fat cat

Listen to this man confront representative re: medical coverage under Obama's proposed health care plan and decide for yourself how this may not only affect his son but ultimately maybe even you: http://www.breitbart.tv/father-of-handicapped-son-received-threats-after-confrontation-with-rep-dingell/

Challenging Obama's health care reform not appreciated. View the link: http://www.breitbart.tv/father-of-handicapped-son-received-threats-after-confrontation-with-rep-dingell/

I also follow SunnyAndrsn's steps of peri care and having someone to shine a flashlight also. Once I place it I let the person assisting me leave unless patient is confused / uncooperative. One thing I always do - although was not taught to do but it is almost fail proof- is as I go down with the last cleaning prep stick, I push it partially into the lady parts. The catheter then seems to be easier to place into the urethra. One caveot- you must NEVER forget to remove it as soon as you inflate the bulb. If you think you will forget it , then don't do it. It is just that it works for most of the difficult cases as saves me time and charging another cath set.

I read a tip in a magazine recently,cut it out and taped it inside my medicine cabinet by Dale Pearlman, M.D. , family dermatology in Menlo Park ,California : " Cetaphil, the OTC cleansing lotion offers a safer and less messy alternative to traditional lice treatments. The nontoxic lotion is applied to the scalp, then sealed in place using a hair dryer. In my study, this treatment was 96% effective".

In addition to topical skin care I protect my hands with gloves while engaged any kind of cleaning at home. I keep 2 boxes of gloves, one latex and one vinyl ( both powder free). If I am involved in 2-3 small tasks at a time using the latex I will glove wash between and then trash them. Additionally I know this sounds crazy and it is but it has been very helpful for me to wear the vinyl gloves to wash my hair and sometimes even with bathing. A dermatologist suggested that to me many years ago and it works for me. It just really reduces all the intense unecessary repeated soap contact to the hands. One more tip that I might as well mention here that sounds crazy too but works for me and might be a helpful hint to those who work in home health for the client who may be using gloves but runs out of them, is to keep the cheapest size box of non-zip sandwich bags on hand in their medical supplies. You can put your hand inside the bag, apply a topical cream to it, then spread to the affected body part then trash it.

I had a situation where a particular patient had such bad veins that I as well as several other nurses were unable to obtain it. However several days later a nurse working with this patient who had E.R. experience drew the blood. When I questioned that nurse about it she said that it was no problem - that she just got it from the patient's foot. As a nurse I have drawn blood for many years but never considered using the foot. I asked the nurse if she got a doctor's order for that and she said no that one was not needed. I want to know if any other nurses out there draw blood from the foot as a last resort.

To TazziRN There is a short article you may like to read tittled, "Effective Time Management" by Susan Wittenberg with a focus for certified home health agency nurses. It may offer something that could be useful to you so it may be worth reading. It provides 1 CE credit if you decide to take the test and pay $8.00. Course offering is @: www.advanceweb.com/nurses Click on the big red apple on the page and scan the course listing for it.

To TraumaRUS, I frequent a favorite web site of a very respectable Christian man who makes every effort to provide news that the main stream media does not always address. I scroll down his front page daily and this is where I found the information. However, I am unable to tell you the true source of the video. Perhaps you may ascertain it by e-mail to ask him. The site is: stevequayle.com Hope this helps.

:angryfire OOPS FORGOT TO GIVE YOU THE SITE: http://video.google.com/videoplay?docid=-1654029577076223754&q=Edwin-

:angryfire I felt sick when I viewed this video: Injustice Exposed: Secret Code on veterans. I do not have any veterans in my immediate family but if you do, or you know one, or you professionally care for one, please get this information to them for viewing. Although a long video, it is critical that it be seen. Than you for passing it on!

THANK YOU JOHNWAYNEHAIR AND SILAS2642 !! :angryfire I was so mad when I got this card in the mail from a nursing association. I went to the link given on the post card where it stated, "for more information" to see what it had to say. There was a small video screen on the web site where one could view a few clips of the movie. I watched it and what I saw showed elements of truth. And yes, something does need to be done in this country's medical care system, however I sense that this movie will usher in an out cry of a guaranteed universal health care social system and be greatly supported by nurses who do not really realize the negative implications of it! AND DO YOU REALLY THINK THAT OUR POLITICIANS UNDER A SOCIALIZED UNIVERSAL HEALTH PLAN WOULD SIT IN LINE AND WAIT THEIR TURN?????????????? H__LL NO ! They would bribe their way out of it somehow for themselves and their families or pass bill to exempt them. And after Michael Moore makes a killing off this movie, I would not put it past him to pay people who don't have a real job to begin with, to go sit in Washington to lobby for it. I see it coming folks and if you think it is bad now, you are in for a rude awakening when it does.:uhoh21:

