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Nursee1234

Nursee1234

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Nursee1234's Latest Activity

  1. Nursee1234

    Medication order correct or no

    Exactly! And a pharmacy label on a bottle or blister package never seemed the same to me as actually seeing the physician order. In home health we used to be able to enter a med on EMR from the pharmacy label and include the Rx number which counted as physician signature. That is no longer allowed per QA in the last six months or so.
  2. Nursee1234

    Medication order correct or no

    A nurse should only go with the mg ordered regardless of how many mls or tablets may be involved . In my current agency we are not even allowed to write a verbal order in our tablets or transcribe to MAR without the dose clearly stated "give xxx mg" What you posted is really a med error looking for a place to happen. I would totally consider that order to be for 500 mg. Period. If what I have on hand is 250 mg tabs well...we kind of learned how to handle that in nursing school 😏
  3. Nursee1234

    Going to school with patient

    Since starting this thread I have actually begun going to pre-k in a special deaf education program with my 3 old patient. Loved the advice to keep some stuff at school. They are very kind about giving me some room for supplies. Rolling suitcase I purchased does the rest and navigates well in hallway. The teacher is deaf and the aide signs and hears so we muddle through and really communicate very well. PT wears a backpack with feeding pump and teacher and aide know that if he starts scanning the room for me it is because he hears the pump beeping. They think it is adorable. The first day I let them know that I would be handling all of his incontinence care,feeding pump ,meds and any nursing interventions that were needed but try to do so in a way that would not disrupt other students and also keep him engaged as much as possible. I would NOT intervene with teaching/ redirecting over classroom issues so as not to undermine the bonding he needed with teacher and aide. It has worked out very well so far and I do enjoy the mornings out of the house. Why would the teacher think you were trying to keep the pt out of school?
  4. Nursee1234

    Hospice respite care

    I have had luck with a discussion about the team approach to hospice care and how the primary caregiver is one of the most important members of the team. Really build that up with how important it is for ALL of the team to have regular breaks. Open communication about how to make a respite stay successful is good too if the patient is cognitive. One patient when asked how would respite routine be different from her room at home replied she wouldn't be able to have her two beers at night. Hospice physician was notified and respite facility was consulted and patient's respite orders included two beers administered ( served) by nursing staff at the facility. Family had to provide beer of course.😊 She was a super sweet lady and loved us so much for asking, listening and making the effort.
  5. Nursee1234

    Going to school with patient

    Thank you all so much. Yes. My agency is involved and doing their thing with school district and nurse supervisor. I have basically told the family that I will not ride the bus but will walk through the process with them to see if it is a good fit or not, logistically and schedule wise for me. On that note, let family and agency know that a back up nurse oriented to this patient is well overdue. Mom requires meet and greet and for a month now has not had a nurse if I am not on duty. It will all unfold as it will. Kudos to traveling with all the baggage with vent patients. I am only 5 feet 1 inch and a 105 pounds and find that daunting!
  6. Nursee1234

    Going to school with patient

    Wow! Awful. Did they report that as a HIPAA violation?
  7. Nursee1234

    Going to school with patient

    Thank you. Those are exactly the things I have had going through my head. Pros and cons to any situation. I think what is stressing me most is mom. She is decidedly high strung and does things her own way. We manage fairly well at home. Some days are better than others. I just don't see her having a realistic view of this situation. Three hours a day of school is NOT going to free her world for her to get a job outside the home and go to school. Especially with the 5 year old sibling starting kindergarten. She originally thought she could just give me a key, put carseat in my car at morning drop off at school and I would drive pt home and carry on with the shift. When informed that my agency policy does not allow for transport of patients (and something I would not want/take liability for personally) she reconsidered the school bus. I really don't want the school bus scenario for myself. Sorry I'm rambling. The mom waited until yesterday to pick up the paperwork from the school district and is not communicating anything with agency staff. So frustrating. I called the info into staffing coordinator before my shift today so I will just wait and see how it plays out. I just felt really ambushed by mom wanting me to commit on the spot without any concrete details about shift times and travel logistics etc .We shall see...
  8. Nursee1234

    Going to school with patient

    Any wonderful or horrible experiences going to school with a patient? I have alternated between pedi private duty and hospice since 1983 but have never gone to school with any of my pedi patients. Have been with this three year old for 8 months and mom is pushing to get him started in special ed at local school. Not sure why but I feel less than enthusiastic 😕 Any insider tips on what it's like?
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