shellsincanada

There was a neat story in Tending Lives by Echo Heron about a set nurse. Didn't sound like a fun type of work at all.

Sometimes with a tape allergy I have found success with bordering the area with tegasorb or duoderm then the tape can stick to that instead

you seem to think you have control over this thread and what you have out there in the internet. You don't. Allnurses is a great forum, but by merely asking to have the thread removed doesn't mean it will be. I think you need to realize what you put out there is out there for good in a lot of cases. Sure you could go and edit and delete your posts- but what about the people who quoted you? Do you get that? Sure there are6 million people out there but again- are you saying that if this person's spouse/sister/cousin/manager/coach etc read this thread they wouldn't recognize their loved one? That's all that needs to happen. Or who knows if someone who has it out for you and is looking for something like this to report on you? I have nothing against you - but you need to realize what you write out here has consequences. I was able to figure out which hospital you work at and I am miles and miles away from you. That is scary isn't it?

oh and also if the fact that you may have revealed this person's identity doesn't scare you - think about how you have also revealed WHO you are in terms of if your hospital/board of nursing could figure out who is posting this info( you say you are the only one in trouble for this vip treatment) Just think of what happened when george clooney was hospitalized and hippa violations happened.

I think it is quite possible that they would know who it was. Sure there may be 1000's of people who are in the same high profile feild, but how many would have been hospitalized recently in your state? how many are from the state you said he was from? you mentioned other things like children etc. all these things along with other health related info is screaming who this could be. Like others have said- yes it could be identifiable especially if you are interested in the sport he is in.

I used to LOVE the seven on seven off when I was part time. It rocked to have a whole week off every couple of weeks. I know as it is now I do 7 in a row when I have to do my weekends. I am full time and there is no overtime. It works out to do 7 on, 2 off, and then 3 on. 10 shifts in one payperiod. We are mainly mon- fri and have to work every third weekend so really there wasn't much of a way of doing it unless we did the 7 in a row..... I find there is lots of opportunities to pick up extra shifts and overtime once you are working.

Sure this may this woman's home and she can smoke in it BUT it would also be my WORKPLACE and I believe I have a expectation of a smoke free workplace. I have no issues of the smoke smells in the house- just if she is smoking while I am present. So if I get cancer can I file for workers comp? I don't smoke and I don't expose myself to second hand smoke ( easy here - no smoking in public places including bars, eating establishments, any place public) I do home health ( canada ) and we ask the patient not to smoke for 1 hour before we come. And I am not in there for more then an hour tops. Usually 15 mins to half an hour ( mostly dressing changes, health checks, blood sugars and insulin, med admins etc)

They do make this device to remove the needle you dial on. You screw it on the uncapped need and then press a button to eject it. There is a pharmacy that supplies them for us - not sure of the name.

I don't think the net was very widespread when she was in germany ( early 90's) Europe emphasizes langauge more in the schools. It is common to learn not one language in school but 2 or more. It's recognized that this is a global economy and the more languages you have the better. I speak a smidge of french( we have to take it until at least middle school here) and I have forgotten tons but I can get along with it when needed.

Do you have an RX for the xanax? Just come clean about it if you do before the test - if it is a legit perscription then you should be ok. half life is the time it takes for 1/2 the med to be eliminated

ENFP here

Sorry I had to respond to the statement in which an a diploma was considered to be the same as a backyard mechanic. I am quite stunned by the analogy that diploma nurses don't HAVE an education. I suppose I should stay out of this thread until I get the "proper" education.

Your analogy doesn't really work here. So do you think diploma nurses are the "backyard mechanics"? Or the bsn nurses? The BSN students have the theory but not as much clinical are you saying that they will be the nurses are more likely to learn while just hanging around at the bedside like the backyard mechanics? Here's a question- with your imaginary porshe- who do you want taking it apart? a person who has read about it in a book- but hasn't actually worked on a car ? My education was 20 months long- with BOTH lots of clinical and theory , compared to a bsn of 24 months, with much much less clinical. I didn't just hang out at the beside and learn from other backyard mechanic nurses. I am not sure you understand what most ADN, or diploma programs are about. You do realize we actually go to school and it isn't just on the job training.

