MoopleRN

MoopleRN

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All Content by MoopleRN

  1. IV specialists please, please help me

    In my experience, and I'm certainly no expert/have had my share of unsuccessful pokes, the best vein to pick is the one you think you can get. Of course you want to avoid joints/going below old...
  2. question about becoming a cna

    Good for you that you got the experience that you did but I disagree when you say you don't recommend starting as a CNA. CNAs get lots and lots of bedside experience in any facility. They truly are...
  3. I find all these responses interesting. I've been a CNA, an LPN and now an RN. I have a LTC hx and can relate to much that's been posted from both sides. We NEED CNAs. Good ones. Just as we need good...
  4. CNAs need more respect/pay for their extremely demanding job. Of course their scope of practice is different than ours but that makes it no less valuable. I think any nurse who dismisses a NA's...
  5. When the blame gets turned on you.

    We don't routinely do bladder retraining before removing a foley but I have seen it done with mixed results. If there was some difficulty/blood inserting the catheter, that could cause some...
  6. Will my CNA license be in jeopardy ?

    I agree with Angie on all points. I'd also like to point out that if you're a CNA, you do not have a license, you have certification. That's why the title is CERTIFIED Nurses
  7. Nurses pushing a PCA pump for a patient?

    I'm surprised to hear of patients who've gone into resper arrest or distress because family was pressing the button. Whether it's a family member or the patient, there is still a lockout for that...
  8. Overnight Shift Rut, help!

    I don't recommend taking any kind of a sleeping aid. It will work and then you'll come to believe you can't sleep without it and what then? Taking it forever? If it works for others, more power to...
  9. What do you think?

    It was just a bowl of soup but I wouldn't have done it. What if there had been an ingredient in that soup that caused an allergic reaction? Ok, the patient hx may state "NKFA" but the key word there...
  10. I totally agree; keeping track of BMs including their frequency, consistency, color, amount is an important part of our assessments/documentation whether it's the nurse or the CNA doing the...
  11. Nurse

    The meds do, of course, all wind up together in the stomach so I do see the logic in questioning why can't they be given together. From what I understand, the answer is because some meds may react...
  12. Does this sound like an air embolism?

    I don't think it was something vasovagal related; his pulse and BP were up, not down. Maybe the doctor was
  13. phlebotomy and IV class

    Are you saying that your program NEVER TAUGHT starting an IV? You weren't required to check off on this skill in your clinical class, even if it was on a dummy? When you say you never had a chance...
  14. Why should I be afraid??

    Ok, so request another meeting/talk to whomever necessary to get those questions answered. I understand your frustration and I agree that you deserve some clear answers to your concerns. Best of...
  15. Why should I be afraid??

    It sounds like you're eager to get as much experience as you can as quickly as you can. That demonstrates your passion for your profession, good for you! OTOH, those senior nurses do have way more...
  16. Patient rage

    Some patients, even after you've met all their physical/comfort/medical needs remain... needy. Nurses I know, myself included, will go an extra (half) mile beyond that depending on the situation/how...
  17. Piggyback IV question

    That works... if your primary IS normal saline. If the primary is not NS, as in the case the original post says, I would check compatibility with ANY/ALL piggys. At my facility, each piggy has its...
  18. securing foleys

    We just changed policy and are now using a Foley statlock to secure the tube. I like the velcro straps a lot better and so do hairy
  19. Hgb level

    Ditto the above comments that say each level is up to a doctor's interpretation. I make a note in report if I check labs and the
  20. Maybe a silly question

    Check the policy at your facility to answer your question. OR~ maybe you could tell your patient that it "appears" they have an "infection" related to their urinary system and they should direct any...
  21. That DREAMY First Check!

    I did little splurges. When I graduated I bought myself some opal earrings. Later, working as a RN, I bought some pearl earrings to go with my new uniform. I'm about to purchase a big screen lcd tv...
  22. CNA training: Some questionable behavior

    At my former facility, a NH, it was common on 1st and 2nd shifts for the aides... until State found out. Nurses are responsible for the aides/their charting and while they can't keep looking over...
  23. do you give good report?

    Are you brief and to the point? Do you have your labs looked up and include any abnormalities worth mentioning? How about labs ordered for the next shift? Do you remind/point out any new orders? Do...
  24. Pyxis, Omnicell, Accudose Comparison

    I've never heard of the Accudose. It's my understanding that the difference between the Pyxis and the Omnicell is the Pyxis will not only dispense your med but document the administration whereas the...
  25. do you give good report?

    We have voice care (taped) report and 1-6 is the basic info you hear for each pt. A float will want to listen to that but most nurses familiar with the pt will skip that part and go straight to the...