Rapheal

Rapheal

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All Content by Rapheal

  1. They are laughing at the patients

    Rapheal replied to Rapheal's topic in General Nursing

    Tweety you are right. I need to grow some "BBBs". I think I am starting to grow some but mine are still small. I have been a nurse for almost a year now and I am just now getting some confidence....

  2. Quick Question: when to put a patient on neutropenic precautions?

    Rapheal replied to Tweety's topic in General Nursing

    And I remember that dietary should not bring fresh fruit or vegatables (or family members

  3. They are laughing at the patients

    Rapheal replied to Rapheal's topic in General Nursing

    Yes, she was home. Before I wrote this thread I was wondering if today-Monday, she was going to do something about this. We have lost a lot of staff since I started working. Our new staff members...

  4. The fatting of America.

    Rapheal replied to tgibson3770's topic in General Nursing

    You know when I first read this thread it reminded me of the thread "Do nurses practice what they preach?" Did you author that thread? Anyways..........Good nutrition is important, and the food...

  5. Dear Patients

    Rapheal replied to live4today's topic in General Nursing

    I totally understand this

  6. Another Thread for Gas-Passers

    Rapheal replied to VivaLasViejas's topic in General Nursing

    Once there was a little lass who was ashamed of passing gas Then one day-just for a hoot she decided to light her little toot much to her surprise-dismay the smoke alarms went off that day...

  7. Pca Problem

    Rapheal replied to AMBOO's topic in Medical-Surgical

    I feel for you- I really do. Good call on d/c the PCA. This is what I would have done. Called nsg. supervisor explaining the situation of pain mgmt. not calling back. I then would have called...

  8. Case Management

    Rapheal replied to Town & Country's topic in General Nursing

    Shezam, I don't have any experience in case management but was interested in it as well. Most of the employment opportunities I have seen request LTC experience or Hospice experience, some require a...

  9. Hospital industry seminars advise administrators how to evade RN ratios

    Rapheal replied to pickledpepperRN's topic in California Nursing

    I think the public should be informed of this tactic- by their local daily paper. I would send a copy to them- call the editor and ask for the writer who covers medical news. Send it to him or her....

  10. failed again

    Rapheal replied to bsngrad02's topic in First Year After Licensure

    I thought Kaplan was good. I utilized their test questions CD alot. The best thing for me was to keep going over and over the online and CD questions from Kaplan and other sources. I wanted to...

  11. Why can't people just be sick at home!? (RANT!)

    Rapheal replied to MrsWampthang's topic in Emergency

    I was warned before I read this thread that it was a rant. The poster clearly stated that on the subject title. I say let them blow off some steam. We all need to blow of some steam once in a while...

  12. dishonesty in clinical rotation

    Rapheal replied to donnapalmer's topic in General Students

    No problem. I am glad you did not take my post in a negative way because I know you are just concerned about your patient getting the best care. Good luck in school and your new

  13. "Bad" rooms on a floor

    Rapheal replied to Ariko's topic in General Nursing

    Yes, now that you have mentioned this- I can see it. We have four halls and one hall just has the worst things happen. We don't put the sickest patients there- but they always have the worst...

  14. Saline flushes or Blood

    Rapheal replied to gwenith's topic in General Nursing

    New bag of 100 cc NS and new tubing between each unit of blood. NS to prime the tubing and to flush. New NS and tubing between units because after the first unit of blood has run the tubing may...

  15. Getting it on the MAR: How hard is that?

    Rapheal replied to nursemouse's topic in General Nursing

    Doc writes order or nurse receives verbal order- nurse faxes it to pharm- nurse transcribes onto MAR. Some things get missed or are wrong. Many times due to physician handwriting or nurse or pharm...

  16. dishonesty in clinical rotation

    Rapheal replied to donnapalmer's topic in General Students

    This is a stiff accusation and I hope you are right. I think it would have been better if you had looked at the bath basin to see if it was bone dry or looked liked it had been used. Then you would...

  17. Nice docs but sometimes frustrated

    Rapheal replied to zacarias's topic in General Nursing

    Could be hyperkalemia. You will see very tall peaked T waves. Was this patient renal

  18. Why can't people just be sick at home!? (RANT!)

    Rapheal replied to MrsWampthang's topic in Emergency

    This is such a shame. Leaves the nurses and docs with less time to care for the very ill patients. And with the overblown focus on customer service - you might as well as hire a greeter to meet them...

  19. curious

    Rapheal replied to DoctorRN's topic in General Nursing

    I will give you my thoughts on this. I think I would view this in a very positive way. I would think that when this med-student RN became a doctor- they might have more understanding on what it is...

  20. Professional/therapeutic relationship?

    Rapheal replied to perfectbluebuildings's topic in General Nursing

    I really believe the more experience that you have, the more you will be able to establish boundaries with your patients. You will probally also be able, by experience and observation to know how...

  21. Isolation for AIDS patients who are bleeding

    Rapheal replied to Tweety's topic in General Nursing

    Good job. I wish our facility was as diligent. And Tweety- I agree. A little excoriation is nothing I would worry about too much either. I thought perhaps her scratches were weeping from...

  22. Isolation for AIDS patients who are bleeding

    Rapheal replied to Tweety's topic in General Nursing

    Please do not flame me for saying this- but please tell me that you are not letting bleeding patients roam the facility. Does not matter their HIV status- a bleeding patient should not be roaming and...

  23. giving report to a monster!!!

    Rapheal replied to itsnowbegun's topic in General Nursing

    I went through this too- and later learned these few nurses are IMHO not very good. My solution to interuptions- I take a breath and just pause. No sound for at least 3 seconds. Then I start with...

  24. Advice for the "hygiene" talk...

    Rapheal replied to Mrs.B's topic in School

    We had a friend in the neighborhood. Lived 2 blocks from us. He is mildly retarded and lived with his father at the time- his mother had died 8 months before. He really started to stink. Well to...

  25. Tiny cracks/cuts on my fingers! Dry Hands! Too much handwashing ! OOooww! Help !

    Rapheal replied to passing thru's topic in General Nursing

    I use Neutrogena hand cream. Seems to speed the healing process for me. I also put super glue on the tiny cuts I get around my cuticles before I go into work. Stings pretty bad- but one less path...