All Content by DixieRedHead
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Moral Question
It's a rash caused by an allergy. It's not catching. Nothing to be all morally dilemnaed about.
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Do you think I could get kicked out?
I hope you won't be thrown out. You messed up, and you have to deal with it. From my perspective you deserve a reprimand, and a severe one. I don't think you should get thrown out. Never know what the powers that be will do. Hope it goes your way.
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What can I do to these scrub stains? Help Me!!!!
Wash only white scrubs with white scrubs. Hot water, detergent, and use one-two packs of Rit White-Wash. Your scrubs will be white and will never turn yellow. You can get it at Walmart.
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"Sir or Ma'am" when addressing physicians?
I have had many doctors call me Ma'am. I call all doctors "Doctor". Life is easy.
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6 patients at once? How do you do that?? Any advice?
Am I in some kind of alternate universe? 6:1 on Med- Surg is great staffing.
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Stat orders and the MAR
If I am going to give it to a patient, I am going to write it on the patient's Medication Administration Record. That's what it is, a "record of the medication administrated to the patient." Think of it this way. Suppose something went wrong and you end up in court. What will be your answer to the question as to why you did NOT record what you gave. Sounds like a nightmare to me.
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Would this be appropriate for an interview?
You should be fine. Good luck.
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Some days I just wanna bang my head against a wall
God bless this poor woman. And heaven help this poor family. I really don't get it when people don't get it. I have had residents whose family would decline a feeding tube when the resident would no longer eat and leave Mama a full code. So we are going to let her starve to death and then code her? Good grief.
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Charting Help/Tips Please! for long term care / SNF
One word.............FOCUS Why are you charting? How about this? UTI? Pain, temperature, complaints, odor of urine, mentation, reaction to ABT, output, what else did you do? V/S 98.2,68,14,112,58 98% saturation on room air. Has denied pain and verbalized no complaints. Urine remains with strong odor. Mentation at baseline for this resident. No reaction noted to prescribed ABT. UOP X 4 incontinent per usual. Fluids at bedside and encouraged with med pass. Nancy Nurse RN. Wound. What, where, dimensions, description, complaints? V/S ....... Resident has 4 x 3 cm skin tear to right forearm. Wound is dry and free from drainage, warmth, or odor. Edges well approximated, steristrips in place. Resident denies pain, stating that area is "sore". Remember, it's not how much you chart, it's how you chart.
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Creepy Patient
This screams "discharge" to me. You should have reported it the first time.
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Baffled...
"Bastard coated bastards with bastard filling" Yes, it a terrible thing to say. Do I love it? You betcha!
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cna to lpn
Having been through both, I can tell you LPN is much harder. The skills learning is pretty much the same. In the RN program you get a lot more theory and fluff. This is gonna get me KILLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLED.
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"I would help you out with a job if I could.."
I think you are looking at it all the wrong way. At the end of the day, it's a job. You go, you put in your time, you do the very best that you can do, you get your money. You provide for yourself, and your family. That alone is noble enough. I have done long years in the ER. I am now ADON in LTC. Guess what, at the end of the day, it's a job. If you look down on me, you are looking at a debt free, no mortgage LTC nurse who is not bothered one whit what you think.
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Another one for my journal
Where I come from that patient had just done fell out...... Yes, Esme, DFO is a real diagnosis down here. And I hesitate to tell you what PFO is, but let's just say the LOL at the nursing home urinated and fell.
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First day of CNA clinical - Elder abuse?
" ltc is heart breaking. those that care, don't always last." don't you dare tar everyone with the same brush. many many fine cnas and dedicated workers of all degrees of education do last for exactly the reason that they care. just because you didn't check out the facility before accepting a job, and couldn't last, doesn't mean we are all that way.
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doctor's office accessing of scripts
I really do not have any health issues. I only take the obligatory "old woman's" SSRI. I really do not give a rip if any prescriber knows what I take. His newly employed, will be gone in 6 weeks, front desk clerk, that's a different story. That's how you consider it a HIPPA violaton.
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Does a CNA have to wipe butts?
I am curious OP, what do YOU think a CNA does?
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Do nurses make the worst patients?
I have found that nurses make the best patients. Nurse's families are a pain in the rear. You can have an alert, oriented, verbal patient, who is able to speak for herself and her family will show out every time.
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Scope of Practice question
Within your scope of practice, in any state, anywhere: " If you feel you are having an allergic reaction, please call 911."
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Grossest thing that you've experienced?
Not my first day, but not many days into my first job as and LPN. In to give morning meds to a LOL who was still in bed. She had a line of little brown balls lined up on her bed rails. OOPs! I step to the hall to get gloves off my cart and start getting them off. She looks at me, and says, her teeth coated brown, "Leave, them alone, that's my chocolate.
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CNAs that take extended breaks
Yes, for real. And the post wasn't addressing the occasional 5 or 10 over, or the "drive thru(sic)" took to long. And as for your call of nature, that doesn't take an hour, violent or not. Take your break at the appointed time, for the amount of time allotted or realize that actions have consequences. For real.
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Survey for RN's 50 years old and up-part time or full time?
Working 50-60 and doing fine. I have no health problems. Granted I don't do much in the way of real work any more. I am an MDS coordinator. I still hit the floor when a supervisor is needed. And I do love that. I would go back in a minute. I have always loved it when it jumped. So many years floating, ICU and Telemetry, and then my real love, the ER. But those days are over for me. I retire in 583 days, but who's counting.
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Pain assessment: do you believe your pt when...
Honey, if they want it and it's time, they're getting it- If they don't want it, and it's time, sometimes they're getting it.. I am not the drug police. All they are required to have is respirations above 12 and I am good.
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Avoid "Karing with Kindess" CNA program
In some states, North Carolina being one, you don't have to have ANY education. You can challenge the test and if you pass, you are certified. Scary huh?
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Dilemma in clinical?
Patients, or residents have the right to refuse assistance from nursing students. I am quite sure that they have to AGREE to have a student.