kids

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All Content by kids

  1. kids

    Central Line dressings

    kids replied to BeckyLRN's topic in General Nursing

    I had a very similar experience a couple months ago with a group of PICC clients. The rashes resolved when I switched to a different lot # of dressing kits....
  2. kids

    State is here and I am as cool as a cucumber...

    kids replied to blessedmomma247's topic in Geriatric, LTC

    Yep. They need their careplans updated to reflect 'personal preference' and the meds re-timed in the
  3. kids

    "Graduating & Not Ready"

    kids replied to nursinggurl's topic in Patient Safety Issues

    Really? SIX years later you felt qualified to critiqe the skills of someone you went to school with? Maybe she didn't make it through the first week of orientation because she didn't care to deal with...
  4. kids

    Dressing Changes for home infusion

    kids replied to karenaa's topic in Infusion, Intravenous

    The HH agency I work for contracts overflow or distance clients from hospital based HH and other home infusion agencies. We follow the contracting entities policy and it's consistant across the board...
  5. kids

    Have you been assaulted by a patient?

    kids replied to CrabbyPatty's topic in Patient, Colleague Relations

    Little old ladies can get kinda squirrelly when demented and kids can be pretty unpredictable. I've had a good share of pinches, slaps and bites from people not in their right mind but two were...
  6. kids

    The drive.....how do you like it

    kids replied to TNnursejane's topic in Home Health

    I hate driving period, to the point I save grocery shopping and errands for days when my husband is also off so I can get him to drive. We usually go out for lunch too so he thinks I do it for...
  7. kids

    Refused only 1 med but they're already all crushed together?

    kids replied to anonymous1919's topic in Geriatric, LTC

    Actually she'll do what her facility policy says she's to do. She may have to call it to the doc herself. Or write it out & fax it, put it on the call list for the charge nurse or in the doc log...
  8. kids

    Poor nurses

    kids replied to gettingbsn2msn's topic in General Nursing

    Are you aware that LPNs are nurses? I assume you mean RNs should be making double what an LPN makes, if so I find that really insulting to LPNs. Really? High school diploma or not advancing to...
  9. kids

    What are the worst call in excuses you've heard?

    kids replied to sasha2lady's topic in General Nursing

    Indeed. I lost my mother, mother in law, brother and sister in law in in a 4 month period. The worst call in I've had was my own. I discovered I had head lice while getting ready for work. My hair...
  10. kids

    Leaving a Job Mid-Orientation??? Please Help!

    kids replied to kmrn1120's topic in Nursing Career

    It may not matter how nice your resignation is leaving mid-orientation may very well burn the bridge with this "HUGE" hospital system. I am curious as to how it took 2 weeks into orientation for you...
  11. kids

    how old were you when you realized you weren't going to make real money as a nurse

    kids replied to pilotstudentnurse's topic in General Nursing

    I was nine, maybe 10. My mom was a nurse so I knew the score. All I ever cared about was making enough money to feed my kids and keep a roof over their heads. Now I work to spoil the grandkids and to...
  12. kids

    Dopamine drips in SNF?

    kids replied to mercury7's topic in Geriatric, LTC

    I'm going to guess that is a regional thing, here in the PacNW on the subacute units I've worked we've done all those meds (and more) going 10 years. I have seen Dopamine used on sub-acute units but...
  13. kids

    Possible Solutions to Nursing School Wait lists?

    kids replied to jm0203's topic in General Nursing

    Precepting is (usually) voluntary - unless you have the misfortune of working for an employer who mandates it.Patient teaching/education is part of the nursing job description, teaching other adults...
  14. kids

    crossing out MD orders??

    kids replied to RNinSoCal's topic in Geriatric, LTC

    Twenty years in and out of SNF/LTC in WA & OR and this is how it's done here also with the exception that a single line is drawn through the old order. It's one of the steps in noting the order.It...
  15. kids

    Need resource for MD orders guidelines please

    kids replied to RNinSoCal's topic in Nursing Educators, Faculty

    It has been the policy in ever SNF/LTC that I have worked for 20 years that the dc'd order is crossed off the Physician's Order's page (I'm assuming you mean the computer generated POs that come out...
  16. kids

    Turn every two hours

    kids replied to Alnitak7's topic in General Nursing

    Simply documenting the refusal isn't enough (especially in LTC/SNF). It also needs to be documented that the patient was educated on the risks of immobility and the benefits of repositioning every...
  17. kids

    Who's right: the RN or the LPN?

    kids replied to FutureMaleOhioNurse's topic in General Nursing

    When in doubt I always go with the CDC guidelines. I do recall that years ago the 'rule' if you missed the timing on a dose of Hep B vaccine that the instructions were to start the series over, the...
  18. kids

    Do routine, non-controlled meds need to be behind double lock?

    kids replied to cathyrn01's topic in General Nursing

    I believe it's a combination of State & Federal regs. In WA & OR sched II and III must be double locked, beyond that it's facility/pharmacy policy. Some facilities double lock the schedule IV...
  19. kids

    FMLA

    kids replied to vanessarhea's topic in General Nursing

    Five 8 hour shifts is not the same as 3 12 hour shifts., it's an increase in both days and hours per pay period and is not the same terms and conditions under which you worked prior to going out on...
  20. kids

    Help endorsing license/navigating red tape!

    kids replied to BKCinNOLA's topic in Massachusetts Nursing

    When you apply for a license in a new State many of them want proof that every nursing license you hold is
  21. kids

    facility acquired pressure ulcers

    kids replied to CNL2B's topic in LTC: Directors, Assistant

    Interesting that the assumption is that I've been in a wc for years. I haven't really, I started using it at work for speed and distance only about 3 years ago. Use increased drastically less than a...
  22. kids

    facility acquired pressure ulcers

    kids replied to CNL2B's topic in LTC: Directors, Assistant

    I agree that what you listed are the typical factors that can lead to "unavoidable" pressure ulcers. Sometimes pressure ulcers do 'just happen' despite perfect or near perfect efforts at prevention. I...
  23. kids

    Accessing a chest port

    kids replied to JenniferSews's topic in First Year After Licensure

    De-accessing the port just involves pulling the needle straight out. The access and it's cover dressing should have been changed Q week while she was on the antibiotics. You manage an accessed port...
  24. kids

    Attractive nurses in danger?!

    kids replied to Blackheartednurse's topic in General Nursing

    I wish sexual harassment was all I had to worry about in some of the neighborhoods I've been in. I'm far more concerned about risks to my personal safety and that my car will be where I parked it. By...
  25. kids

    Attractive nurses in danger?!

    kids replied to Blackheartednurse's topic in General Nursing

    The neighborhood I'm going to be working in on a given day does affect my clothing choices. If my day is all visits into middle class suburbia I do wear my 'dressier' clothes, if I'm heading into an...