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sassynurse78's Latest Activity

  1. sassynurse78

    Tools, Notes for YOU to CYA

    I am so obsessed with lists, I write everything down on lined paper starting at the top and then can check off what i have done, what needs done or what to pass on, and I never check off anything until it is taken care of.
  2. sassynurse78

    pt enjoys pericare too much...

    Sorry but I had to giggle when I read the first line of your post...mainly because I have encountered so many of these types. The best one was a man who would get the new staff who didn't know better to shave his peri area, telling them we all did that for him to prevent infection lol. A new CNA finally came to me after a month of weekly shavings asking me how this prevents infection! I wanted to laugh but calmly explained the situation...poor girl.
  3. sassynurse78

    I want to spend money.....

    I have one I use a lot, but when I first got it I used it along with the manual to make sure it was accurate. It was, I use a brand called Omron. Others I work with do to. I rub a little alcohol gel on the cuff part every couple days just in case but honestly when does anybody ever clean the manual cuffs anyways? I never see it done. The only thing that drives me crazy about them is the nurses that will get a wacky b/p and chart them without rechecking with a manual. You would think that would be common sense. Mine cost me 80$ and was worth every penny!
  4. sassynurse78

    Considering LTC

    I think it is something you should try, although it isn't for everyone. I would suggest walking into a facility you are considering around 6 pm when the chiefs have gone home and the Indians are fending for themselves, just to see if they seem ok-not frazzled and generally friendly. There is a common misconception in my area that "nursing home nurses" do not use the same skills as a "hospital nurse" would, I can assure you this is not the case. My night is spent passing meds, assessing pts. supervising staff, dealing with families, phone calls, etc. I say give it a go!
  5. sassynurse78

    Do your on-call nurses come in if short?

    Gosh I wish we had someone to come in! I spend a good portion of my time on the phone begging when someone calls off. If it gets to the point where I can find no one (which is usually the case) Me or whoever is on the unit with the call in is "stuck". I have made the decision that if I get "stuck" I make a call to the DON and tell her the situation and that she will have to replace my next shift unless she would like to come in to releive me herself. I always get my next shift off. At times the facility has offered a bonus of some sort like five more dollers on the hour, which seems to help a little to get people to come in for a few hours. Luckily we have a group of professional nurses that tend to always come to work unless it is some type of emergency. Our CNA's on the other hand need a lesson in that department. Replacing CNA's is almost a joke. I work second shift, and it seems the fact that third shift does not have to call in and talk to management to actully call in, increases their call ins. We did try for awhile to have everyone call the management person taking call ins for the day at home to call in, it helped a great deal, but the management slowly began to complain about the middle of the night phone calls they were getting. So in other words no, our Don, MDs nurses do not feel like they need to work the floor. Heck you can't even get them to during the day when they are there unless it is really really really bad. Then we hear about it all week that "So and so called in and I had to work the floor!" :chuckle
  6. sassynurse78

    What is the #1 healthcare problem in the USA?

    Money and Greed I think can sum up our health care problems in this country. Although I have always felt this way, I knew it for sure last summer. I started with a headahce and chills, to only get worse and worse. By the time I drug myself to the Dr's office I had a bil. ear infection and bronchitis. The MD prescribed Augmentin and a Medrol Dose Pack. The same week we brought the dog in for a bath and noticed his swelled lymph nodes. The vet prescribed him Augmentin and Medrol Dose Pack also. Total cost of care (including vet visit) for our dog was $32. Total cost of care for me was $150.
  7. sassynurse78

    concealed medicines?

    I would think a spoonful of pudding would be fine...I believe it was the idea that the meds were put into an entire serving of food that was the problem. You can make sure an entire spoonful is completely taken, but not a food tray that then goes back to dietary, not too mention the confused pts, that might eat off others trays (I know gross but I have seen them do it lol)
  8. sassynurse78

    Artificial feeding-Terri Schiavo

    I have to agree also that Angie O'Plasty, RN statements are very well stated! :) What else is left to say regarding this case? What gets me the most is that this happens all over the contry all the time. I have personally cared for many people that their families have decided to pull their tubes. The only reason we are hearing about this is because the families are fighting. I got into an argument the other night that turned pretty heated when I made the statement that the ignorant people protesting in front of a HOSPICE center should all go to jail. I mean I am sure Terri was not the only one residing there. Not to mention the fact how that glass of water would have went straight to her lungs The media is one sided and I am sure the whole truth was never reported afterall if they play onto the sympathy of people then more people will watch right? I even seen a petition going around to get the judge that ruled in her case fired. He followed the law!
  9. sassynurse78

    concealed medicines?

