dsgrandmarn

dsgrandmarn has 25 years experience and specializes in LTC, office,hospice inpatient.

Latest Activity

1. CHPN Exam

   dsgrandmarn replied to ajitamamasita's topic in Hospice, Palliative

   I have the second editions of the HPNA Core Curriculum and Study Guide. Does any body know if those will be current enough for a 2013

2. Diluting IV narcotics = narcotics tampering?

   dsgrandmarn replied to mcknis's topic in Patient Medications

   That has to be wrong! We dilute almost everything that's given IV in my hospice, What are people

3. Vitamin K - IV route & clarifications

   dsgrandmarn replied to LovingNurse's topic in Patient Medications

   Our docs always order it for SQ. As for documentation, you could be saving someone else time and aggravation plus the obvious and always important CYA. Thanks for watching out for those who come...

4. Depressed and struggling to hold on

   dsgrandmarn replied to rholman's topic in Health, Stress Management

   Is is possible for you to get some counseling so you don't feel so alone in your struggle? . Nature seems to program mothers and daughters to have these relationship challenges at this time- my...

5. Newborn Kitten Emergency- Anyone???

   dsgrandmarn replied to canoehead's topic in General Nursing

   What a great story! It renews my faith in people. Plus, without opposable thumbs, these kitties will never get on Google and then complain they didn't get proper care! Thank you for what you did and I...

6. Ethical dilema - cancer pain

   dsgrandmarn replied to mlew's topic in General Nursing

   It is my understanding that if you have a legal order for pain med then you are legally obligated to treat the pt's pain unless, of course, she refuses. I think this is true even if you have DPOA who...

7. Impossible medicare regs!

   dsgrandmarn replied to dsgrandmarn's topic in General Nursing

   Thanks for everybody's input. I appreciate your ideas and sympathy. I don't have the answers to the more detailed questions about Medicare, not my forte at all. Keep the ideas coming. I'll probably...

8. Maybe giving it all up

   dsgrandmarn replied to HopelessinLTC's topic in Geriatric, LTC

   I may be missing something but from what you say I can't see what you did wrong. Others are judging based on hindsight, which is always easy. You made the right call based on the facts you had AT THE...

9. Impossible medicare regs!

   dsgrandmarn posted a topic in General Nursing

   We have been told that, starting in April, we are going to have to chart every patient contact we have during the shift. All we have are a few computers on wheels and some stationary ones, None of...

10. Dear Boss....

    dsgrandmarn replied to misslo's topic in General Nursing

    Well said ! I am so tempted to post it at work, especially the part about trays and the kitchen. Thank

11. The 3 boys?

    dsgrandmarn replied to jenrnmcg's topic in Hospice, Palliative

    Yes. At our hospice there are several stories about patients " seeing " one or more children ( that no one else can see ) in their room or running up and down the hall shortly before they die. And,...

12. ideal syringe size for saline locks.

    dsgrandmarn posted a topic in Infusion, Intravenous

    Could somebody please tell me what size syringe is the best for med. administration and flushing a saline lock? Thanks very

13. Help! How do you stay awake on drive home after night shift?

    dsgrandmarn replied to neetnik461's topic in General Nursing

    I feel for you. I have also struggled with falling asleep on the way to and from work. Lollipops, pretzels, any hard candy have helped. I also bought a gadget from an online security company that...

14. Size matters!

    dsgrandmarn posted a topic in Infusion, Intravenous

    I need help! In my new position I give a lot of IV meds but since my orientation ended I've gotten confusing info about correct syringe sizes to use with saline locks and central lines. Could I hear...

15. allnurses.com tshirt ideas?

    dsgrandmarn replied to Brian's topic in General Nursing

    HHC LPN's idea is the best by far. I love