David Offenbaker BSN, RN

Medical-Surgical, Education, Community Health

Member

All Content by David Offenbaker

  1. David Offenbaker

    iv dilaudid

    Lately I've had a lot of patients on Dilaudid IV (usually 2mg)-- then the rst of mainly morphine. I work at an LTAC and most of the dialysis patients are on Dilaudid, and of course have the lidocaine...
  2. David Offenbaker

    Trach patient!

    Hi all, I recently got hired for peds home health and am due to orientate on Monday. I haven't had too much experience with trach patients (other than in the hospital where we do trach care, etc)....
  3. David Offenbaker

    Settle this please...

    Hi all, I have read many threads that contradict each other. One says rehab is a lot like medsurg, minus the constant admission/discharges. While others say rehab is nothing at all like medsurg. I...
  4. David Offenbaker

    Trach patient!

    Hi All, Yes, I will be getting an orientation on Monday. As for Peds experience, yes I have peds experience in the hospital setting, but in the hospital RT usually took care of the breathing...
  5. David Offenbaker

    Trach patient!

    Thanks for the quick reply. I'm still trying to figure out how to do breathing treatments VIA the trach. This particular patient isn't on a vent-- just gets treatmenets via nebulizer. Does the...
  6. David Offenbaker

    Ventilators?

    Hi there, Got a new job doing pediatric home health, and the patient is on a vent only at night. In my past jobs and in school I have had very little experience with vents. Do you have to program them...
  7. David Offenbaker

    Microbiology... with TCN

    Haha, my thoughts exactly. I didn't think Micro could change 'too' much in 5 years ;-) Thanks a bunch :)
  8. David Offenbaker

    Microbiology... with TCN

    Hi there, I purchased a *NEW* Microbiology study guide by The College Network on Amazon. It was listed at the 2007 edition-- but yet it says inside "copyright 2002". Does anyone know if this is the...
  9. David Offenbaker

    New to oncology! !

    Hi everyone, Just accepted a job in an oncology clinic. I have dealt with a few cancer patients on the med-surg floor, but am still wondering what to expect. Anyone have any words of wisdom?
  10. David Offenbaker

    Before/After HIV

    I still see LVN's/RN's alike not wearing gloves during IV starts and blood draws. I on the other hand am bad about not wearing gloves when doing accuchecks...
  11. David Offenbaker

    Before/After HIV

    My friend's ex had HIV for 4 years I never told his partner-- pretty scary. My friend is HIV free, thank god, and his ex is still very healthy to this day.. I know quite a few people who have been...
  12. David Offenbaker

    Medication Aides?

    How many of you work with medication aides? I find them to be a great asset, what do you think? Today was my first day at my new LTC job. I found to be suprisingly different than I believed. To me it...
  13. David Offenbaker

    Do Not Hire

    I guess my mistake was telling her. I felt she would understand as she said she always had an open-door policy. I didn't want to just not show up for work the following Monday, I would never do that....
  14. David Offenbaker

    Would you lose your license?

    I have a questions regarding Medicatino Aides. What if the medication-aide gives the wrong med, over medicates, etc. and you're the charge nurse. Would I ran the chance of losing my license if they...
  15. David Offenbaker

    I'm sure you've all seen this before..

    My name is Dave, I've been an LVN for 3 months. In my first three months of work I worked on a Med/Surg floor. Although it was great experience, the pay and hours were terrible (I was lucky if I'd get...
  16. David Offenbaker

    I'm sure you've all seen this before..

    My sister works in a LTC facility as a treatment nurse, and she seems to enjoy it. Working in Med/Surg for the past few months has given me lots of skills, so the only thing is that I don't want to...
  17. David Offenbaker

    I'm sure you've all seen this before..

    Awesome! TheCommuter I love how you wrote that out! I am the same way, I always carry my trust notebook with me and lay out all my procedures throughout the day. Does your facility have medication...
  18. David Offenbaker

    Help! ! I need input! !

    Hi Everyone! My name is Dave and I have just recently graduate from nursing school. Before becoming a nurse I worked with children (newborns to teenages), at a local after school program. When I...
  19. David Offenbaker

    Help! ! I need input! !

    That is really good to hear. I just don't want to make a hasty decision and get out of med/surg. I am hoping this is my foot in the door for peds :) Thanks
  20. David Offenbaker

    *NEW* Med/Surg Nurse

    Having just graduated from nursing school in August, I knew I wanted to work in Med/Surg so that I could get some great experience and help get my foot in the door. I got hired at a great hospital...
  21. David Offenbaker

    *NEW* Med/Surg Nurse

    Thanks for the kind words-- I really appreciate them! Our orientation program is really great for new grads. I will be orienting until Mid-December (I've been on the floor nearly a month). So it seems...
  22. David Offenbaker

    ANGRY! There's no place to eat or drink 'round here!

    Explain this one to me. According to policy, JCAHO says no food of drink in the nurses station. Well, last week we had this little thing at our hospital called "I Love Legibility", where two nurses...
  23. David Offenbaker

    ANGRY! There's no place to eat or drink 'round here!

    My place of work claims it's a JHACO rule that no food and drinks are in the food area, yet I see it at other
  24. David Offenbaker

    Anyone going through Excelsior?

    Hey there, Did you purchase the recommended books or did you use College Network/Chancellor's, etc?
  25. David Offenbaker

    Anyone going through Excelsior?

    Am I going to do it? Heck yeah! I'm curious though, what all did you have to do to apply? I'm wondering if I should go ahead and send them my transcripts? My LVN school transcripts are spottless, but...