Hello boop 777, Just before reading this thread , I read a short article in Advance For Nurses, " Loud and Clear assistive listening devices enable nurses with a hearing impairment " by Erin James. I tried my best to locate the article on page 31 of the June 18 , 2007 issue on www.advanceweb/nurses so I could get you the link but I just was unable to for some reason or another. I'll highlight it for you what she wrote: Personal ALDs amplify sounds for a single listener, but can be configured to work with more that 1 speaker, according to www.hearinglossweb.com Personal amplifiiers, personal FM systems and computer-assited, real-time transliteration (CART) reporting are commonly used in a classroom setting. Personal amplifier is of small size with an attached microphone for the person who hears to speak into. The microphonne is attached to the device, and the person with the hearing problem may use a neck loop if they have hearing aid or a headset directly connected to the device. FM systems- are wireless and receives sound spoken into a microphone and then transmits it like a radio wave to headphones via a receiver. The lecturer can attach the microphone to a lapel or the microphone in the device can pick up the sound. One drawback however for one student had been that at times in a large class it was impossible to hear student participation CART reporting - a typist types the lectures + the sentences appear on a screen Telephone communication: amplified phones with cochlear or hearing aid adapter can be installed on a unit. Also relay communication systems involving a 3rd party communications assistant and text telephones. One nurse had 2 nurses listen to an order at the same time to verify a verbal order over the phone and said that relay worked well if 1 could not use a regular phone. Article shared web site : www.exceptionalnurse.com where the founder of it indicated that student nurses were reporting they could access ( the telecommunication service) online and most prefered to use a video phone with the relay. The founder of web site mentioned that the video phone was quicker allowing for a more normal conversational flow. To have an amplified phone or TTY installed on the unit, request it in writing. The article stated that a sample accommodation request letter written by the US Department of Labor, Office of Disability Employment Policy, Job Accommodation Network is included in Leave no nurse behind: nurses working with disabilities. She gave the reference in the article: Maheady, D.C (2006) Leave no nurse behind: Nurses working with disabilities. Lincoln, NE: iUniverse. Article shared that vibrating pagers tend to be more effective. And that a colleague for one person told her what was being said and that usually during a code or hospital lockdown or a personal page that thecolleague would inform them. Article shared that state vocational rehabilitation programs can help with the purchase of amplified stethoscopes for nurses, who typically buy their own. While an amplied telephone installed at a hospital would be its property and should be paid for by the hospital. Article said if you face difficulty with reimbersement try contacting your state voc. rehab office and local deaf service center. Article said when technology is not abailable to help a nurse with a hearing impairment, teamwork was the next best option. Such as she stated, if there was a procedure a nurse with hearing loss cannot assist with, trade-offs worked well. Example given : nurse in an invasive procedure requiring a mask and hearing impaired nurse needed to read lips, that she could trade off that assignment for another one for another nurse. Article said founder of the excetionalnurse.com suggested to invite the vendor representative of Deaf service center representative to do an inservice on technology and hearing loss saying that the information would be helpful to staff in working with the hearing impaired nurse as well as with their patients who have hearing loss. Lastly , the exceceptionalnurse.com founder she quoted what a nurse in a New York hospital said- that she worked hard, much harder and that in the end colleagues will have respect for you and this will result in teamwork. Boop777 I hope this is helpful and encouraging to you. I'm sorry that I was unable to get you a link to this good article by Erin James . I would not have taken this much time to share this but I feel that you and maybe others could benefit in some way. May God bless you.

Thank you all for your imput. My position still remains firm - that second hand cigarette smoke of any amount should be treated as an evironmental toxin and that ways should be found to protect nonsmoking workers from it as it is a potential health hazzard. Alternative measures should be in place to be used such as nicotine patches and inhalers. There is even a single dose injection that has reported a high rate of success. Something needs to be done because it is not the nurses responsibilty to be forced to participate in someone's nicotine addiction that causes a direct negative effect on them no matter how small the degree. I plan to contact the American Heart and Lung Associations to see if some form of legislation can be considered to accomplish this. I read that the American Heart Association supports the rights of nonsmokers to a smoke free environment and that they feel the best way to control workers' exposure to tobacco is to eliminate tobacco use from the workplace and to implement a smoking cessation program. I would like to see this carried over to apply to nursing home environment as well.

I would like to know if any one could advise me on how to go about making a change in a LTC facility where staff is required to take reisdents outside to smoke for monitoring them for safety which is required. I do not think that non smokers should be forced to be subjected to second hand smoke nor utilize nursing time frames to satisty a smokers habit. While there is a plethora of information available on second hand smoke it does not appear that non-smokers have complete protection/ legal rights in the workplace. I would like to see a law that would change this. Additionally in the entrance/exit area to clock in + out , is the designated smoke area for employees which offers a second exposure. There is not always a smoker on duty on the particular floor who can accommodate the patient so the nonsmokers who do not want to do this have no choice. I want to see an end to this. At other times the smoker employee can "enjoy " the continual "privilege" to take the patient to smoke causing the non smoker employee to be left to answer all of the smoker employee's call lights. Personally I do not beleive that the patients should be allowed to smoke at all. But it is my understanding that because the LTC facility is considered their "home" that they have a right to smoke. I would like to see a law enacted to protect the worker from second hand smoke. I would appreciate any suggestions.

I would like to know if any one could advise me on how to go about making a change in a LTC facility where staff is required to take reisdents outside to smoke for monitoring them for safety which is required. I do not think that non smokers should be forced to be subjected to second hand smoke nor utilize nursing time frames to satisty a smokers habit. While there is a plethora of information available on second hand smoke it does not appear that non-smokers have complete protection/ legal rights in the workplace. I would like to see a law that would change this. Additionally in the entrance/exit area to clock in + out , is the designated smoke area for employees which offers a second exposure. There is not always a smoker on duty on the particular floor who can accommodate the patient so the nonsmokers who do not want to do this have no choice. I want to see an end to this. At other times the smoker employee can "enjoy " the continual "privilege" to take the patient to smoke causing the non smoker employee to be left to answer all of the smoker employee's call lights. Personally I do not beleive that the patients should be allowed to smoke at all. But it is my understanding that because the LTC facility is considered their "home" that they have a right to smoke. I would like to see a law enacted to protect the worker from second hand smoke. I would appreciate any suggestions.