Amy2005

When a patient is on droplet & contact precautions and the specimen results are not yet back (the patient has a respiratory infection) - this means that anyone entering the patient's room must wear gown, gloves, mask, goggles. Why is it okay for a visitor to put on all of these, and then to take their purse in when visiting the patient?

Keep those references - believe me - they come in handy at a later date. Even now, for me, I am using as many of my written references and evaluations for another purpose.

before getting involved with any educational facility, find out everything about the program. Find out about the clinical components - like when will clinical occur? (some of these programs have terrible arrangements for their clinicals - so you end up waiting endlessly because they can't always find preceptors).

When a patient is competent, then the patient can accept or refuse treatment. What source actually explains the circumstances of a patient right to refuse or situations when health care providers or other authoritiy would have the right to insist that the person have treatment? I've read about Supreme Court decisions. How to find the laws about this? Google has lots of information and various examples, but how to find the local laws about this topic?

how about 'impaired physical mobility r/t painful joint" - does he have self-care deficit? Or chronic pain? Or risk for imbalanced nutritional status: less than body requirements?

This is the test for checking torn meniscus. I have been searching Google to find a more detailed description of how the test is performed. My textbook has a short description, but I am not certain about how to "push a valgus (inward) stress on the knee". The leg is rotated exernally, the hand is placed with fingers on the medial side as the leg is extended. How is the push inward done? Am I supposed to press with the hand, placed on the medial side, so that I'm pressing from the inner side, or am I supposed to be pressing so that the leg is direced inwards as it extends? (that would mean pushing from above the knee). Hopefully someone could clarify. Thanks

Actually, this is a patient who went to ER from home, then was sent from ER to LTC. Such an abrupt change, no longer able to go back home, and asking "what was the cause of the problem?" I don't know what the medical staff said or did not say re: informing this patient of their health condition. Maybe there is some information or a form that came from the hospital to the LTC? Will check.

Thanks. For the patient to request the chart/diagnosis - who to ask? Ask medical recoords? Sounds reasonable to send a letter.

When an elderly patient, transferred to a long-term care facility, wants to find out their diagnosis (that caused them to go into hospital emergency), unsure if the doctor saw them while in the hospital, how can the patient find out the diagnosis?

okay - and this would mean using another bag of NS (emptied in order for it to receive the backflush from the NS that is already hanging). It would probably be okay then to just use that new NS and hang it, to replace the blood unit empty bag, and let it flulsh the line, so there is no blood in the tubing? Simpler (same result, still uses a second bag fo NS).

The blood administration set can be used for 2 units, as long as they are given in rapid succession and the tubing is flushed with saline in between. When using the blood admin set that is specifically the kind with the cassette for the infusion pump, how is the upper line to the blood unit cleared of blood? The saline would run through its upper line, then through the filter and along the distal line. So that means that the portion of the line from the filter downwards would be cleared with saline. How is that upper section of line for the blood unit supposed to be cleared? Inexperience and lack of equipment to practice with is part of the reason that I don't know how to do this. I would therefore probably get a new admin set for the second unit. Any suggestions? My searching on google did not provide the answer (yet). thanks

check with the College of Nurses (located in Toronto on Davenport Road)

The textbook that I am looking at says to assess carotid, renal, ischial, or femoral bruits. Where is an ischial bruit found, if there is one? The others that are mentioned are ones that I have instructions about, but not for ischial. My searching on google hasn't produced an answer.

This is a request for ideas for some activities that an older confused adult could participate in, during the day, while sitting in a wheelchair. It was suggested by one person that folding towels/facecloths is something that they could do. Any more idea? Thanks

What is meant by "domiciliary oxygen"? I've been checking on google for an explanation - haven't found a clear definition. My book mentions it in terms of its being used for fifteen hours/day and to achieve SaO2 greater than 90%