147's topic in Wound, Ostomy, Continence

    The problems with wet to dry is that it is not selective what tissue it will remove. You will remove the good with the bad. You have slough, medihoney is greater...even better than Santyl in my...

  15. wound care question!

    PsychNurseWannaBe replied to wunzieRNBSN's topic in Wound, Ostomy, Continence

    I have got good results from Desitin MAX, which is 40% zinc oxide vs the typical barrier cream that has 13 or so %. I have used stoma powder. Works nicely. I would chuck the hydrocolloid if she is so...

  16. new grad & written up for the first time today at work :/

    PsychNurseWannaBe replied to cherielpn23's topic in Geriatric, LTC

    You said that everything is computerized... does this mean your MAR/TAR also? Most programs will inform the user if you are past due on something... like an exception report. To bad a fellow...

  17. coding isolation

    PsychNurseWannaBe replied to crissrn27's topic in MDS Coordinator Information

    If you meet all the criteria of strict isolation according to the RAI manual, then you could code. I don't know why your company does not jump on

  18. Submission error- FATAL

    PsychNurseWannaBe replied to crazyforthis's topic in MDS Coordinator Information

    ECS did not tell us they had issued 2 patches since the updates. We noticed it would allow us to sign the section without ARD dates put in, or it would allow me to close without signing section Z or...

  19. need help

    PsychNurseWannaBe replied to ianadie's topic in MDS Coordinator Information

    Why do you have a layperson do your pain ASSESSMENTS. This is to be done by the nurse in my opinion. I talk to all my residents about pain. If pain is not d/t an acute issue, then we might have a...

  20. coding isolation

    PsychNurseWannaBe replied to crissrn27's topic in MDS Coordinator Information

    If the resident leaves the room for any reason... then it can not be coded as isolation. Standard precautions do not count as isolation. Everything must be provided to the resident in strict...

  21. Percocet PRN

    PsychNurseWannaBe replied to ChristineWV's topic in Patient Medications

    We are not suppose to take range orders anymore. Percocet 5/325 one tablet by mouth for mild to moderate pain Percocet 5/325 two tablets by mouth for severe pain. I would not split a 2 tab q 6 hours...

  22. Rotation for transdermal medication patches

    PsychNurseWannaBe replied to 2425baldy's topic in Patient Medications

    Its common with exelon patches to cause irritation from the adhesive. I normally would go along the upper shoulder blades and then to the front. It doesn't stop the redness from happening, but will...

  23. New to mgmt, several questions

    PsychNurseWannaBe replied to AmyS,RN's topic in LTC: Directors, Assistant

    You get 3 days of orientation where I work. Every now and then I can tweak HR's arm to give a couple more if someone is

  24. Why did you pick your username?

    PsychNurseWannaBe replied to made's topic in General Nursing

    Hmmm.... what could mine be?? LOL... This was before I graduated and became an

  25. care plan help ... naturally.

    PsychNurseWannaBe replied to katiebry1031's topic in Nursing Student Assistance

    Everyone is a little screwed up to have at least one nursing diagnosis stick!! No actuals.... consider Risk for, or