nursesrule67

Yes. Protein breaks down into among other things, NH3 or Ammonia, which can, in excess, damage kidneys. Remember the Atkins diet? I have taken care of otherwise healthy people who damaged their kidneys from prolonged Atkins-like diets. It's really interesting to look at the pathophysiology.

I have been asked to "hold" the member before -- I take into account the patient's own abilities and usually will hold the urinal for them, pick up their hand and help them hold their own member -- get an order for a Texas catheter, or a foley if need be. I'm respectful but will not fall for those patients who are playing with me. I use my best judgment and find a better solution than my having to actually hold someone's member because most likely once discharged from the hospital they don't have someone at their beck and call to do it for them so I explain the whole spiel about preserving functional indepence, etc. but trust me, I've seen it all!

I also used to work in WA State, graduated from University of WA medical center. Becoming an NP in WA State is so worthwhile. What city are you working in?

I also work at a large hospital, and came from a larger university teaching hospital working critical care prior to that. What I love about my hospitals system is that they team every nurse with a CNA called a Care Partner. Care Partners take vital signs, empty foleys, record blood sugars, record I&O's and really work as a partner with the RN. I value my care partners so much and there are two specifically that I like working with so I will schedule myself to work with them because I trust their judgment and I know they give quality care, and ultimately it makes my day so much easier. I work 7a to 7p and with a good care partner system, it makes things so much easier. I can then concentrate on focused assessment and time with my patients. Hope that offers a suggestion or at least some insight