FLArn

FLArn

Hospice, LTC, Rehab, Home Health

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All Content by FLArn

  1. What was your first nursing job?

    FLArn replied to Idaho Murse's topic in General Nursing

    My first job was on the ventilator unit of a rehab facility. I learned a lot but it was a little like getting thrown into the deep end of the pool and only knowing how to tread water. It was very...

  2. Serious scope of practice concern

    FLArn replied to newtress's topic in General Nursing

    Depending on the state in which you are located you may be able to perform SW functions if your facility is under a regional SW Director who has a Masters in SW. I would be more concerned about...

  3. Dealing with maternal death

    FLArn replied to Antepartumnurse's topic in Ob/Gyn

    Not an OB nurse but had to reply just to tell you that all unexpected deaths carry a certain amount of "what could I have done differently" with them. Please see if you and any of your coworkers can...

  4. Elbow Restraints for In Home Use

    FLArn replied to AliceKay's topic in Patient Safety Issues

    Please tell me that Patton is a name you made up for the post. Please be aware the a real name along with as much info as is in this post given about a patient in your care will be enough to cost you...

  5. Any in a field of nursing you love?

    FLArn replied to stellaRN1983's topic in General Nursing

    I love working with the hospice patients. I have worked both in the inpatient unit and the field and have found both to be rewarding. The unit can be hectic at times but overall the pace is steady but...

  6. skin temp. vs temp.

    FLArn replied to yananlosttardis's topic in General Nursing

    Skin temperature does not always parallel core temperature. If perfusion is impaired the person could have an elevated core temperature but have extremities that are cool to cold to the touch. Also...

  7. I lied to the state surveyor

    FLArn replied to tammietan's topic in General Nursing

    stop posting regarding this situation and get a lawyer to help you. You need to withdraw your resignation and let your lawyer help you "walk back" your statement to the surveyor and keep your license...

  8. Nursing Etiquette

    FLArn replied to BrazilianLPN's topic in Nursing Professionalism

    Read the fine print on the Time slip or whatever form the facility signs when you've worked a shift for them. Some agencies require facilities to pay a fee if they hire an agency employee within a...

  9. Need advice re: new nurses not getting good orientation

    FLArn replied to mama_d's topic in General Nursing

    If there are enough nurses on nights to do it and management support for it;; could a strong nurse from nights switch to days for a while to "re" orient these new nurses. It would suck for a while but...

  10. Can I delegate this to a LPN?

    FLArn replied to WI_home_RN's topic in General Nursing

    I would check with your policy manual; ours lists the licensure level required to perform each procedure; or you could check your state practice

  11. Am I at fault here?

    FLArn replied to SarahRN2010's topic in General Nursing

    I think the problem may exist with differing definitions of 'good'. Maybe the BM charted was a small or medium BM and the doctor was looking for a Large. I have worked places where a small BM did not...

  12. Unsure of my dad's doctor...

    FLArn replied to SweetLikeSugar's topic in General Nursing

    Your father is a grown person and is responsible for his own choices, if you have already voiced your concerns regarding his MD then you have done all you can do. Unless you question your father's...

  13. Am I in the wrong Nursing home?

    FLArn replied to MelissaLPN's topic in Geriatric, LTC

    If you have called and tried to obtain the meds, circle for your dose and write "not yet delivered from pharmacy". Then call the MD so he knows that you were unable to give the med. The important...

  14. Hippa email concern - Is it a violation?

    FLArn replied to laney_'s topic in General Nursing

    Not a HIPAA violation, but hindsight being 20/20... You could have asked your sister (who you say was in competition also) to pass on your congratulations for

  15. Pressure sore care

    FLArn replied to mihualalei's topic in General Nursing

    Balmex for red areas and the Convatec Wound care Program for Pressure

  16. Why keep NG tube in for hydration only?

    FLArn replied to Katherined's topic in General Nursing

    To dhammo, Actually in terminal patients who are actively dying it is NOT miserable to be dehydrated generally. When the body is shutting down it can not process foods or fluids and will actually...

  17. Why keep NG tube in for hydration only?

    FLArn replied to Katherined's topic in General Nursing

    In younger terminal patients (under age 60) it is more common to see myoclonus due to dehydration and also a condition (the name of which is eluding me at the moment) where the pain medications...

  18. Benefits and PTO in UHS hospitals

    FLArn replied to Mashira's topic in General Nursing

    After spending the better part a year orienting a string of "in it for me" types who left almost as quickly as I got them going I am perhaps understandably touchy on this subject. I am sorry if I...

  19. Benefits and PTO in UHS hospitals

    FLArn replied to Mashira's topic in General Nursing

    For real? Choosing a place to work based on how quickly you will accumulate time off? I would love to be a fly on the wall for that interview! If this is the thing people are basing hiring decisions...

  20. Benefits and PTO in UHS hospitals

    FLArn replied to Mashira's topic in General Nursing

    For real? Choosing a place to work based on how quickly you will accumulate time off? I would love to be a fly on the wall for that interview! If this is the thing people are basing hiring decisions...

  21. School secretary administring meds???

    FLArn replied to Simply Complicated's topic in General Nursing

    I am sure the laws are different state to state but I do know the school systems usually DON'T have a nurse in every building every day. She/he travels from school to school doing lice checks, vision...

  22. Prove my Mom wrong, please

    FLArn replied to NurseBanana's topic in General Nursing

    I have not been in the same set of circumstances as you are but even keeping in mind that every pregnancy is unique; imho, it would be way too much to go to school, take care of one little one and go...

  23. Did your Docs get you a Christmas gift or recognize your work?

    FLArn replied to rkitty198's topic in General Nursing

    The docs that cover our hospice IPU took us all (all 3 shifts) out to a nice restaurant for luncheon. They are also great to work with and recognize our contribution to patient care every

  24. accidental fingerstick

    FLArn replied to chiuli's topic in General Nursing

    A pharmacist is also always a great resource. According to the terms of service (TOS) no medical or legal advice to be given. Consult your MD or pharmacist. Best wishes to you in your

  25. Is it just the holidays?

    FLArn replied to DC Collins's topic in General Nursing

    This is not original but I try to remember it when giving feedback both in writing and in person: Dear Lord, Help me keep my words sweet and tender today in case I have to eat them