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Ms.Hobbes has 15 years experience.

Ms.Hobbes's Latest Activity

  1. Ms.Hobbes

    Advice on hospice social worker role

    Well when I worked in home health or even in the hospital I would even ask them if they wanted the family members in the room during the more revealing assessments. It is common courtesy, sounds like the SW might be on a bit of a power trip if you ask me? I always found my MSW's to be very helpful, resourceful, and respectful of our different roles.
  2. Ms.Hobbes

    Advice on hospice social worker role

    That was my question also. How can a nursing supervisor not recognize and support standard of practice, scope of work, etc. When I worked in home health and filled in for our hospice nurses we never had the SW doing patient care. That is just simply not their role. Maybe you should pole other hospice nurses and see if they have SW's helping them. SW's are part of the interdisciplinary team, but each peace of the team does something a little different. Maybe you should ask your pastorial staff to start giving bed baths?? LOL Good luck, hope it resolves itself quickly :-)
  3. Ms.Hobbes

    A Morbid Poll I know.

    Gross!! My seven year old would love that lyric though :-)
  4. Ms.Hobbes

    A Morbid Poll I know.

    i have to agree with how expensive it is. we had a basic ceremony and cremation for my mother when she died and it was almost 2,000 dollars!!! that childhood ditty reminds me of years ago when my brother dies and the funeral planner asked us what type of sleeve we wanted to put in the ground. there are different types??? yes, low to high dollar depending on how sealed you want them to be in the ground. we went with the cheapest of course, because i beleive once you die your spirity leaves and what is left is just your house where that spirit lived. my experience with funeral planners though has been that they really play on your guilt when trying to get you to buy items, totally ridiculous.
  5. Ms.Hobbes

    How do I help others after a loved one's suicide?

  6. Ms.Hobbes

    "Don't waste your time getting your BSN..."

    I am actually in an RN-BSN and trust me if I were to do it over again I would of just shot for the BSN in the first place, but life situation did not allow it. I feel though my experience as a nurse has only enriched my new learning experience. Anyway back to the point I was going to make, currently I am in a Proffesional nursing class and studying nursing as a profession. It makes sense to want a common entry point for all nurses to start at, our BSN, in order to be considered a proffesional. There will always be a varying degree of educations with certifications, MSN's PHD's. We all have great things to contribute and learn from each other. All other professions have a common entry point, are a unified body and with that power can demand more pay and change. I am not saying that we do not act as professionals, but the population only sees us as emerging professionals.
  7. Ms.Hobbes

    DTaP in ER?

    Hi I am sorry I just have to chime in here and say that the shot you are actually talking about is Tdap, otherwise known as tetanus, diptheria, acellular pertussis vaccine. Dtap is given to infants and preschoolers for their immunization series. There is a difference and the bottles do look alot alike, so much so that the CDC has made posters to put on IZ fridges. I am sure though that your ER has the Tdap, not Dtap as that is only for IZ clinics. I work for Public Health and one of my jobs is running a IZ clinic. I am glad to hear the ER's are starting to give Tdap, we recommend adults who are due for ther Td booster to recieve a one time dose of Tdap in place of Td for that dose. Pertussis is very dangerous and is still very active in the United States. http://WWW.CDC.gov is a great website to learn more about IZ's.
  8. Ms.Hobbes

    Breastfeeding moms who work on busy units

    Where I work they have actually set up a room for our breastfeeding mom's who pump, even make available a very powerful double pump to use ( if you don't have one available), you just have to bring your own tubing, flanges and bottles. I love that they do that for the employees. There is even a policy written about making time for breastfeeding mothers so they can pump. They highly promote breastfeeding! Of course I currently work for our county public health department. When I nursed my children and went back to work I was working in the hospital, so it was a little trickier pumping, but I put my foot down and insiste on my right to pump and for the most part it worked out well. My daughter I nursed for 18 months and my son 3 1/2. Anyway kudos to you for continuing to breastfeed upon returning to work any length of time is better than none.
  9. Ms.Hobbes

    Conflicted over starting INH

    I work for the public health department here in N. California as a PHN. Our TB patients have to take there TB meds under Direct observational therapy, this includes our latent TB infections, and if they do not comply can end up going to jail. I don't know what your policies are there but abviously not as strict. Did you doctor have you supply three sputum specimens, three days in a row? Our doctors usually do a thorough investigation and possible contacts, review symptoms, etc. I know for sure they would have to report this to your Public Health department.
  10. Ms.Hobbes

    Nurses' Unions

    "i'de also like to see that staunch nonunion member out their fighting for better legislation for better and safer care. if more of you stood up for what was right for every patient out there, you probably would not need unions." stated by sandra rn i would also like to state that unions are not the only way to have a voice and to be out there petitioning legislation for change. joining a professional organization such as ena, ana and lots others is a great way to petition for change and be a part of policies that protect nurses and patients and also install high quality standards and care. anyway just my two cents...
  11. Ms.Hobbes

    What can I do as an RN that is less labor intensive?

    Most definitely keep going to school and get your BSN...case management, public health, qualtiy assurance would keep you from standing on your feet for long periods of time. Working in a hospital setting as a floor nurse or even out patient surgery I would not recommend as both require standing on feet for long periods of time.
  12. Ms.Hobbes

    Polar Care Question

    In my experience with Polar Cares...we used a lot in the surgery center that I worked at, was that they typically needed to have new ice and water at least every six hours. We always instructed our patients to expect that and that normal icemachines at home don't usually keep up so it was important to have extra ice on hand. I feel that they by far are better way of assisting with pain control and inflammation than ice bags ever could do.
  13. Ms.Hobbes

    Childcare costs

    For my four year old I pay per day- 25 dollars...more expensive for the younger kids. Check with where you are going to take your child to make sure they have a drop off capability because someplaces require set days even if it is just once in awhile. As far as twelve hour shifts, where my son goes it is not even open for 12 hours...so you might have to come up with a solution for the hours not covered.
  14. Ms.Hobbes

    the period that will not end

    How I understand it....is that the reason your glucose is still normal is because your hyper production of insulin so far is forcing the cells to take the insulin, but over time the cells will become more restistant to the insulin and cause your glucose levels to rise. Metformin will encourage the cells to be less resistant to insulin and in turn your pancreas will produce less insulin. I would recommend monitoring your glucose levels with the start of metformin to see how you respond to the medicine.
  15. Ms.Hobbes

    the period that will not end

    Lisa- Sometimes women that have polycystic ovarian disease, one of the symptoms is insulin resistance and the treatment is metformin....I don't know if that is what the doctor is thinking. Metformin will help with your insulin resistance whatever the diagnosis as it will help your cells respond better to your insulin and decrease the hyperproduction of insulin in your body. Anyway this is just a thought, but definitely talk to your doctor in more detail. Write down your questions so you cover all the areas you are concerned about.
  16. Ms.Hobbes

    the period that will not end

    I actually have had off and on severe periods since my son was born four years ago. Recently my doctor recommended taking two Midol and two Ibuprofen every six hours, that has really helped the severe bleeding. We are also looking at horomone therapy and hydrothermal ablation ( if you are past the baby making phase of your life :) ) Good luck with your appointment!