guest1143647

guest1143647

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All Content by guest1143647

  1. Do you find that patients assume you are inexperienced or unskilled as opposed to nurses that have worked in a hospital? Do you feel "less than" a nurse that has worked in a hospital, or do you feel you missed out on something pertinent?
  2. Just what the title says. I was working on a chart from my part time job on the night shift at another job. I accidentally left in in the home. What can I do besides the obvious? I feel so stupid. The job has lots of downtime so I thought why no...
  3. How would you have handled this situation?

    Back to the question, I don’t think mom was being manipulative. I think she was really just concerned about having a permanent nurse. Maybe she is just tired of the agency saying they have a permanent nurse for her, but then they never send one.
  4. How would you have handled this situation?

    Remember that other thread you asked about the BSN? This is an example of why it is good to have just in case.
  5. Night shift is 11pm-7am Im not sure what would happen if the previous shifts missed them
  6. While I have my BSN( obtained Aug 2021) been an RN for 14 years, and an Lpn four years prior to become an RN, I struggle to get hired into a med surg position. I’m not sure what’s going on with the hospitals in my area. But the only companies I do re...
  7. A good idea. Whose to say that homecare won’t move to an all Lpn model?
  8. Interpret This Order For Me Please

    IV 1000ml D5 1/2 NS 60ml x 24 hours I read it as D5W 1/2 NS at 60ml hour. Total volume to be given is 1000ml. However, 60 x 24 hours is 1440. So after 1000 was given I hung an extra bag to cover the 440ml
  9. Interpret This Order For Me Please

    60ml x 24 hours is the hourly rate. That part was clear to me,but I guess orders are written differently depending on the setting
  10. Interpret This Order For Me Please

    I don’t see how anyone could think 60ml is the volume, because 1000ml is listed as the volume. The order I wrote is the exact same one I saw in the chart.
  11. Interpret This Order For Me Please

    It’s so interesting how we all interpret the order differently,although I had to squint at the posters saying the rate isn’t specified.
  12. I think nursing employment is moving toward outside of the acute care hospital model again. I read somewhere that hospitals are not the main employer of nurses anymore. The hospital based nursing employment is actually newer than you think....
  13. Interpret This Order For Me Please

    60ml is the hourly rate
  14. Does the federal Covid mandates apply to homecare nurses?

    So, does NJ Governor Murphy’s mandate for healthcare workers apply to nurses in non congregate settings?
  15. I wondered this myself but eventually got the BSN. I have about 27 years more to work before retirement. I started out in private duty but did work occasionally in a LTC facility until 2009, so it was all I knew. I now work in a rehab facility, an...
  16. Interpret This Order For Me Please

    I wasn’t the nurse who started the order. The IV fluid had already been running 9 hours prior to me arriving on shift. I didn’t write the order nor start the fluid. By the time I started my shift 9 hours had past already.
  17. Does the federal Covid mandates apply to homecare nurses?

    Thanks so much. Since Governor Murphy announced last week that healthcare workers must be boosted I assume this still applies to homecare nurses. He only mentioned congregate settings though.
  18. I got written up for saying poop. It was one of those nights and instead of saying” large, hard bm” I said “poop”. I just didn’t think it was a big deal. But apparently it was. The DON printed up my nurses note and explained why it was unprofessional...
  19. Interpret This Order For Me Please

    Because the doctors do not like us to call them at night unless an emergency. I got written up for calling a doctor about a fall that didn’t result in injury. I asked supervisor and she stated the 1000 meant the volume in the bag. That didn...
  20. Peri-care without gloves?

    I can’t believe some people are justifying this. We have to follow standard precautions in homecare too. I am not wiping poop without gloves. Come on now….. I don’t care if it is a private client.
  21. War on Nurses

    Homecare has an even more severe shortage of nurses than hospitals. Home care is brutal and low paying. My gosh the paperwork alone is painful. Oasis
  22. Writing “poop” is unprofessional?

    Yes I know I wrote a silly word in the nurses note but that was a very stressful night. As a matter of fact, it was Christmas Eve
  23. Can you hold medications without a doctor's order?

    In home care Pdn this hold thing is even more complicated. I had a parent that refused to let us nurses give her daughter with a trach and vent albuterol at night. That had been going on for months before I got there. Not sure of moms r...
  24. Stacking PRN pain med orders?

    So my patient has an order for Oxycodone 5 mg po every four hours for severe pain. They also have an order for tramadol 50mg po every four hours for moderate pain. I gave the oxy at 0300 for a pain level of 8. I went on break at 0330. When I came ba...
  25. Don't Give Away All of Your Apples

    Love the article, but how about touching on the fact so many of us have to work two and three jobs to make ends meet because we don’t get paid enough? This is especially true of long term care nurses and homecare nurses. The nearest LTC facilit...