KEL2BanRN

I didn't want medical advice with the post I just put on here. I know enough to not seek medical advice on a message board. All she wanted to know is if it's possible that the vaccine came out of the needle or what when he got the injection. I've seen WAY more descriptive posts and replies on this board than that one regarding shots. I'm sorry and I won't post again.

Floor nurses have time to surf the 'Net??? I'm actually surprised. LOL I'm still just a student, but from what I see in clinicals, I can't imagine nurses having time to sit at the desk and play online.

My school is on quarters. The ADN program is 7 quarters. We have to take a HESI after 4th quarter. If you don't score high enough, you have to stay after summer quarter for 3 weeks of remediation. Then you take another HESI before graduation, and same deal - I think it's 2 weeks of remediation then if you don't score high enough.

Here's what I just found: Q. Why does the tubing on my stethoscope become stiff and rigid? A. The tubing used in all 3M™ Littmann® Stethoscopes is a PVC (polyvinylchloride) tubing that becomes hard when exposed for long periods of time to the lipids found in human skin. Wearing the stethoscope around the neck may cause stiffening of the tubing over time. If worn around the neck, we recommend trying not to let it come in contact with skin by wearing it under a collar. It is also recommended that the tubing is treated with a vinyl protector such as Armor All® Protector once a month. This will not prevent stiffening, but may slow the process down.

Yes, thank you!! :)

Could you be more specific on the abbreviations? So far I've used all of those before and my CI has said it was fine. In fact he's the one who has told me to use most of them. I did do head to toe, and I stick in abnormal things where they happened, kwim? The reason the coccyx dressing was at the end is because she's in LTC and I helped her to the restroom where I helped her undress and did her bath, etc, that's when I assessed her coccyx dressing. It was one of the last things I did before helping her dress and getting her settled. I don't think I'll ever get this stuff right. LOL

LOL Thanks. I guess what they're doing with us right now is getting us used to doing full head to toe assessments and learning how to document. I'm really lost on how to document, and I wonder just how everyone automatically knows how to do it...? I have no idea how to word things.

Hm, My CI is the one who told me to use UE for the upper extremities. Is there a list somewhere of abbreviations we can't use? As for the PU dressing, I am not to remove it - it was just put on that morning and I'm just supposed to assess the dressing at this point.

This is my second day of charting. We're at a nursing home and have same resident each week for now. This is for practice, we will be charting in the actual chart next week. How does this look/sound? 11/09/07 0710 Supine in recliner, resting /c eyes closed. Aroused easily, A&O x 3. T 97.9, P 78, R 20, BP 122/65. PERRL 3mm. AV fistula L upper arm bruit present, thrill bounding. Resps shallow, even, unlabored. Skin on face and chest pink, warm, dry & intact. Chest symmetrical. Lung sounds clear A&P bilaterally. Pulse Ox 98% on room air. Abdomen soft, round, non-tender on light palpation. Bowel sounds present x4. LBM 11/8/07, large, soft, brown. Ap pulse 78, irregular. States "An aide bumped me on my pacemaker yesterday and it really hurts. It hasn't felt right since then." C/O pain 3/10 over pacemaker site. Reported to charge nurse. UEx2 pale, warm, dry. Radial pulses thready. L hand shows 1+ pitting edema. Denies paresthesia and pain, no paralysis noted in UE. Hand grasp = bilaterally. Ankles purple, cracked, peeling from ankles approximately 20 cm up and around the circumference of both legs. Tibial and pedal pulses non-palpable bilaterally. LE show 2+ pitting edema bilaterally. Cap refill 0900 Up in w/c. Feeding self independently. Denies needs. Call light in reach.-------J Doe SN 1100 Participating in activity in dining hall. Denies needs. Report off to charge nurse. J Doe SN

Yeah I realized just AFTER I posted that I forgot to put "call light in reach" with my entries!! DOH!! LOL

AHA! Finally someone else who has/understands my dilemma. I'm going thru this exact same thing right now. I know *what* to chart, I just don't know HOW and no one teaches us. You just fumble through. Like the other poster said - for something as legally important as charting, I'm shocked there isn't more training in this area.

Thank you, that is very helpful! I need examples, and no books I see really have very many.

Daytonite, thank you! Yes, I explained it in a previous post. (about the inability to void)

THANK YOU!!

The reason there was no intervention is because my resident is on dialysis 3x week and she really never is able to "go" but once in a while she gets the urge so we help her onto the toilet. I figured I should doc that. She was not in pain, and yes this is normal for her. The 1140 report to LPN is just the end of my doc'ing for the day and my report off. They didn't need to be informed about the toileting. But thanks!