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crissrn27 RN

nursery, L and D
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crissrn27 has 8 years experience as a RN and specializes in nursery, L and D.

I have three great kids! Oh, and a husband.

crissrn27's Latest Activity

  1. crissrn27

    facility responsibility to the obese

    Even with diabetics the patients have a right to eat whatever they want. All we can do is educate and give appropriate diets. If they order takeout its on them.
  2. crissrn27

    coding isolation

    So why have this item on the MDS at all? If contact, droplet, etc don't meet the criteria then the only people who could code it possibly are the ones in swing beds.
  3. crissrn27

    coding isolation

    Spoke with another person higher in the company yesterday about this. She says, and I quote "we never code contact isolation because it is just standard ppe". I am just not getting this! Why don't they want the extra money
  4. crissrn27

    coding isolation

    This resident is recieving all services in her room including rehab.
  5. crissrn27

    coding isolation

    I am back in the MDS game! I guess I am not obsolete after all, lol. So, of course, I have questions with these changes. I have a resident on isolation because of a c diff infection that was found last week. She is symptomatic with severe diaherra, charting and orders are in place, she is in a private room and she is on contact iso. From everything I've read in the manual and online this would be coded as isolation on the new MDS. The problem is my partner says no, we can't code because she is only on contact isolation? I also talked with our corp. MDS person and she says the same thing. Can't be coded because its only contact. What am I missing here?
  6. crissrn27

    what can be done????

    Some residents are tricky tricky! I'm not sure how this one LOL I used to have would turn her sensor off and pull her chair alarm off but she did it repeatedly. And fell repeatedly!
  7. crissrn27

    Incompetent

    My 12 y/o son has anaphylatic reactions. Back in June he had an episode. I was so shaky and crazy that I accidental injected his epipen into MY thumb, lol. I was a wreck. I can handle minor things but life threating stuff with my kids is a different story! Let it be a stranger and I will calmly go about resus. Its just different with your kids.
  8. crissrn27

    Animosity between L/D & Postpartum

    I always thought this was a nurse thing but my husband works in production and they have the exact same thing with cursing involved! They have the shift thing, and problems between mixing and material handlers and what not. I think its just a people thing. Not that you shouldn't try for the best possible relationships at work!
  9. crissrn27

    In house on call?

    Not sure about the labor laws but I do know if I had to stay in house I would be getting my regular hourly wage..........not on call pay. I wouldn't mind working while there but I'm not wasting 12 hours of my time in house on call, can't go spend time with fam, do all the laundry, etc. No way.
  10. crissrn27

    EMLA Cream with Circs

    If I ever grew a winky and someone wanted to cut it I'd want GA too. Ok, so maybe not. I've had D and Cs with nothing and it wasn't that bad. At the small hospital I worked at the majority did just sweetease. No one did blocks at all. One doc did use EMLA. We would put it in a bottle nipple and apply 45min before procedure. It was better than nothing. This whole experiance is why the little one growing in my belly will remain intact. My other boys were circed because I was young and didn't really think about it and it was just something you did. I don't bash or blame anyone for doing it (parents) but I do blame the peds at that hospital (peds did it there, not OB) for not using something other than sugar water as pain control.
  11. crissrn27

    tPA Question

    That is interesting. I get them after all the damage is done (SNF), so didn't know initial a CVA wouldn't show on a CT unless hemm. I guess I assumed that a clot or such would show at that time.
  12. crissrn27

    tPA Question

    I don't understand this. Why wouldn't you see the clot on CT regardless of how long it has been there?
  13. crissrn27

    When a baby is born....what does your hospital do?

    I had an 18 week IUFD of my little girl in Oct of last year and I have to say I wouldn't have minded hearing the lullaby. I never went through that intense anger though (or at least haven't yet), so don't know how I would have felt if I was in the midst of that. I was very sad, very much in grief, and I was in the regular L and D unit and heard babies being born all night. I was so relieved that those women had health babies and wished I could have too, but not upset or angry that a baby had been born. So don't think it would have bothered me.
  14. crissrn27

    Silly Bandz Bracelet Trend May Be Dangerous for Kids

    A lot of kids didn't make it through childhood not wearing helmets or seat belts. A lot of those kids are battling cancer now from not wearing sun screen. We have better info now and it saves lives. I think it is good to know these things, so now I can tell my kids "be careful you don't put those on too tight and keep them away from the baby". Now, I agree we shouldn't go into hyperbole and ban them or anything, but the more we know, the more we know, right?
  15. crissrn27

    What's The Weirdest Name You've Heard A Patient Name Her Baby?

    My dad is Stacy and most folks think it is a woman when seeing it in print and can't figure out why Jr. is at the end, lol.
  16. crissrn27

    Could I like OB even if I'm an "all natural" kind of girl?

    Being in your situation a couple of years ago I found that it wasn't the mothers wishes I had problems with, it was the medical staff. They mostly did zero education into the benefits/risk of AROM, monitors, etc. before labor so roughly 75% of the women weren't even given the info they needed to decide what they wanted before hand. Labor is NOT the time to have to make those decisions. Not that they were really given a choice at that point either. The women that did come in knowing what they wanted and didn't want were treated horribly. Made fun of, picked on, and in a couple of cases things were done that they didn't want done even as they were screaming not to do it(b/c the docs were tired of waiting, not b/c babe was in trouble). That was tough. Even if they came in wanting an immediate epidural, AROM, pit, section, etc the above happened. You just couldn't win with some of the docs and nurses. Nothing that the mother chose was right and how dare they come in with any type of plan, etc. Not that every doc or nurse was like that, but enough that it made a huge impact on care. There were some rocking nurses that really advocated for the patients and helped the moms get what they wanted and needed, but that was not the norm. Seemed like fate when I got sick and had to go on medical leave. When I was well enough to go back to work I choose a different specialty. If there was a birthing center near me I so would go back, I really feel like it is my calling. I just had a hard time dealing with all that took place in a regular L and d dept.