SunnyAndrsn

SunnyAndrsn

LTC/Rehab, Med Surg, Home Care

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All Content by SunnyAndrsn

  1. what do you think of this pain med schedule?

    SunnyAndrsn replied to Ms.RN's topic in General Nursing

    i'd call the pharmacy that the ltc uses when i used the last dose and request it be sent out stat. i agree that, depending on the pt's history and dxs, that this routine may be acceptable. is the pt...

  2. Making Acetylcysteine bearable?

    SunnyAndrsn replied to kaliRN's topic in General Nursing

    Would love to see the research that says that the CO2 in soda is absorbed enough to the point where it can impact the respiratory system in a COPD'er. I'm also curious how much of the carbonated...

  3. trach patient

    SunnyAndrsn replied to Ms.RN's topic in Geriatric, LTC

    We have had a few trach pts. in the last two years, and have made sure all supplies are there beforehand. What would you do otherwise? Dedicated ambu bag in the room, heat/humidity set up, spare...

  4. LTC- resident in clear distress

    SunnyAndrsn replied to anonymous1919's topic in General Nursing

    All of the facilities I have worked in, O2 is part of the SHO, thus apply the O2 first. As others have said, check code status, utilize PRN orders, and then update the MD. Of course, if the pt. is a...

  5. Question regarding Humalog insulin

    SunnyAndrsn replied to Blondie24's topic in Nursing Student Assistance

    In most diabetics, I would agree that it should be given before lunch, and the entire dose. Most diabetics that I've seen have orders to "call the doctor" if the BS is greater than 400. This woman is...

  6. Question regarding Humalog insulin

    SunnyAndrsn replied to Blondie24's topic in Nursing Student Assistance

    I have cared for a brittle diabetic, such as you are describing. We had to check her blood sugar every four hours, around the clock. If she hit 200, it was time to eat--no exceptions, as she would...

  7. Minor's right to refuse

    SunnyAndrsn replied to Mary C's topic in General Nursing

    Did you ask the mom how she planned on forcing the child to take the pill every day? My mom would have laughed, LAUGHED at the thought of trying to force me to take anything as a

  8. bariatric surgery -a question

    SunnyAndrsn replied to newsupernurse's topic in General Nursing

    Exercise education and nutrition education will be a big part of her recovery post-surgery. I do not work in bariatrics, but have several friends (who are nurses) who have had the surgery and all of...

  9. Highest paid nursing field?

    SunnyAndrsn replied to NoeIssa's topic in General Nursing

    I left my job 6 months ago for greener ($$$) pastures. While I liked everyone at my previous staff position, enjoyed the work I did, I felt I should be making more. And now I do. I stayed on at the...

  10. Highest paid nursing field?

    SunnyAndrsn replied to NoeIssa's topic in General Nursing

    some of us planned to have kids, made the CHOICE to do so, and life didn't take us down that path. So to say that having kids is a choice doesn't always make it so...just as birth control sometimes...

  11. when to give and hold PRN morphine

    SunnyAndrsn replied to anon456's topic in General Nursing

    If all the equipment was working correctly (I think someone else early on pointed out that they had a situation where the PCA was leaking?), and the pt. was stating no relief, I would do just what you...

  12. Deep partial thickness burn--dressing ?

    SunnyAndrsn replied to SlightlyMental_RN's topic in General Nursing

    Many of my patients want their wounds left uncovered and do not understand the concepts behind a moist healing environment. In TCU and LTC, we have some latitude with wounds, as the MDs are not there...

  13. Will the real Dr. House plz stand up!

    SunnyAndrsn replied to Mr. Evans's topic in General Nursing

    I think House is more about psychology--Freudian at that--with the classic Id, Ego, and Superego represented. That being said, I'm glad that Huntington's Disease has been in the spotlight. I HATE...

  14. Taking care of doctors....

    SunnyAndrsn replied to proudnurseRN's topic in General Nursing

    Interesting...I just had a retired anesthesiologist. He'd had a PICC placed for long term abx, and was at our TCU because medicare wouldn't pay for the meds unless he was in a TCU...gotta love that...

  15. NOC nurse vent

    SunnyAndrsn posted a topic in General Nursing

    I'm the NOC nurse in a 27 bed TCU. I just have a vent for the the day and evening nurses. If each of my PM co-workers "passes through" work for me to do, "because it's quiet at night" that's a lot...

  16. Why are doctors so easily manipulated by drug addicts?

    SunnyAndrsn replied to TigerGalLE's topic in General Nursing

    I hope so, but I did get off on a bit of a tangent, sorry! The problem remains how do we as nurses provide quality care under these circumstances. I do believe the pt. I was talking about in my...

  17. Why are doctors so easily manipulated by drug addicts?

    SunnyAndrsn replied to TigerGalLE's topic in General Nursing

    One of the things that we are being encouraged to do in long term care and rehab is to attempt non-pharm. alternatives to reduce narcotic use. Most of our pts. are very open to this--and in rehab a...

  18. Speaking of facebook...inappropriate...but am I within my rights...?

    SunnyAndrsn replied to laurasc's topic in General Nursing

    Not sure what is unclear about the boundry issues/ethical issues here. When someone is in need of medical care, there is implicit trust that is placed in the hands of the medical personal. The...

  19. Speaking of facebook...inappropriate...but am I within my rights...?

    SunnyAndrsn replied to laurasc's topic in General Nursing

    We have a similar situation at our LTC. A long term resident who is fairly A & O (although his disease is starting to affect his decision making abilities) had several CNAs as FB friends. We...

  20. I am allergic to...

    SunnyAndrsn replied to SteffersRN87's topic in General Nursing

    I developed a respiratory sensitivity to formaldehyde in college from the chemistry labs. New buildings still make my chest hurt. There is a lot of residue that's off-gassed for several months in...

  21. I am allergic to...

    SunnyAndrsn replied to SteffersRN87's topic in General Nursing

    I have a narcoleptic pt. with obsessive compusive personality disorder who takes dexadrine for the narcolepsy. She refuses the generic. So every three months we have to get a prior authorization for...

  22. Pa hospital system won't hire smokers

    SunnyAndrsn replied to ktwlpn's topic in General Nursing

    I'm okay with hiring smokers, as long as they don't do it at work. I hate trying to hunt down coworkers because they are outside for a "quick" break. When our facility went non-smoking, several of...

  23. Things you'd LOVE to be able to tell patients, and get away with it.

    SunnyAndrsn replied to AngelfireRN's topic in Patient, Colleague Relations

    I have a resident who insists on "culligan water." We have water dispensers in all three dining rooms, and she is sure that this is "culligan water." It's just hooked into the plumbing, it's no...

  24. Why do LPN's get so disrespected?

    SunnyAndrsn replied to Health-Nut's topic in LPN, LVN Corner

    Agreed. I work with a lot of LPNs who are fabulous nurses and a lot of RNs who suck. Mostly, the RNs are disappointed to not have a hospital job at this point. They see LTC/rehab as the bottom of the...

  25. giving no judgement , opinion..just the facts

    SunnyAndrsn replied to clvlpn34's topic in General Nursing

    Very sad. I'm guessing that this family doesn't visit all that often? I'm not familiar with DNR-CC. Is that for comfort care? Sounds like the primary needs to have a pretty blunt conversation with...