liveyourlife747

liveyourlife747

Home Health/PD

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All Content by liveyourlife747

  1. Signing out medications for my manager.

    liveyourlife747 replied to OlaHospiceRNBSN's topic in Patient Medications

    Sounds fishy to me too. I think my manager has a code to be able to sign out Meds for our medselect machine and I doubt she would ever ask us to sign out a med for her. I think she would either give...

  2. New Grad Nurse Med-surg Unit NEED ADVICE and brain sheet

    liveyourlife747 replied to nursebrima's topic in First Year After Licensure

    Our unit provides general sheets that we are to use for pts, so I haven't needed to come up with a sheet. But, I did come up with a "cover" brain sheet that I am able to have a "snap shot" of my...

  3. How do you get out on time?????

    liveyourlife747 replied to grahamd01's topic in First Year After Licensure

    I agree with all of the above posters, but I definitely have to have my "brain" to stay organized. We have report sheets that are one to each person, I work up one of those on each pt if I can...

  4. What is the difference between COPD and emphysema?

    liveyourlife747 replied to kmck3271's topic in Medical-Surgical

    Since this is a homework question... Have you checked definitions of the diseases and pathophysiology of the diseases? You are listing manifestations, but I think going back and looking at the...

  5. How to measure foot swelling, not edema

    liveyourlife747 replied to motyandproudofit's topic in General Nursing

    Edema is swelling. It can be pitting or non pitting. I would have said non pitting edema to said foot. I think you also did the correct thing by measuring the foot against the other. Good

  6. When you became a nurse...

    liveyourlife747 replied to Lev's topic in General Nursing

    Techs should listen to you, that is part of their job. If they aren't then I would go to management. You need a team to be able to manage a hospital floor, if there is a break in the team your...

  7. Help with Insulin/syringe math!!!

    liveyourlife747 replied to Confusedd's topic in Patient Medications

    From what I could find online, u 50 is a 1/2 strength insulin. So 5 units of u 50 would be 2.5 units of u 100, at least that's what I'm thinking. Not sure if its right. I haven't run into having to...

  8. Client safety incident reflect CNA/student nurse competency

    liveyourlife747 replied to mjp1985's topic in Patient Safety Issues

    The post shows you care and shows you know how to accept mistakes (even though I am not sure if they could have been avoided). That is part of being a good caregiver. You need to learn from these...

  9. How does this happen???

    liveyourlife747 replied to snbonbon's topic in Patient Safety Issues

    It happens. Sometimes people need additional coverage for pain even if they have a pain patch. I've seen someone on a high dose fentanyl drip with additional PRN doses of fentanyl iv. Most if the...

  10. FIRED I didn't even see it coming , Please advise

    liveyourlife747 replied to Ms.MayaRN's topic in First Year After Licensure

    All they said was "not a good fit"? I would kind of be leery on staying if they only give you that reasoning for firing without write ups. Maybe try to see if you could sit down with the manager and...

  11. IV narcotics?

    liveyourlife747 replied to AlphaPig's topic in Medical-Surgical

    I agree with above posters. Pull up in a 3ml syringe with a needle (or filter needle then switch to another needle) and squirt out however many mls of NS you need to be able to have room inject the...

  12. Tell us about you!

    liveyourlife747 replied to WI_home_RN's topic in Private Duty

    I'm a part time/prn pdn (was full time for 4 years) with an agency in va. We don't have primary cases. All nurses work most cases, so if one calls out any nurse can fill in. Right now we have around 5...

  13. Bedside report

    liveyourlife747 replied to aem31's topic in General Nursing

    After my event yesterday, I am so glad for bedside report! We found a pt in a full code blue. If we hadn't gone into his room, I wonder how long he would have gone before someone attended to him....

  14. First Code Blue

    liveyourlife747 replied to liveyourlife747's topic in General Nursing

    Wow! Thank you all for your wonderful responses. I was back at work today and was able to discuss the situation with those who were interested (those involved in care at least, HIPPA maintained!) The...

  15. Most stressful and least stressful nursing specialty in the hospital?

    liveyourlife747 replied to Donnuh's topic in General Nursing

    The medical/surgical floor I work on us Rey

  16. Most stressful and least stressful nursing specialty in the hospital?

    liveyourlife747 replied to Donnuh's topic in General Nursing

    The medical/surgical floor I work on is very stressful most days. This is due to the high turnover of Pts. Multiple discharges and multiple admits all in one shift. We also tend to get people from Ccu...

  17. Suggestions for when I am overwhelmed

    liveyourlife747 replied to CrystalSSA's topic in First Year After Licensure

    The old fashioned "I will be back in a little to check on you." Works fairly well for me. Just remember things don't have to be done all at once. You seem to have some priorities straight with going...

  18. What are your white board goals?

    liveyourlife747 replied to BiohazardBetty's topic in Patient Education

    I write things like: get out of bed and ambulate as tolerated, use IS 10 times an hour, pain control etc. just basic stuff. Sometimes I get creative, but usually I don't have a lot of

  19. Bedside report

    liveyourlife747 replied to aem31's topic in General Nursing

    We give bedside reports. Upon admission a pt goes through questions about bedside report: do they want to be woken up and do they care if others are in the room. If they are sleeping at 7am report, we...

  20. Patient and I going on a trip! What to pack?

    liveyourlife747 replied to angiebelle's topic in General Nursing

    I haven't been on a trip through my home care agency personally, but we have had two kids get a make a wish trip. One went with one of our nurses and the other went with family. Make a wish should be...

  21. What are you really good at?

    liveyourlife747 replied to proud nurse's topic in First Year After Licensure

    I used to be great at organizing in home health, now that I'm in the hospital, not so much. Hee hee. But even though I have only been in the hospital a few months I have been known as the "trach"...

  22. Flowsheet for Continuous Bladder Irrigation

    liveyourlife747 replied to JNT'smom's topic in Medical-Surgical

    We just make a sheet: date/time fluid was hung and total amt in bottle (2000 for us). Nurses empty cbi foleys on our unit and when we empty we write out the amt on the sheet in the second Column. We...

  23. What is your policy on PCA pumps?

    liveyourlife747 replied to sunnyskies9's topic in Patient Medications

    We do routine vitals on those who are post-op, q30 min x4, q1 hr x4, q4 hr x 48 then q8. These are with or without pcas, but usually pca people are q4 vitals. We have cont pulse ox on our pt as well....

  24. For those who work 12's and do self scheduling

    liveyourlife747 replied to OnlybyHisgraceRN's topic in General Nursing

    I don't do self scheduling, but when I work 12s I like to do 2 in a row, a few days off, then work one more. It takes me just as much time to recover from one 12 than it does for 2 in a row. Looks...

  25. The Middle Wife

    liveyourlife747 replied to FranEMTnurse's topic in Nursing Humor

    That is adorable!! Had me