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

LMAO,,,,, my company pay for recert,,,!!! Even though it is required by law,,,,, we have to find a class,,, pay for it,,,, turn in our 'proof',,,,,, on our own time,,,,,, Is this right????? No!!!! Heather,,,,, would hate to have to do all that at once,,,, but would be good way to be sure, everything is current and takes care of going on your own time,,,,,,, think that is good idea and will present it at next,,,, departmental meeting,,,,,, Will it make difference? Doubt it,,,, but I'll go on record,,,,,,,,, Reimbersment for education???? What is that ???? lol Nikita~~~~~~~

Living and Working in Fl,,,,,,,,, Yes we do have the baker act,,,,,,, I find that in assisted living,,,,,, It is very hard to get patient baker acted,,,,, PCP has to sign psych,,,has to agree to see,,,,, Those ppl on the street,,,,, police can deliever them to hosp ER where they will be put in mental health unit for 72 hours,,,,, If it is your family member or friend,,,,, police would prefer you handle it,,,,, transport,,,,, etc,,,,,, This is good if needed,,,,,,,, Dont' think it should be used,,,, to get rid of problem for night,,,,, It's early,,,, worked 18 hours,,yesterday and coffee hasn't kicked in yet,,,,,, hope I made sense,,,,,,, lol ~Moon

In my assisted living..., try to deal with it first with diet and plenty of fluid intake... Prunes...warmed... or prune juice...warmed...next... Then MOM with the warmed prune juice... works most every time... LOL... most of my residents are bowel obsessed... so first we have to be sure they are really constipated... some would like bowel movement every time they urinate!!!!!!! LMAO

Tatally agree with Rusty here,,,,,, As DON of assisted living in florida,,,,, they have passed law and rule with four hour class non licensed personal can give meds,,,,,, You have to have resident sign that they know and agree non licensed personel is giving thier meds,,,,, you have to have a MOR instead of MAR,,,, as they are observing,,,,, and they cannot do prn med,,,, as state feels they don't have knowledge to decide if it's right to give prn,,,,,, How did I handle it in my facility????? I have nurses,,,,, no unlicensed person is giving meds,,,, under my watch!!!!!!!!! Moon

ktwlpn,,,,, you can come work with me anytime,,,, I agree 100% with you and Klare RN,,,,,, Staff coming to me all the time,,,, fix this ,,,,,, I remind them,,,, this is why the have thier job,,,,, use you imagination and compasion,,,,, Also think it does me good to enter the pt's world for few moments,,,, forget about reality,,,, does both the pt and I good,,, Moon

As D.O.N . of an assisted living facility,,,,, staffing always problem (as in most LTC settings,,) after stuggling for over a year, to cover shifts with enough staff due to call ins,,,,,,, I just do the schedule and leave it up to each staff person to cover themselves,,,,, I am blessed with team players,,,,, took four years to find these ppl,,,,,, I treat them like gold,,,,, but,,,,, no one hesitates to cover for someone else and as soon as the staff member who called off is well and back at work they cover a shift for the person who worked for them,,,,,,, Realized it works much better when I placed it in thier hands,,,,,,, I don't get the call off,,,,, I just check schedule and someone has covered it,,,,, WHEW,,,,,,,,, soooooo much better for me and one less thing to worry about,,,,,,,,,,,, For example I have been short two 11-7 CNA'S for about three weeks now,,,,,, have interviewed and hired two to fill positions,,, but still going through orientation and background screening,,,,,, I have not had to ask one time for somone to cover the shifts,,,,,, everyone volunteered and I will be sure that they each get extra time off when I have full schedule,,,,,, and I also am sure to personally thank them for the work they do ,,,,,,,, praise the good stuff all the time,,,,,,, Let them know how blessed I am to have them,,,,,,, lol Works for my facility,,,,,,,,,,, Moon

I snapped,,,,,,,,,, but not at any of nurses or cnas,,,,,,,,,,, Working assisted living,,,, I find the 8 hour employees,,,,, maintainance,,,, housekeeping,,,,,, activities,,,,,,, don't even realize, ,,,,,, we have 24/7 work,,,,,,,,, They come to nursing complaining this resident,,,,, has bowel movement on toilet,,,,,,,duhhh,,,,,, this one is hoarding,,,,,,,, duh,,,,,,, PEOPLE this is why we have a job!!!!!!!!! They irritate me to death!!!!!!!!! Put suggestion in ,,,,,,,,,, those departments should work shifts,,,,, and know that we have our residents for reason,,,,,,,,,,, they need us,,,,,,,, if they didn't would not be living with us,,,,,,,,, It's an ongoing battle,,,,,,,,,,,, Moon,,,,,

Have dealt with this problem first hand,,,,,, had cna at work at 3p,,,,,, administrator on floor ,,,,,,,, spoke with him,,,,,, no problem except short of staff and he and I were only staff on hall with 22 residents,,,,,,,, Dinner time came and after med pass I began to help feed residents,,,,,, when i came out of room found patients,,,,in bed uncovered ,,,,,, undressed,,,,,,, one oriented woman told me cna was drunk,,,,,, couldn't find him,,,,,,,, finally showed back up on floor 15 min,,,, later,,,,,, sooooo drunk he could stand straight,,,,,,, I confronted him ,,,,,,, he denied it,,,,,, place phone calls ,,,,,,, got staff to cover rest of shift,,,,,, called administrator and told cna to leave,,,,,,, welllll,,,,,,,, ya know a drunk,,,,,"Not leaving my patients,,,,,, will help the cna coming in,,,," When administrator arrived,,,,,,, cna still resisting leaving,,,, had to be threatened by calling police,,,,,,,, Needless to say,,,,,,,, he lost his job and we reported to state,,,,,,, After he left found 3 skin tears,,,,,,, geesh,,,,,,, Very stressfull situation to go through,,,,,,,, Charge nurse,,,,,,, new to job only 3 months and dealling with alcoholic,,,cna,,,,, NEVER will go there again,,,,,,,,,, had bottle hiden in his locker,,,,,,, Worst few hours I've had at work,,,,,,,,,,,,, Then call to wonder why he lost his job??????????????? omg,,,,,,,