nakitamoon

I received the surgical report from the hospital via fax today,,, the fixation device wasn't mosher (morscher),,, it is aesculap,,, and currently awaiting a return phone call from them,,, If anyone has information on this company and fixture I'd apprieciate the information,,, Thanks once again for all your help,, btw,, the screws are from Synthes,,, and Braun distributes the fixation device for aesculap have a good one,,, Nik~

P RN,,,,, thank you so much for the 'synthes' info,, and I will do an Fda recall,,, and an adverse event search,,, I have gotten so much support and info. from here I should of started here first,,, Just not thinking clearly as all this has happened so fast. I always have gotten the best support and infomation from this site, and it is nice to know it hasn't changed,,, Love ((( hugs ))) to you and thank you. Regarding proving the plate is causing problems,, I don't think I will have that much trouble,, (maybe I am being niave in this) but the muscle spasms,, most of the symtoms it is causing are evident even to a lay person,,, I have had one second opinion in florida, and now that I am in NC I am planning on seeking opinions here, I am so glad I have been able to reconnect with the all nurses family and I hope you have all had a wonderful Easter,,, take care,,, Nik~

Regarding replacement of the plate~my surgeon says unless nerve impengment in continual or spinal cord in danger he will not replace the plate, From the x-rays it appears the plate has broken between C6-C7 the bottom 1/3 of the plate separated from the top 2/3'rds, mobility which was limited has greatly decreased and when the edges of the fracture 'pinch' the myofacia tissue in the area, the pain is like no other I've experienced. Basically, I was told you are a nurse you have the equipement you need~tens unit, traction, heat ice, medication~ "If it hurts don't do it",,,, As a person who is used to working long shifts, being DON of an assisted living facility and constanly occupied with my career, this has been, and is the hardest transition of my life. I have been trying to do as much research on this as I can and as my neck and arms allow me, to date I haven't found anyone who has had a fixture fracture. And as I've asked,,, I am interested in any opinion, direction, anyone can give, and thank you so much for it. Take care, Nik~

Thank you so much for your reply and advise, I will definitly look into those options, This is so new, learning to deal with the loss of mobility, pain, attempting to find out how to live life with the best quality I can. And once again, anyone who may be able to direct me in anyway to finding who manufactured the 'mosher system' would be so apprieciated. This has been a major life change and moment by moment I am adjusting. It is nice to be back here though,,, Seems forever since I sat at the pc, Have a wonderful Easter, Nik~

First,,,, I'd like to say hi to everyone,,, It's been a long time since I've been able to visit the site,,, or anyother for that matter,,, Hope all are well to the old members I was familiar with and hello to the new ones. This time I need some input for myself,, any information or suggestions as to which way to direct me will be so apprieciated. Twelve years ago I had a discetomy between C5 and C7 with insertion of a cervial fixation device. A titanium plate and a bone graft. This past summer, pain changed and I found out the plate had fractured into two pieces. The screws still are fixed. Trying to do research on the manufacturer of the plate has been difficult. My surgical report, doctor, and the hospital all tell me it is a "mosher system",,, The company may have changed hands. I don't know,,, I do know this has changed the quality of my life greatly. I now cannot work, waiting for disablity to start and trying to figure out who I am without working, I miss nursing, hate the limited mobility. As I've said I'd appriecaite greatly, advice, information, direction on anything regarding this, I have sold my home, moved back to my parents, hope to visit the site more often as I miss it,,,,, Have a Happy Easter Nik~

,,, after a horrible day,,,, when I've had my bath,,, the only thing I want is to be in my DH's arms,,,,, whether or not it ends in sex,,, or orgasm,,, isn't important,,,,, Just need to feel him,,,,,,,,,

Hi,,, Suzy,,,, I too have shaky hands,,,, before any,,, any! procedure,,, they start to shake worse,, I try to ease,,, my patients,, and in the past,,, my preceptors,,, It is normal and I will have no problem,,,,, & I don't,,,, I am very good at IV's,,, pleb,,, Just don't watch me!,,, lol,,,,, ~kitamoon

:rotfl: thank so much! happy holidays,,,,, :roll ~kitamoon

Dealt with same problem here,,,, Best solution for us was to have accuchecks done at 6a,,, and the nurse on duty then,,,, give ins/coverage if needed,,, Dayshift monitors,,, and rechecks,,, accucheck prn,,,,,,, This way,,, ins/ coverage given at time of ordered accucheck,,, another shift didn't have to medicate based on value recieved two hours prior,,,, Works better for us this way,,, but also,,,, the night shift,,, has few meds to give,,, prior to day shift,,,,, so they have time to do accucheck,,,, give the injection,,,,,, Happy Holidays ~kitamoon

