SunnyAndrsn

SunnyAndrsn

LTC/Rehab, Med Surg, Home Care

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All Content by SunnyAndrsn

  1. G-tube Flush

    My other pt. has a G-J tube, with one port in his stomach, the other in the jejunum. I use syringes to push his medications, as gravity would not work--this is per the MD's
  2. G-tube Flush

    We do flush, as the pt. we have uses Jevity at a low flow rate, and Jevity tends to clog the tube very easy. Therefore, we do the flush with warm water (and also do cola flushes 2x a week) to keep...
  3. PRN TID

    He was back to baseline the next morning, thanks, I'll requesting specific time intervals (Q8
  4. Are You Popular At Work?

    My patients are happy with the care I give, it's their opinion that matters to me. My managers are happy with my performance, and I think I get along well with my co-workers. I don't go out with...
  5. Words

    I can't think of any words or phrases that I avoid using. I do have several co-workers who have use offensive, racist language, I try and call them on it. We do have several African nurses, as well...
  6. Im am being harrassed at work possibly because of my race

    I'm so sorry to hear that you are the target of racist comments. If your manager won't take your concerns seriously, please take it to your Human Resources department. So many people are afraid to...
  7. How would you answer this interview question?

    This is a very good response, I will have to try this one. We have a CNA who is very, very, hyper and moody (possibly un-dx bipolar). She's a complete and total PITA to manage, honestly herding...
  8. End-of-Life Education for the family?

    I think it can be very confusing. If the family of the pt. seems confused, then perhaps it's time to let the MD know that there is confusion about care options. In the meantime, it's appropriate to...
  9. This calls for someone to go over policies/procedures with you, not to can you. Good grief, everyone gets so dang uptight when State is around. We are not even supposed to request a UA/UC until we...
  10. Urinalysis and CBC...

    while i agree with you that some of these books are expensive, there are plenty of inexpensive pocket guides that give the basics. in addition to that, all of my required text books had this...
  11. How familiar are you with vents/trachs?

    This is where I've been getting my experience as well. I took a CEU class specifically geared towards trach/vent. My home health pt. has a trach and bipap. This might be a good route to look at. I...
  12. "Your patient in 520 is in pain!"

    Yup, bugs me too. I have a CNA who has been labeled a "saint". She is NOT and I wish my NM would work the floor with her for a week. Heck, one day and she drive them nuts. I work with her on our...
  13. I can only share my experience: I interviewed with only the place I am working, and worked there initially as an LPN and now I am an RN there. Our facility has 72 beds. 24 are subacute. We 4 nurses...
  14. Biting my lip.

    Reminds me of a pt. I have now, she's upset about her treatment. Has horrible pain d/t CA dx, but can't take her lortab without vistaril b/c it makes her nauseated. But then she's too woozy to do...
  15. First hospital job

    I applied for, on a whim, a casual call position at a local hospital. I didn't think I'd get an interiew, because I'm a new grad (December). But, I've been working for the last year as an LPN first...
  16. Nursing Resumes

    I highlighted the extra LTC clinical we had, because I was applying to an LTC. Now I don't highlight my clinicals. Although when I was applying for peds. home care, I emphasized in my cover letter...
  17. SHOW Nursing Procedures

    Try this link:
  18. Inaccurate Vital Signs- no one cares

    We have had a similar issue. We have two tympanic thermometers, one consistantly reads high, as in 99-100, and the other between 96-97 degrees. Our house gertonologist believed the low readings were...
  19. Death of special patient

    May she rest in peace. I know how hard it is when one of those special, dear ladies pass
  20. Is it worth going to school to be an LPN?

    This is why my LPN co-workers were wary about me when they found out I was in RN school. Not that they are afraid of being phased out, but of being marginalized. The LPNs I work with that have been...
  21. help with resume after career change to nurse

    I would include, in a cover letter, your pediatric experience with your own child. I had experience doing wound care for a foster child who had 3rd degree burns over 50% of his body, and I included...
  22. Ativan for Everything?

    Actually, we rarely see it used. Of the residents in our facility (and I work all three wings) We have two people who have scheduled ativan. One is end-stage alzheimers' type dementia and has become...
  23. Verbal attack by co-worker

    Sounds like this nurse was feeling guilty about slacking, and turned it around by getting defensive and attacking you. Continue to set a good example for your coworkers, don't take this personally, I...
  24. can nurses chart about this kind of things?

    I agree, this is just not a good idea! If she has issues with how cares are being performed, then it's an issue to address internally--with CNA's and the
  25. can nurses chart about this kind of things?

    The types of things you are describing would not be things I would include in charting, unless its to describe the patient's desires. For example, we have a resident who learned how to remove their...