grannyNan

One of my favorite evacuation procedures is the 5 H enema. High, Hot, Hellva lot, Hold it til it hurts!!! It really does wonders for those who can tolerate it.

Yes, I agree it is nicely written. However the nurse in me wonders if anyone ever really stood up for this patient? She had a living will which is a legal document that was ignored by the family, nursing and the medical staff. Does this facility not ...

What people really want, RNs, LPNs and CNAs alike, is for those who are performing below the standard to grow up and act responsible. No matter how much education you give a person it is ultimately their choice as to how they will act in any given s...

Salem Hospital with a "great reputation?" As a nurse and a former patient there I would seriously disagree with you! Salem Hospital is currently undergoing a mass exodus of staff due to management issues. The reason there pay is higher is because ...

In Oregon CNA's are certified by the state most of them are trained in long term care. When they come to us in acute care we have to add to their training. The cool thing is Oregon has developed a program that allows CNA's to gain more education in...

You are responsible for supervision of the CNA but, they can be held accountable for the care they give or don't give too. Every month our board of nursing posts discipline actions taken against both RN's and CNA's for not doing their jobs.

Maybe more so with IV's that needed to be checked and people staying longer and they have always wanted things NOW! Patients will always be demanding. It's the nature of the beast.

Often in our area the patient demands to be induced either because of social reasons(my mom came from over the hill, or my favorite Dad is scheduled to go to jail for 6 weeks) or they are tired of being pregnant. I understand being tired but the bab...

At the risk of sounding like a relic. In the days before IV pumps and vital sign monitors we did hourly rounds and without the benefits of a unit secretary or respiratory therapy or computers and if you worked nightshift or weekends no pharmacist. ...

You are correct in that it is a HIPPA violation and could be punished by a fine for the nurse and the hospital. You must have the patient's or in this case the parents written consent to photograph. Just because it was done in the past is no excuse. ...

Suezeekay What areas in nursing do you have experience in and what are you willing to learn? Our small (40 bed) not for profit community acute care hospital is always looking for hardworking, interesting people who are not afraid of challenges. We ...

I have looked just about everywhere I can think of and cannot find such a beast. I have found quotes anywhere from 0.74% to 2.0% We normally just track our own and sometimes those of other hospitals who are about our size. I have done this job for 16...

Are you in Oregon? If so find a CNA-2 Acute care class and take it!! This is specialized training for acute care nursing. This is new so check with the board of nursing for approved classes. The neat part is this is recognized throughout the stat...

Jules I don't know what state you are working in, but you had better check with the board of nursing before you discontinue IV's and catheters. As a general rule these are not part of the approved tasks CNA's are allowed to perform even if the hospit...

I applaud your efforts but the decision to "press charges" is strictly up to the DA. Legislation will likey not change because the DA's will argue that they are already overwhelmed with crimminal cases and could not possibly prosicute and win. I agre...

Once years ago I saved a baby from the toilet! I was fairly new to L&D and was silly enought to let the mom go to the bathroom to poo with out checking to see how far she was dilated. I heard a scream and rushed into the bathroom to find mom squ...

There is a difference between standing up for what one believes and being negative. The trick is knowing the difference. Everything has a time and a place. It would be considered "negative" to yell, belittle or otherwise bash a coworker, or the fa...

I don't want my patients or my family members taken care of by "someone with a nursing license" I want them taken care of by someone who knows what they are doing. Just because someone has a nursing license does not make them a safe nurse. As they sa...

A few weeks ago I was sick. I was supposed to cover for a coworker so she could go to an appointment with her husband. Not only was I sick but 2 other nurses were sick. The hospital was busy for us 15 or so patients on the floor (including OB) and...

Yes, it is true most PEOPLE are colonized with at least Staph. Aureus and nowdays with his cousin MRSA. It is important to know that there are two strains of MRSA. Hospital accquired and community accquired. In this day of IV drug use/abuse and po...

Gosh no postings for a very long time. What gives people? I graduated from LBCC in 1988. Any other LB grads out there? We could swap stories about our favorite instructors and blooper in school. I know I had some! I moved all the way to Stayton ...

I can not stop laughing about the "perineal fallout" issue! :rotfl: As an old OR nurse and an infection control nurse this is just too funny for words. Who ever wrote that policy needs some serious education. We still have OR dresses for those wh...

I think you mean D and C not B and C. The best answer considering the information given is A. Personally I would check the circulation and neuro status of the limb to see if there is any impairment before I called the doc. The doc will ask you if the...

I can only speak from my experience with the one clinical student we've had from Pioneer. I was not impressed with the student or the clinical instructor. Neither seem to be suitable for acute care. No burning desire to care for patients. I hope a...

I can't believe that there is really any discussion about what to do. As professionals we are obligated to report. What the BON does with the report is their issue. Not to report is the same as condoning this behavior. I have first hand knowledge...