flashpoint

flashpoint

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All Content by flashpoint

  1. Exactly...she's already been to the ER and was sent home, but now the child has slurred speech and is lethargic and "acting like she is drunk." Yeah...a good time to go back to ER...this is one I...
  2. Giving Baths At Night. Agree Or Disagree?

    Unless it is right before the resident goes to bed or unless the resident is awake at that time anyway and is capable of giving consent (or unless they NEED a bath right then), I think it is wrong. I...
  3. How to get to work in a snowstorm?

    I'm lucky enough to have a husband who can take care of my children, children who are old enough and independent enough that they do fine while their dad is at work, and children who fuss over our cat...
  4. would you be a RN for $11.00/hr?

    I make a lot more than that as an LPN, but that is with 15 years experience. I would probably do it if the job were exactly what I wanted...hours, benefits, position, etc...but I would expect a raise...
  5. How to get to work in a snowstorm?

    Yup, "calling in." Maybe it's a regional thing...when I worked in Oregon, everyone "called off"...some places say "called out," some places say "called in." I guess it's kinda like the soda, pop,...
  6. Does your LTC go meatless on Fridays?

    A very good question...they're getting new carpet in the halls in a few weeks, maybe that is how they are paying for it.
  7. Need some infection control scenarios

    Hi Taz! Not sure if this is quite what you are looking for but... Recently a nurse tried to call in sick. She had been awake all night with diarrhea and vomiting. The DON informed her that since...
  8. Who Would You Hire?

    As much as I like being an LPN, if I had to do it over again, I would go straight for the RN. There are a lot more options, more money, and usually more job openings. Best of luck to
  9. I work in an LTC. Most of our residents are quite young...most of them are under age 70. We have a few residents who have a long history of severe pain and receive narcotics on a regular basis. We...
  10. When nurses disagree about pain management...

    Grrr! This lovely nurse went through all of the MARs on Friday and wrote huge notes to fax to the doctors of our two most chronic pain patients telling them that they are sedated, don't eat well,...
  11. Ever work with one of these?

    Yep...I can relate. We have a CNA who wants help with everything from walking an ambulatory resident to the bathroom to draining foleys. It is to the point that I dread working with her. My only...
  12. So...what is the normal CNA to resident ratio?

    MMQ nurse...No. MDS nurse...supposedly the DON. The DON, Administrator, Dietary Manger, SSD, and Office Manger get together every morning and review the past 24-hour's report sheet...we are really...
  13. And how do they arrive at that number? We have between 20 and 25 residents. There is one CNA from 0700-1900, one medication assistant from 0700-1400, a restorative aide from 0900-1700, and a CNA...
  14. So...what is the normal CNA to resident ratio?

    I'm looking, which is really hard for me because I really like the residents here. Even the ones that are super demanding are just great to care for. Our management is the problem. I don't think...
  15. "Good Sam" Laws?

    The Good Samaritin Law does protect you to an extent, but it does not mean that you will always walk away without a scratch if you are sued. Even if the court system did determine that you did...
  16. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    This patient did not feel SOB...I've gone several days where my asthma is really bad and when I finally go to the dcotor I am running around with sats of 85%. I've never felt like I was that low, but...
  17. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    I don't wanna-be a doctor...I wanna-be a firefighter, but I am too claustrophobic to put on an airpack.
  18. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    Usually, people call 911 because there is a situation they are unable to handle on their own. As a paramedic, it frustrates me to no end to have friends, family, or caregivers of our paitent telling...
  19. Does non-violent crisis intervention really work?

    I've never seen it work...I did, however get injured the first time I took the class. Two nurses who are much taller and much heavier than me were supposed to be taking me down. One got tangled in...
  20. Have you ever done CPR off duty?

    I'm a volunteer firefighter / paramedic, so technically, I am never off-duty, but I have done CPR a few times before EMS was dispatched. I have a pocket mask in my car and in my coat pocket, so I've...
  21. Prayers being said for you and your dad, my friend. I'm glad it turned out that he is OK. (((HUGS to you and
  22. When staff accuse resident's of being racist?

    Sometimes a staff memeber just sets off a resident for no reason at all...they may look like someone they don't like, they may remind them of someone who once hurt them, they may look like the person...
  23. When staff accuse resident's of being racist?

    I think the CNA should be reassigned. I once took care of a lady with Alzheimers who acxcused a male CNA of touching her in appropriately. After investigation, nothing was found, but once in a while...
  24. Probably not...I would love to spend more time at home with my family...and when they are at school or whatever, I could spend more time volunteering with the fire department. I would also have...
  25. Pain shots are us, not this nurse!

    I've never really been enraged, I have been very frustrated. When I worked in the hospital, we had a lot of patients who would rate their pain at 10/10. yet be talking and laughing and have perfectly...