Hi,,, gambroRN,,,,, As DON of a fully licensed Assisted Living Facility in Florida,,,, I have to agree with what flowerchild says,,,,, The laws in Florida,,, have changed,,, so residents can 'age in place',,,, Having a HHA,,, come in to do cath,, teaching,,, care,, is acceptable,,, you as well could help take care of it,,,, He can do all he is able,,,, and with our ECC licensure,,, we can take care of it,,,, Hope this helps,,, would be much better than facing dialysis,,,,, I don't know where you reside,,, but if I can be of any help,, please pm me,,,,,,, ~~kitamoon

Wash my hands,,,, wear gloves,,,, wash my hands,,,, wear gloves,,,, wash my hands,,,,, When I read the title to this thread my first thought was,,,, who wouldn't,,,, plz those of you who don't,,,, take time to put them on,,,, As shannonRN said,,,, better to be safe than sorry,,,, ~kitamoon

I think all the best advise has already been given~,,, As I have been in assited living for the last five years,,, little out of the loop as far as skilled units,,,,, One thing comes to mind our insurance company risk monitor during one session,,,, Indicated we cannot say,,, write,,, think,,, we can "prevent" falls,,,, We can & do care plan all precautionary measures taken to protect the resident from falling,,,, protect them from injury,,, Love the lazar light idea and think I will be doing more research and try to use it with a couple of my asssisted living residents,,, I'm not sure if a signed letter releasing you from liability will hold any value when the incident occurs,,, The resident being A&Ox3,,, her stubborness,,, etc,,, will all be forgotten by the family at time of serious incident,,,, Think it would be time in family care plans,,, to insist she wear at least protective head gear,,, comply to some of your requests for her protection,,, she is a danger to herself,,, Stress mental health consultation for the continued self destructive behavior,,, Insist if she doesn't try to comply,,, that another placement would be more appropriate,,, I don't know what state you are in,, In florida,,,, since senate bill 1202 passed,,,, all adverse incidents have to be reported to the state within 24 hours,,,, with a follow up in 15 days,,,, that determines whether or not an investigation will follow,,,, An adverse incident,,, amoung other things is defined as incident which happened you had control over,,, knowing what the facility does about your resident,,, If some measures are not taken and and at least attempted,,, It is your responsiblilty,,,,, Last to repeat,,, DOCUMENT!!! ~~kitamoon

Melissa24~ You need to list all medications you have taken,,, on the lab form before you test~ You always can clarify~ they are prn,,, explain your back problem,, there will be questions on your physical about that,,, Not a good idea to try to hide anything~ will get your fired faster than being honest about back problems,,,, If in the future they find out~~ Going to save you a lot of trouble in the future,,, ie: your test comes back positive,,, then you have to explain why? and why you weren't totally open in the beginning,,,,,, (if they give you the chance to explain) Or if you are not 'up to par' one day due to your back,,, It won't be taken as attempt to file for workers comp,,, or that you can't carry your load~ Every company is different,,, but with mine,,, find that even with problems,,,, as long as they are discussed in the beginning,,, plan taken to avoid further injury,,, (as say~~ you will were a back belt & only do two person lifts,,,) shouldn't effect your being hired or retaining job~ If they don't hire you do to physical problems,,, you can fight that,,, or save yourself from being fired after the fact,,,, Just my two cents,,,,,, ~~kitamoon

We,,,,,, or I guess I should say I tolerate no abuse from the doctors,,,, In assisted living my nurses are my patients advocates,,,, I stress questioning them,,,,, until we get answer will hold med,,,, (per nursing judgemnt,,,) Find most pcp's of geratric patients,,, either one,,,, ask "well how long do you want to live??????" or just prescribe another drug to a regimen already as long as my arm,,,,, Administration,,,,, having only to get involved in one battle,,,, backed me up,,,,,, Doctor's are not gods,,,,, & they do,,,make mistakes,,,,,, ~~kitamoon

Like Bob & I.rae I respond in kindness,,, sometimes,,, the timing is important,,, with the 'look',,,,, I am quiet,,, let them finish,,, try to answer thier specific complaint,,, & move on,,,, my shift to be over,,,, soon! Many years ago,,, after a night shift from Hell!!! giving report to the 7-3 nurse,,, felt so bad,,, knowing the day she was going to have,,, She looked at me and sad,,,, no matter what,,, 3 o'clock will be here,,,, On my worst shift,,,, those words have help me many times make it through,,,, ~~kita