joprasklpn

joprasklpn

pediatric and geriatric

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All Content by joprasklpn

  1. Questions involving Trach Care!!! HELP!!! CLEAN TECHNIQUE? WHAT?

    joprasklpn replied to skittlebear's topic in General Nursing

    I work peds home care and we MUST reuse the same cath over and over D/T limited supplies, but they are wiped down with alcohol prep between sx. also the yankauer can be used around the trach for...

  2. I have a question to nurse that smoke

    joprasklpn replied to BOOYARN's topic in General Nursing

    It's a stupid thing to fire someone for that. Could've just given an oral warning or

  3. If you could do it all over.....

    joprasklpn replied to GeminiRN2007's topic in Patient, Colleague Relations

    I would still become a nurse. I'm not gonna lie, somedays I wonder what I was thinking. You really do need a thick skin because somedays are just horrible, but most of my working days have been good....

  4. pt with traumatic brain injury

    joprasklpn replied to kubebe's topic in General Nursing

    infection, nutrition, skin

  5. Has anyone had a pt's family member take pictures of you during care?

    joprasklpn replied to TonyaM73's topic in Patient, Colleague Relations

    I agree that privacy should be a two way street. I'm sure if you walked into a bank and just started snapping photos you would get a quick escort out of there. Nobody wants someone to just walk into...

  6. more vent: how/why did we let this happen?

    joprasklpn replied to HannahLeah's topic in Home Health

    not everyone documents as completely as others, so we all get the punishment, but you shouldn't have to worry about letting anything out with all the flow sheets we have now. But to me a piece of...

  7. How to handle this...is it neglect or stupidity?

    joprasklpn replied to nocnurseiniowa's topic in Home Health

    sometimes i think they are afraid of losing nursing hours if the child can tol the pmv and eventually be decannulated. not sure of your childs situation, but i had a mom who was too lazy to do...

  8. Pedi Home Health...difficult parents?

    joprasklpn replied to kyowalpn's topic in Home Health

    family members are not your friends and will turn on you in a heartbeat, so my advice is move on to another

  9. Seriously?????

    joprasklpn replied to CNABESS's topic in General Nursing

    I know how you feel, I was in ER with my dad who cracked his ribs and they didn't even give him a pillow for his head or adjust the bed for comfort. Just in and out tons of people. I always think...

  10. CNA Task Delegation & Patient Care Coordination Advice Needed

    joprasklpn replied to Umrn1's topic in General Nursing

    It may sound mean, but you are talking about neglect to patient care so maybe try writing them up. They may not like you after that, but at least they might do their job better. I have always been...

  11. Bed Bugs

    joprasklpn replied to Prissilla1484's topic in Patient Safety Issues

    bedbugs will bite you while your awake. I know this first hand because I was working the night shift and always had these clusters of itchy red bumps, well one night I was just sitting watching tv and...

  12. Bed Bugs

    joprasklpn replied to Prissilla1484's topic in Patient Safety Issues

    I was actually bitten by bedbugs at a home care case. The agency pulled all nurses until the client had the exterminator out to verify the bugs were gone and when I went back to the case the client...

  13. What to do at school

    joprasklpn replied to Not_A_Hat_Person's topic in Private Duty

    kids I have gone to school with do get the benefit of being around other children. I do agree that some teachers seem to think they have no obligation to actually teach special needs children or even...

  14. Confused about new medicaid rules

    joprasklpn replied to Blackcat99's topic in Private Duty

    what about the childs emotional health. so sad that everything comes down to money. it's really not fair to the child who is already struggling with disabilities to be further limited in activities...

  15. PERRLA / Eye assessment of INFANT???

    joprasklpn replied to H_2_O's topic in Pediatric

    i looked in a book i have called current pediatric diagnosis and treatment by lange and it says newborns should be checked for extraocular movements, the iris should be inspected for abnormalities,...

  16. Syringes that fit Mic-Key button g-tube

    joprasklpn replied to WI_home_RN's topic in Private Duty

    try using the mic-key extensions instead of using the port. may be a little more time consuming, but at least the kids will get the meds they

  17. Report or not?

    joprasklpn replied to dscott76's topic in General Nursing

    I would not report her. I think one hour notice would have been better than just showing up and wanting to go home. She was just frustrated and needed to go make some calls to cover your

  18. Nurses pushing a PCA pump for a patient?

    joprasklpn replied to rn undisclosed name's topic in General Nursing

    called patient controlled for a

  19. can LPN take verbal telephone orders?

    joprasklpn replied to mom4jesus's topic in Geriatric, LTC

    I call the dr. and take telephone orders in peds home health too. I just need to call and tell the RN case manager what was ordered and why so she can update the files. We sure do use tons of...

  20. Its True about Nurses and Tickets

    joprasklpn replied to ScooterNurse's topic in General Nursing

    only ever got pulled over once on my way to work and got just a

  21. Last Shift Outstays their Welcome!

    joprasklpn replied to StNeotser's topic in General Nursing

    When I worked nights one of the part time nurses would stay exactly 2 hours after each of her shifts. She would eat her "supper" and chart and hog up the whole entire desk. I usually had stuff to do...

  22. Death and skin color

    joprasklpn replied to Epona's topic in General Nursing

    was the person jaundiced from any liver disease? Maybe it became more pronounced after death. This is just a thought, I really never personally saw a yellow eyed dead

  23. Old Nursing Journals

    joprasklpn replied to onkyo2's topic in General Nursing

    have you checked thrift stores? I have gotten old nursing books from the thrift

  24. Large med pass at 6 am!!!!!!

    joprasklpn replied to NurseCard's topic in General Nursing

    It is ridiculous to me how when night shift is short staffed we are to "adjust", but when days is short the world is coming to an end. Let them pass the meds themselves. They have more aides who can...

  25. How would you feel?

    joprasklpn replied to bellcollector's topic in General Nursing

    I think if a problem is being investigated fine, but in general no. Common areas would be a little different though since they are not private like resident rooms. I would hope signs would be posted...