    I am almost positive that you are not supposed to do this...if I remember correctly our facility got into trouble with the state over someone doing this years ago. It wasn't because of the meds in the food but the theory was if you put it in food how do you know they take all the med? Plus if you put it in say mash potatoes then you would have to stand there until all of the potatoes are gone. Besides that though I beleive that it is wrong. What if the pt. realizes what you are doing and then refuses to eat? I have had pts. that just did not like their meds crushed into applesauce or even ice cream, but we came up with a workable solution of crushing them and mixing them with chocolate syrup.
  10. sassynurse78

    Dating Patients

    I work in a nursing home so I have never had this problem :chuckle What about people that live in a small town like me? There is one hospital unless you drive 30 miles and two nursing homes. I always run into people I went to school with or have worked with etc. There is no way to avoid that. I took care of an ex's grandmother and thankfully (we had a bad breakup) he never came to visit her, but his mother did. In a small town you have a very good chance of meeting your pts after they have been discharged, and when everybody knows everybody anyway I can't see the harm in dating after they have left the hospital. I guess what I am saying is this: In a situation where almost everybody in town has been admitted to the only hospital at least once how can you avoid dating someone that has not been where you work? So is it ok to date a pt or family member assigned to another nurse? I personally think it is as long as the pt has been discharged.
  11. sassynurse78

    Unfair Math Policy

    I feel for you, I hate math. I sit here today and wonder if I had to do it all over again if I could make it. We also had to pass a math test every semester, and score 99. I dreaded it and knew every time that it would be the end to me! I do not think it is fair, as long as you can score at least 80%. I know it was always explained to us that it just takes one math error to hurt a patient, but they are forgetting one thing...we have co-workers we all can turn to. I always double check any math with a co-worker as an extra precaution. I always kind of felt like it was a money scam, the ones that failed had to repay for another semester no matter their grades in their classes. Just hearing your experience brought back all those uneasy math feelings for me. I wish I had some comforting words for you, but when things are this unfair it is hard to understand and know what to say.
  12. sassynurse78

    Ivy Tech Question

    Where I went there was no out of state tuition, I graduated in 99 and my tuition was just under $9000 (not including books or uniforms) I have heard that they have raised the tuition to around 12,000 though. It was more expensive then the Ivy Tech LPN program, but not when I weighed the amount of time I would spend on pre-req's.
  13. sassynurse78

    Ivy Tech Question

    It is an LPN program, at The Health Institute in Louisville Ky. I started in March and finished in March. The only downfall is that they do not offer a RN program, and since you needed no pre-req's you don't have any to carry to somewhere else if you want to go for your RN. I didn't want to, so it worked out great for me. :)
  14. sassynurse78

    Pain Assessment/Reassessment

    We have a form we use, it asks questions like where is the pain, how long it lasts, words to describe the pain such as sharp, throbbing etc. meds used, did the meds help etc. I cannot remeber all the questions, but we use the form for all new pts, any pt that has had a condition change or new reports of pain.
  15. sassynurse78

    Home Based Medical Coding

    Good question! I am also interested. I had a friend that paid a bunch of money to take a course for this and was then not able to find any type of stay at home work.
  16. I hate to say yes, since I see the effect it would have on people that may not be able to afford to do it, But I think the classes (the class, 75 hours of clinical time or however long it is I know it is not more then a few weeks) and then passing the test should be required as a pre-req. I mean they might as well require that since most require so many things nurses don't need. I mean drop stupid course requirements like English II or something and let someone find out they can do this before they spend their time and energy on something they may find out they can not handle. I don't even remember how many we lost in nursing class when they spent their first clinical in a nursing home and found out that yes nurses do clean up number 2! The clinicals spent in the nursing fundementals course is not a great lesson in my eyes, since it has been my experience that we were given 1-2 pts to bath, and care for. The nursing students that do clinicals at the faciltiy I work only have 1-2 pts also. This is not realistic in the real world and multi tasking is not an easily learned task but very much required in this profession. Just my two cents. lol :chuckle