FLArn

FLArn

Hospice, LTC, Rehab, Home Health

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All Content by FLArn

  1. LOST Accreditation

    Call your state BON. So sorry this happened to
  2. Interruptions while giving report

    I also give report in "head to toe" order. I do not give my assessment but it is the order in which I organize my report. I talk about the acute issues of the patient starting with mental/orientation...
  3. addressing colleagues

    Sorry, if you are working with me please take the time to learn my first name. I learned yours. If you are too new to have learned everyone's name then I prefer "Hey, I'm sorry I forgot your name"....
  4. Number of patients you care for?

    I work hospice in the field overnight for emergency visits for uncontrolled symptoms, deaths, admissions, med delivery etc. so I never know. I've had no calls up to 8 or 9. Depends on what the call is...
  5. The plastic suction canisters if your facility uses them are meant to be single use items. They are to be sealed and disposed of in the bio-hazard box. I NEVER empty them, my health is worth the...
  6. Please Help my narcotic situation

    My setting is hospice so I am coming from probably a different mindset but here goes. I would give the pain meds as ordered. She has an unrepaired fractured femur and is uncontrolled pain. Every time...
  7. How Many Beds?

    Wouldn't even know where to begin and don't know what I would do with that info if I could get
  8. The nervousness in dealing with airways will get better with more experience just like any other skill. The dealing with sputum will become a little easier but probably won't go away entirely. I just...
  9. Bladder spasms

    To OP - In what type setting is the patient currently residing? Xtxrn is correct if the patient is in a facility (ALF, SNF) or hospital. This is not necessarily the case if the patient is at home or...
  10. Bladder spasms

    Levsin may also be helpful for bladder spasms. Also sometimes an overinflated balloon can cause
  11. Helpful first year tips

    Don't work in that setting but wanted to
  12. Yankauer or NT suction

    Not knowing your unit or the patient's diagnosis, it is hard to give constructive advice. I try to avoid deep suction and try not to overuse oral suction because as you know the mucus membranes'...
  13. Staffing Question

    I worked in a 15 bed inpatient hospice building and was never alone with even 1 patient. However when I worked in a multiple unit building, I was often alone on my unit with up to 4 patients but was...
  14. Living with poo

    Sometimes I will double glove for a "code brown" and slip off the top pair between cleaning away the old linens and placing the new
  15. 3 months rotation

    Cross training seems to be the norm everywhere these days. They train you to work many areas then they can cover shortages without hiring new staff. It sucks to have to do areas you may not prefer,...
  16. Hypothetical Situation: mandated flu vaccine

    The only circumstance where I personally would see filing suit against my employer would be a documented severe allergy (hives, respiratory distress, etc.) but required to take vaccine anyway. (This...
  17. Should I have turned the LVN in?

    OP = original
  18. Should I have turned the LVN in?

    I am not sure from your post that your interest in this is purely professional integrity. You somehow have access to this person's social security number and birth date. This would indicate that this...
  19. Help a new RN please

    My best advice to you would be to focus on the comments you received from your original preceptor and to examine those made by the last one to see if any of her remarks were justified. If so, remember...
  20. Need help with Celsius

    You may be able to find a conversion table on line or in one of your nursing texts and print or copy it to carry with you in a notepad with other information you need to refer
  21. "I just can't help you..."

    @ Carolmaccas66, SNF = skilled nursing facility (i. e. nursing
  22. Night shift question

    Check with your facility. Most places I worked Tues 11 to 7 actually started at 10:45 Monday
  23. Nursing Acronym Question

    To OP: I was not saying that you were looking in other charts. I was pointing out that the suggestion you were given by another poster to do so was probably not the best thing to do. Sorry I...
  24. Nursing Acronym Question

    I would ask other nurses on your clinical site if they know what the acronym stands for rather than "peeking"through other charts as that may be viewed as a HIPAA violation. You have no business in...
  25. Help with med calculation please

    Some hospitals or outpatient urgent care centers have nurse hotlines. You might try 1 of