kids

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All Content by kids

  1. kids

    ethical dilemma with a DNR last night

    FL is transitioning to a POLST State. Please, if you don't know what a POLST is, learn about it and work to get it accepted in your State. It's a wonderful tool that can save so much time, questions...
  2. kids

    Confusion About Morphine - Not Available?

    Roxanol in the 20mg/ml concentration is still in short supply in some areas (mine being one of
  3. In some states MAs most certainly can do advice following established protocols. I've worked with them and have read the BoN's opinion letter on it myself (the WA BoN doesn't have a problem with
  4. I love leslie's link! What you are looking for is called an equianalgesic chart. Here is one:http://www.endpain.org/dosage.html And another that is a...
  5. kids

    Mixing Lantus

    I've seen both of those. The day the manufacturer publishes that it is OK to do so and it becomes the standard of practice I'll start mixing
  6. This is what I've been doing for the last couple of years. It would be nice to see this grow into a standardized program with some sort of certification for
  7. Oversight of MAs (usually) comes from the Board of Medicine not the BoN. Do you know it was actually her who instructioned to the patient to take Advil and wait for her next appt? Meds and...
  8. kids

    Mixing Lantus

    This is why you will hear many patients complain that Lantus injections
  9. kids

    Contacting the Dr for follow up orders.

    My agency, we don't care who gave the orders no one is seen until our office contacts the doctor we're told will follow to confirm they want us to provide services. Docs have agencies they prefer to...
  10. kids

    HH Advice , Difficult non-compliant pt.

    One thing it has been very difficult for me to accept in HH is that patients have the right to refuse services, be noncompliant, live in filth, neglect their wounds and fall repeatedly. Your agency...
  11. kids

    peg/gtube question

    We change them here and verify placement like any other feeding tube before use - aspirate gastric contents and auscultate an air
  12. kids

    Basic I & O Question

    The Keto diet is a very special situation, the 'usual' rules for what is included in I & O don't apply. Anything and everything that is not solid needs to be included in the I & O (including...
  13. What is happening to you has nothing to do with Salem Hospital pursuing MAGNET status and everything to do with the 12% unemplyment rate in Oregon. New grad programs are being scaled back, there are...
  14. kids

    Growing concerns about new RN position

    Mykidzmom offers some great
  15. Your starting point for any questions is the Wa BoN. http://www.doh.wa.gov/hsqa/Professions/Nursing/default.htm You may be able to apply for your WA RN license when you take boards. Like just about...
  16. kids

    Company loyalty meaningless?

    Actually it's pretty typical for most professions. A job change within the company resets the senority clock which is very fair (unless you're the person feeling
  17. kids

    Narc Count

    This ^^ You can only account for individual pills on a card or patches in a box if their count page is still in the book. I know of FOUR SNFs in my town that have had to implement a separate 'item...
  18. It's not as simple as entering someone in the system. As far as I know you might, at best, get a letter in the mail telling you the application has been processed and you have been entered in the...
  19. kids

    Question about G-Tubes with Mickey Button

    No, no, no, no, never! Can you tell I feel strongly about this :chuckle , too many years spent dealing with the longterm consquences on too many kiddos. You only ever gravity to a Mic-Key, a child's...
  20. If you are told that a certain patient is off limits LISTEN and assume it includes all aspects of the patient including their chart and any 'visitors' who congregate. If you are told that a certain...
  21. kids

    There won't be any raises this year

    Hospital's don't have a single 'bank acct' that they pay everything out of. They can't take State/Federal/Donor dollars that were applied for or earmarked for improvements and shift it to pay another...
  22. kids

    random question......

    And rent, utilities, groceries, clothing, toiletries, gas, oil and maintenance for your new
  23. To be honest, by telling her about the patient and your discussion with the doctor you validated her
  24. Washington doesn't issue a 'physical license' any more. The agency I work for part time just entered into an agreement to provide contracted staff to Peacehealth, the hiring freeze in WA was not...
  25. I think there are 2 or 3 sides to every story and the view from the floor can be very