VivaLasViejas ASN, RN

LTC, assisted living, med-surg, psych

Once a nurse, always a nurse!

Long Term Care Columnist / Guide

All Content by VivaLasViejas

  1. VivaLasViejas

    I'm just, disgusted........whatever.

    We'll keep our fingers crossed for
  2. VivaLasViejas

    no longer kizzykatlove

    I love your new name!! Very
  3. VivaLasViejas

    How do you keep from catching everything?

    After a few years in healthcare, your immune system will be strong enough to fight off squirrels in your back yard. Seriously.......early in my nursing career, I came down with EVERYTHING, including...
  4. VivaLasViejas

    Managers asking me to forgo sleep for meetings!

    When I was a manager, I used to hold staff meetings at 1430. This way, both day and evening shifts were already on board, and night shift staff could, at least in theory, get a solid six hours of...
  5. VivaLasViejas

    Lantus

    Nope, 35 units isn't a big dose; several of my diabetics are getting 50, 70, even 95 units of Lantus daily, or in the case of the above-metioned resident, twice daily. Of course, ANY dose that causes...
  6. VivaLasViejas

    Lantus

    I have one almost as bad as yours, Commuter. He gets NPH once daily at noon, Lantus at 06 and 18, plus sliding scale regular @ AC & HS. His blood sugars regularly run in the 500s and...
  7. VivaLasViejas

    Lantus

    Exactly!!
  8. I don't think so at all. Some people aren't good test-takers. That doesn't make them less intelligent; it just means they have trouble demonstrating their knowledge in the traditional manner. I went...
  9. VivaLasViejas

    Lantus

    Did the patient also have sliding scale insulin? If so, how much and what kind was given? It's unusual to see someone crash like that after eating a high-carb breakfast and receiving Lantus, but if...
  10. VivaLasViejas

    would like opinions on this letter please

    Closing thread per OP's
  11. VivaLasViejas

    Have your feelings about the human body changed?

    I've seen so many naked people in the past 15 years that I never think about it anymore. I can't even remember the last time I was uncomfortable at stripping down for a medical procedure........after...
  12. VivaLasViejas

    Most Embarassing Nursing Moments

    I've had my share of embarrassing moments, especially as I'm far from the most graceful person on the planet. My latest was just yesterday. Since it was Super Bowl Sunday, we had about 20 residents...
  13. VivaLasViejas

    Reamed for ordering an ethics consult

    I can't really add anything here, as it's already been said very well by other posters. Just know that I too agree that you did EVERYTHING right, and that you are IN the right. Whether they realize it...
  14. Well, I'd either have to have a double mastectomy, or a reconstruction, because at a 44DDD I'd be walking around completely lopsided if I had only one breast!!! Then again, if I were to come down with...
  15. VivaLasViejas

    Should Doctors Have Guns?

    I like the way you put that. Count me
  16. VivaLasViejas

    Is Health Care Rationing Needed in the USA?

    Sure they are. It happens every day. Several of the CNAs where I work are banned from the local clinic because even with health insurance through the company, they can't afford the $50 co-pays. Also,...
  17. VivaLasViejas

    Is Health Care Rationing Needed in the USA?

    That's exactly right. And if it's unethical to ration health care by age, quality of life or other considerations, why isn't it unethical to deny tens of millions of Americans health services because...
  18. VivaLasViejas

    Poo on a shoe

    :rotfl: Or how about a SOAP note: S: "I got poop on my shoe!!" O: Student c/o a brown, malodorous substance on his shoe. A: The substance is, indeed, poop of unknown origin. P: Issue pair of gloves...
  19. You have no obligation to keep your cell phone on, or to answer your home phone for that matter. However........it's a courtesy to call back as soon as you become aware that your facility has called...
  20. VivaLasViejas

    Age Discrimination in Nursing? How Old is "Too Old?"

    Oh, I don't know why, but I have hopes for Generations X, Y, and so on. Let's face it: if we Boomers will just look back to our own salad days, WE did our share of slacking and partying too. We may...
  21. VivaLasViejas

    How's the Economy for RN's?

    I've never had any trouble finding a job, not even last fall when the economy was really beginning to unravel. On the other hand, there aren't nearly as many ads in the newspaper as there used to...
  22. VivaLasViejas

    Writing for nursing magazines?

    ALWAYS check out the magazine's submission guidelines. These can usually be found on the page that contains all the info about its editorial staff, circulation etc. You can also obtain them online or...
  23. VivaLasViejas

    Overworked in Nursing Homes

    No. You NEVER take shortcuts that endanger the patients. What you do is realize that the med passes are set up the way they are not] because they are efficient, but because they give people something...
  24. VivaLasViejas

    When to call out sick

    I call out for only two reasons: if I can't get my head OFF the pillow, or OUT of the
  25. VivaLasViejas

    Am I too old to just be starting?

    Well, if no one has said it before, I will: How old will you be in three years even if you DON'T go to nursing school? I was 38 when I graduated, and I wasn't even close to being the oldest in my...