A as well. wikipedia is made up by the users and can be edited by anyone. I love it for a quick look at something- but there can be inaccuracies because of the fact anyone can edit it. One of those things that you have to "consider the source". Could be accurate one day and not the other , accurate about one thing and not the other.

It depends. I often will apply a saturated 4x4 to the wound. Depends on where it is. Obviously a toe can be put in a bowl of ns but say a wound further up would be sort of difficult of do that;). We sometimes see vinegar soaks. I have one patient who is resistant to every antibiotics and we have a standing order to apply vinegar soaks when the discharge becomes green or foul. Not much else we can do at this point. Plus it seems to do the trick with pseudomonas.

Wet to dry isn't used very often here anymore. It isn't considered best practice. Sure it debrides but it also takes off healthy tissue and delays healing and is painful to the patient. Using mechanical debridement with a scalpel or a chemical debrider and irrigating with a syringe( 30 cc) and a 18 guage needle and saline are a lot more effective. We don't use h2o2 for the same reason. I like saline as a wound care cleanser but I am not a huge fan of soaks. For some things it helps but for the most part it isn't needed.

oh and in canada we tend to use PSW ( personal support worker) or HCA ( home care attendant or Health Care aide) instead of CNA

Me either. Some individual nurses might hold that belief( I don't). The scope of practice varies widely province to province and some of the confusion on what they can and can't do comes from the fact that what they are allowed to do varies facility to facility( where I work- they can do the inital assessment, im's, etc) We have an iv team so even the RN's who aren't on that team have nothing at all to do with iv's( home care) Same with compression dressings like profore and surepress- only rn and the rn has to take a mini course for it! The LPN can't do pd dressings, nephrostomy tube care, trach care( this is specific to MY workplace - I know LPN's can do pd dressings and other stuff I mentioned. We are about 1/2 lpn and 1/2 rn right now- used to be wayyyy more rn's then lpns but the scope of practice at my workplace was widened.

I had an ultrasound. There are also radioactive iodine uptake tests, thyroid scans( these would be done through nuclear medicine) They measure how much iodine your thyroid takes up. Also in terms of blood work there is tsh, t3 t4, antibodies

God this depresses me. I am in Canada. We get 50 weeks paid for by employment insurance ( also when you get laid off or lose your job through no fault of your own) The rate is 55% of your basic pay and your job is guarenteed for the year. You can use these if you are the dad, the mom, or even if you adopt. Or you can each( mom and dad) take 35 weeks off together. Plus you can combine them so dad takes some and mom takes the rest etc... I can't believe you would be expected to return to work 6 weeks after having a baby!

The asprin in the colostomy bag is supposed to help with odour. But from what I have read it isn't reccommended as it can cause ulcers on the stoma and peristomal skin. I have heard mouthwash or products specifically for colostomies( charcol related stuff) does help with odor.

It can be intimidating for some health care professionals to have a well informed patient. I suspect that the younger more recently schooled docs probably are more used to it as the net has been around for their entire careers. My doctor has always been great- he listens to me and seems to respect my opinion about treatment options( do i want to increase my meds? do i want this test? How about trying this med?) I suspect that is because he knows i am a nurse. Well done on diagnosing yourself. Sometimes that is even harder to do since you have all this extra information and are - shall we say- a little close to the subject matter:-) Hope all goes well with your surgery. You being well educated will help you I believe.

FREAKING brillant!

The issue isn't YOU getting an infection but your patient getting one. You have the choice and are making an informed risk to yourself- your patient isn't able to do this And 98% of women DO NOT have acrylics. I would bet all my paycheque- hell my house on this being wrong. First of all most women in the world don't live in north america - so when you take out all the women in developing nations who odds are don't have these - no where close to 98%. LOL But really I know only a handfull of women who have these - for sure not the majority - and no where near 98%. Where do you live that you see so many women with fakes that you believe it is almost all women? There would have to be nail salons on every corner with lines out the door with women going for fill ins. Hell even at the nail salons I go to the majority of people have natural nails or are getting pedicures. Not going for fill ins from what I observe.

I suspect that gloves were worn more religiously in the nicu where the nails were a factor in the deaths of the 16 infants. Gloves make no difference. It's probably not an issue because of the population of your facility( ltc) where deaths are more expected and not looked at in terms of a pattern like it was in the nicu in Oklahoma. I think your facility is probably playing with fire , imo.