kellyskitties

the rheumatism - rheumatoid arthritis reflex - acid reflux I've heard prostrate so many times I'm pretty sure I say it wrong half the time. Or I take "dilaudinum" - so is that dilaudid or laudinum? or demerdol... although those are not diagnosis ...

In my experience, the patients could improve or cure their own diseases through changes in their own habits, lifestyles, diets etc, however, they choose NOT to do this and would much prefer the dr just "give them the pills." Many diabetics could fo...

Missouri - specifically southeast. I know there are needs in several LTCs for LPNs. RNS & LPNs are needed in several of the area's hospitals including - Piggott, Hayti, Kennett and Poplar Bluff. I would also look into Memphis, TN, Paragould, A...

I was only saying what I see where I am. We are a small rural hospital - using more LPN's than RN's just to keep pts taken care of. Many of our LPNs are in school working toward their RN's. We have a few openings in the "specialized" fields (I con...

I know at our facility, the openings ARE there, but they aren't where new grads want to start. Nobody wants to start on med/surg anymore, so we have openings there more than any other floors. ER has openings, but I think the consensus has become th...

The nursing class that graduated before mine had a social security age great grandmother (I'm not sure of her age but they said she was probably the oldest nurse that had graduated ever). She said she did it as a goal. She was a great lady. Now, I ...

I have a CNA working with me that even I thought wouldn't make it this far, and I'm usually the super supporter for giving everyone a chance. She screamed and ran from a deceased pt's room when she realized they were dead - ran down the hall scream...

If u like a challenge, including sometimes the challenge of satisfying difficult people (yep, not just dealing with them, but satisfying them), then nursing is for u. I love nursing and I love med/surg. Take that u naysayers. I work a busy med/sur...

OK, first off, all you folks with extra unemployed nurses send 'em to southeast Missouri. We sure need them. Now, as for factory workers. Let's not turn folks away from nursing because of where they come from. I've oriented some previous factory w...

First of all, congrats on becoming a nurse and enjoying your med/surg job. I love M/S myself. Second, a masters degree does not mean NP. You can get many different masters degrees. Third, take time to get your job completely down - go through m...

Our hospital also began AIDET and hourly rounding. As many things go, it fell away and was lost by the nurses eventually - sacrificed necessarily by our desires to actually take care of the patient medically (with our usual pt load of 8). Then they...

I agree, even the 1 hour before and after is a rat race with as many patients as a nursing home med nurse has to medicate. I work med/surg and they just determined we have had too long to pass our meds (TOO LONG!). CMS apparently has a 30 before an...

Any med surg nurses out there have any ideas or input about why med surg has such a bad reputation and what could possibly be done about it? We see so many new nurses and experienced come and go (before completing orientation). We see new nurses do...

I have a confession to make. I am an RN. I care for patients on telemetry. I am terrible at cardiac and telemetry. HOWEVER, when the phone rings and they tell me about a rhythm change and I do not know what they are talking about - I just say, "O...

OK, first I got to get this off my chest. Most of the fields of nursing you listed are bedside nurses. Unless you are in community health, home health, legal nurse consultant, doctor's office etc you ARE a bedside nurse. I believe in med surg and ...

Maybe offer the option of elastic waist with drawstring front (little lower on the waist) or just elastic waist (sitting higher on the more traditional woman) - both with mega pockets and same trendy trims so a person can pick what works for them and...

You are correct, you can't always turn around the patients and make them better. But sometimes you can. I distinctly recall moments I have really made a connection or caught an illness going terribly wrong and saved a life. I also enjoy interactin...

I thought 3 12's sounded great when I started. Then I found out it's not 4 days off. Oh no. I work nights. 7p-7a. It was 3 days, then one day totally exhausted that I just slept away - plus slept that night away. Then the remaining 3 days off. ...

Our hospital sets a max goal of 8 pts per nurse. Due to short staffing this winter there was one night I had 13 - just one night and our manager did stay almost the entire night to help us get through that. It wasn't as bad as it sounds like. At t...

To clarify my "walking in you" - obese with acute generalized edema. She was both. Weeping all over - arms, legs, face, abdomen - everywhere. And since my last post I nearly had a urinal poured over my head by a mentally ill patient that was mad ...

Many times I have a pt in pain that requires more than one pain med. I usually give PO meds 45 mins to 1 hour (if pt not appearing to be a true 10/10 pain pt - otherwise start with dilauded). Then assess pain - and give dilauded if pt pain goal not...

Walked into extremely obese (like u see on tv folks) pts room and realized I was standing in something that went "splat splat splat" when I walked. Looked down - lots of clear liquid? Water? Oh no, she was seeping all over - it had ran off bed int...

For hand lotion might I suggest carrying anything that's not alcohol based with you in your pocket - small tube of course - and then here's my big suggestion. Your hands will still get dried out - so every night at bedtime I suggest you use working h...

We use one for TPN, one for IVF/Meds and one for blood draws. Unfortunately, everyone thinks blue is blood or no maybe white - no no blue is TPN... It's always mixed up anyway. I try to take it mose seriously if I actually have a pt on TPN (we hav...

We had similar suspicions about a nurse I worked with. We have a "no gift worth more than $10 rule." She didn't get in trouble where I worked for it that I know of. She did however get her comuppence (sp?) down the road. Took advantage of a homec...