Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    do you use this site everyday?

    Wow. I'm only on about 5X/wk. I guess that's pretty restained by comparison, However, when I sign on on a day off- I can look up to find out the whole morning's gone by. Like
  2. Chaya

    Were You a Nursing Assistant

    Yes, it helped me immeasurably in terms of repeated exposure to the most common medical conditions plus helped me get skills such as blood pressures and glucometers down solid. Our clinicals were...
  3. I hear them too. I could swear the sound of the IV alarm is burned into the neuro fibers of my inner ear... And there was one local store that had some kind of bell you could hear bonging over the...
  4. Chaya

    Saddest I've ever been at work

    Bless all of you that can work in L & D and be there for these families. This is something I could never
  5. Chaya

    I saw my first patient that died today...

    What has made it easier for me is realizing that, although there is not much more I can do for my patient, the family usually needs someone to hold their hand and walk them through the experience. I...
  6. Yow! Hope that was nite shift; you might get ratios up to these at our place on nite shift. Stll very busy but don't have a complete med pass for everyone, plus getting everyone up and dressed for PT/...
  7. I started out in "sub-acute" Rehab and it worked out really well for me as I could frequently care for the same patient on multiple days. This gave me multiple chances to do a complicated dressing, or...
  8. Chaya

    What is a code gray?

    Our code brown is a bomb threat! I kid you
  9. Chaya

    What is a code gray?

    Just a thought, but it would be great if JCACO could move to standardization of these codes from facility to facility. That would actually be one USEFUL thing they could
  10. Chaya

    IM--to draw back or not?

    I run into this every fall when I do flu clinics. CDC guidelines now say aspiration is not necessary (sorry, no link). Apparently, it's not that you will never draw blood but that it really isn't...
  11. Chaya

    Insulin...When/ When not to give

    This has happened to me more than once. I hava always called the MD; generally they order me to give half the indicated dose of insulin and usually this works out very well. The glucose level will be...
  12. Chaya

    how am i ever going to do this

    Remind yourself that you need some degree of emotional separation in order to do any good for your pts. A comment made by one of my nursing instructors has stayed with me through the years. Can't...
  13. Chaya

    Family members that work your nerves!!!

    Assuming the brother was not on staff there and assigned to your patient's care, and that he had not received explicit permission to examine your pt from the pt himself of the pt' s HCP, what he did...
  14. Chaya

    ERs fail as the nation's safety net

    Our hospital has an Urgent Care associated with the outpatient medical practice: it's for if you can't get in to see your PCP that day and they schedule you an appt at the clinic from 5-9 pm. Not...
  15. Chaya

    ERs fail as the nation's safety net

    From what I've been hearing sounds like 75% of the demand is for walk-in, urgent but not emergent care that are staffed, say from about 7A to 11P. I'm not sure what kind of effort it would take to...
  16. Chaya

    Being a patient, your opinions

    Sorry 'bout your Dad and hope he is alright now. However, sounds like the nurse was acting according to HPPA (sp?) standards and both of you were justifiably a little tense and snappy. Around these...
  17. Chaya

    Being a patient, your opinions

    The one thing I think staff in general could do better is give a quick synopsis of what is going to happen today, or during this visit/ stay. If staff can set general expectations as much as possible,...
  18. Chaya

    My name is Tweety and I'm an Alcoholic

    Tweety, I applaud the courage you show every day. I've been inspired by so many of your posts. Keep it up.
  19. Chaya

    Unit Secretary Job

    Being around during the day is useful during the summer when they're out of school,
  20. Chaya

    Moral Distress

    I have felt serious moral distress more than once from when a morphine drip has NOT been increased b/c family not ready to let pt go. Generally this is a "teachable moment"; these families may be...
  21. Chaya

    Nursing Patches?

    Hey I think you've got something there- there would be a BIG market for
  22. Chaya

    Dealing with The Yellers

    I just keep trying to re-educate them to use the call light (thoses that are capable).I tell them there are 2 very compelling reasons and it isn't just for our convenience. 1) We can't tell which room...
  23. Chaya

    Nursing Patches?

    No-one TOLD me I was supposed to soak it! Would that have helped prevent all the needle-sticks I got sewing the thing
  24. Chaya

    r/o? pna?

    Rule out Pulmonary Embolism and
  25. Chaya

    When will hospitals "go green"?

    Any tips on how to get something like this started? Where do you send the recycled plastic-or who picks it up? Do you have to make special arrangements or is it just done through your