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

    Are Your End-of-Life Wishes Clear?

    I'm embarrassed to admit it, but NO---the advanced-directive papers I got when I was in the hospital two months ago are still sitting on my desk. :stone Maybe it's because I'm having trouble making...
  2. VivaLasViejas

    How can you say you're not paid well?

    I'm a certified Med/Surg nurse, and we get a 3% differential for having the certification which puts me somewhere upwards of $27 an hour. For the area I live in, that's pretty good......the local...
  3. Beautifully said, jeepgirl. ITA with
  4. Here's how even experienced nurses can get into trouble: Yesterday at the three PM shift change, I picked up four new patients and a student, all of whom were in need of something or another that the...
  5. I watched it last night, and I have to say it was rather refreshing to see nurses portrayed as actual working people instead of window dressing, like they are in "ER" and other medical shows. I...
  6. VivaLasViejas

    Cpap?

    Anybody here have any personal experience with CPAP? I need to know because it's probably in my not-too-distant future........I had an appointment with a sleep specialist yesterday, and he's about 99%...
  7. VivaLasViejas

    What Is Your Biggest Weakness?

    Then I would have to say my biggest weakness in nursing is a strong dislike of doing ADLs. Handling someone else's dentures makes me want to :barf01:, and I don't enjoy toileting, feeding, bathing...
  8. VivaLasViejas

    What Is Your Biggest Weakness?

    In nursing, or life in
  9. Which is why polite society just didn't discuss such things in the past........this attitude seems quaint now, but it did prevent a lot of the discomfort and awkward social situations we find...
  10. VivaLasViejas

    Is This Standard Now With Pap Smears

    Yep, I've always had the clinical breast exam along with the pelvic. Never knew you could have one without the other.........but I've already had two cancer scares, so I wouldn't WANT to skip the...
  11. VivaLasViejas

    Veiws On Living Wills

    Hi, Nad, and welcome! Just a little FYI on Net etiquette.......typing in all capital letters indicates that you are shouting! It's also really hard on the eyes. In Oregon, where I live, there are...
  12. VivaLasViejas

    Scripting: Yea or Nay?

    Scripting.......egads. Thank God my hospital still believes its nurses are professionals, not parrots!! It just astounds me that some business types seem to think we have no brains, and worse yet, no...
  13. That's a very appropriate and diplomatic response, and I can imagine you probably get a lot of conversation in return. If you don't want to go even that far (and there's no reason to, unless you're...
  14. VivaLasViejas

    What is so darned difficult about oral care?

    :barf01: I'd be willing to bet it's not just laziness or neglect........some people really don't do well with oral care because it's so GROSS. :stone I've always turned green when handling dentures...
  15. VivaLasViejas

    Difficult Post/CVA Patient

    RCM=Resident Care
  16. VivaLasViejas

    Therapeutic Communication

    What premnrs said. :) Seriously......therapeutic communication sounds stilted when you're first trying it out, but years from now when you've been faced with angry and/or violent patients a few times...
  17. VivaLasViejas

    Criminal Records

    We just had a very long, and very ugly, debate on this subject recently, so to answer your question simply: Check with your state's board of nursing. They are the only ones who can tell you for
  18. VivaLasViejas

    Taking Care of yourself.

    Good advice, Renee........it's a lesson we all need to learn. I know, for I'm learning it the hard way.........will I EVER get it through my head that I'm not 25 anymore and thus can't treat my body...
  19. VivaLasViejas

    Difficult Post/CVA Patient

    I'm not an MD, but it doesn't take a medical degree to figure out that this woman is depressed.......and PISSED OFF!! Look at what she's dealing with here: her whole life has changed, she's lost her...
  20. Awwwww, thanks Deb. I'm blushing :imbar I have a feeling she'll figure it out pretty soon.........like when they put that brand-new little life in her arms for the very first time :biggringi Then...
  21. I think my own daughter (6 months pregnant) could have written that birth plan......especially the part about the annoying mother who means
  22. VivaLasViejas

    Artificial feeding-Terri Schiavo

    He doesn't have to 'allow' her parents to have a Mass of Christian Burial.....they can do this in their home parish church if they want to, and he can't do a thing about it. I'm sure their priest...
  23. VivaLasViejas

    Artificial feeding-Terri Schiavo

    Same here.......while I rejoice that she is finally at rest in the arms of our Lord, I am still saddened and angered at the manner in which she came to be there. May God forgive us all, and grant her...
  24. VivaLasViejas

    Demanding Patient

    And I'll bet his room is at the farthest end of the hall....... I'll tell you right up front that meds are not the answer for patients like this gentleman. There isn't a medication in the world that's...
  25. VivaLasViejas

    Wearing uniform enhances nursing profession?

    Oh, gawd, not THIS issue