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As seen on TV
OMG! I thought these shows had medical advisers? How stupid can one be? What's worse, civilians watching this think it was perfectly normal for a transfusion to be given through an NGT. . I can just see them arguing with the medical team who dares to give the transfusion into a vein!
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What is a Skilled Nursing facility?
I am looking for a nursing home for a 90 year old relative, who requires complex or skilled medical supervision. So far, all the facilities I've researched are semi- independent living long term care facilities for the elderly. The patients are expected to be somewhat independent, able to go to the dining room for meals, go to either PT or a gym on the premises etc. The relative I mentioned is in chronic CHF. On oxygen, multiple medications, can barely walk, needs assistance in & out of bed & to the bathroom.. she has fallen several times & has needed stitches or staples twice I don't know how to word my queries on Google. If I type In Nursing Home, or Skilled Nursing facility, or long term care home, it seems they expect their residents to be ambulatory and assist in their care. How do I describe what I'm looking for? She needs permanent placement in a home that can meet her medical needs, as well as offer emotional & spiritual support, & assist her with personal care. Are any of you familiar with what we need? Facility must be located in NJ, close to ZIP 07604. I'm not familiar with that area, so I don't know what to do.
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As seen on TV
All babies are born clean & pink right after being delivered. Cooing, eyes wide open & alert, smiling. I think the youngest "newborn baby" they show appears to actually be 3-4 months old.
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How many is too many? Medication errors
Does this mean that patients are not being given the narcotics or psych. meds. that are due?
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Small ER VS Clinic?
I am a retired RN. When I read your note, I was attracted by the fact that Boston was going to certify you in PALS, ACLS, as well as IVs. All skills that you will use now & in the future, no matter what field of nursing you find yourself working in, in the long run.For the educational value alone, I would decide to stay in Boston for now. Down the line, if you decide to work @a small ER, the skills you've learned now will be put to good use, as well. Good luck with whatever you decide.
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Under the knife... again
I have had both knees replaced, and my right ankle fused, due to complcations from arthritis. I was off work for 3 months after BKR. I am sending best wishes & prayers your way. The first month of recovery is hardest. My surgeon allowed me to do my PT. In a heated rehab. pool once my stitches were out. Much less pain, and greater mobility.
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How long did you work med-surg before getting an ICU job?
I worked for a year and a half on a Med-Surg floor. It gave experiences with different types of acuities, as well as different diagnoses. Whenever I was floated to the ICU, I enjoyed the challenge. Nurse: patient ratio was 1:1 or 1:2. I transferred units, and worked there for 2.5 years. When our hospital opened a new NICU, I happily transitioned there, and worked NICU for 30 years.
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thermoregulation in the neonate
He was very mildly hypothermic after his bath. I would check his axillary temp. in 30 minutes X 2. What you are looking for is an increase in and his ability to maintain his temp. at a range of approximately 97.3-99 degrees Fahrenheit axillary. If his temp. is WNL after an hour, then continue with routine monitoring. If his temperature is below normal, I would personally turn his warmer back on and notify the on-call physician. My background is strictly NICU. So I worry about hypothermia in an otherwise healthy TNB being an early sign of sepsis.
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Further studies for NICU
Have you completed the NRP and STABLE courses?
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How to get tincture of Benzoin out of clothes
What about trying to get candle wax out of a pair of pants and a silky top? Any ideas?
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Crying babies
- What did you do before?
I had always been interested in working with NICU babies, but the hospital I started my career in had not yet opened one. It was a pediatric hospital, and this was in 1976. I started by working in a Medical-Surgical/ Isolation floor for 1½ years. Whenever I was floated to the PICU, I found that I enjoyed the type and pace of work there. When an opening became available, I transferred to the PICU, and worked there for 2½ years. Finally, the hospital opened its' own NICU, with 15 beds. That was in March 1980. I was the first RN hired to work there. I loved my job; NICU nursing was what I had been waiting for, and I worked in the field for 30 years. I am now retired. Having a solid base in caring for a variety of patients on the floor, then in the PICU, gave me the experience and helped my transition to the NICU. Because at the time, not much was known about NICU nursing. We studied everything we could get our hands on, & had experienced neonatologists to guide us.- Diagnosing versus identifying symtpoms
Without X Ray interpretation, you cannot state for certain which bone is fractured. You might chart something like this: "Patient presented with 10cmx10cm laceration on inner calf, with edges of bone protruding through skin. Diffuse edema around site of protruding bone. Foot and ankle are swollen. Posterior tibial pulses are present. Toes are dusky in color; capillary refill 10 seconds. Patient states that he is able to feel sensation in all toes." You might also have documented "Per report of Dr. Smith, after viewing AP & lateral X Ray of affected extremity, patient has a compound fracture of tibia. Site immobilized with splint & patient prepped for surgery"etc.- Is it covered under Obamacare? - Cartoon Contest Winner
I voted for Obama. I have had pre-existing medical conditions for 30 years. I was tired of being turned down for health insurance b/c I had arthritis. Or b/ c I had (and beat) breast cancer. I have tried to obtain long-term care insurance since I was 35. And have been turned down many, many times.- Is it covered under Obamacare? - Cartoon Contest Winner
I live in the South and love Obamacare. I don't know if it's b/c I have relatives in England, & have visited it 4 times. So I have seen socialized medicine @ work. You are right. Lots of fearmongers here in U.S. - What did you do before?