Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. In my experience with pts with renal or hepatic failure they feel really sick with the accumulation of toxins but aren't experiencing specific pain per
  2. How bout a big neon arrow pointing to the waterless handwash dispenser or sink that flashes when staff comes through the door entering or leaving a pt room? And maybe a klaxon or siren that sounds if...
  3. If you aren't professional enough to wash you're hands regularly, how is wearing a button going to accomplish this? Might this not give our patients the message that it is their responsibility to...
  4. Chaya

    Will it wreck me? Would it wreck you?

    NurseDaddy I think it depends on how far you've come personally in resolving your own feelings. One of my clinicals in Rehab/ LTC was at the facility where my Mom had died two years previously. I had...
  5. Chaya

    working sick...need advice:)

    This is similar to what they teach us about pain; ie; pain is what the patient says it is. You are the only one who can assess how sick you feel so why ask your managers if you really need to come in?...
  6. Chaya

    good student, bad nurse...

    SophiaJoy, please bring us up to date. You've been in my thoughts-how have you been doing the past few weeks? My situation when I got out of school was very similar; great on paper but struggling when...
  7. Chaya

    I feel so stupid

    I would be PO'ed by your co-worker's attitudes. They may have found the suggestion humerous coming from you and hopefully were "laughing with you". But it makes me uneasy to think they were making...
  8. Chaya

    Giving pain meds thru a colostomy?

    We give morphine sub-cu to our "care-and-comfort" patients but a patient who is still able to take oxycontin orally will receive a more even level of pain
  9. Chaya

    not used to feeling dumb

    First off, give yourself a big pat on the back for challenging yourself; for leaving behind a work environment you were comfortable in to try to take on a totally new and different skill set. Don't...
  10. Chaya

    Hot Flashes!!!

    Another soldier in the Menopause Wars here. Not sure if I'm winning or losing...but I find I get further if I try to go with the flow (or lack of ). Example: Hot flash while I'm in bed? Time to run...
  11. Chaya

    Holiday gifts

    Something I wish our administrators would give us would be one of those keychain CPR face protectors cause those suckers cost 8-10 bucks to replace but I'll bet a hosp could get a deal on a large...
  12. Chaya

    How do you cope with the death of a patient?

    Have to admit I got pretty creeped out the first time or two. We don't see a lot of deaths. I offered to assist with post-mortem care whenever the need arose until I felt more able to handle the...
  13. Chaya

    Bus accidents

    I think the most valuable use of your time would be as "point" or information liason; you would have access to records providing info the EMTs might need in the field or info needed by ER before...
  14. Chaya

    Ever had a nurse or doc as a patient?

    Many of both, two most memorable. The retired MD had pretty advanced Alzheimer's and was with us post MI. We had to keep preventing him from "painting" with stool he had dug out of his rectum (or...
  15. Chaya

    unanswered questions

    Some of the best nurses I've ever known failed NCLEX the first time."Book smarts" have zero to do with bedside nursing- the NCLEX is just your ticket to get in. Use a different review this time around...
  16. Chaya

    Sex at School Increasing, Some Educators Say

    Our local paper just cited a study which found that TV programs showing sex has increased (doubled, I think it said) in the last few years. In addition, fewer of these programs have anything in the...
  17. Chaya

    Pt assignement of 7 or more in rehab

    Whether that ratio works depends on a number of things: patient acuity, non-licensed back-up, and which shift. In our 4 unit sub-acute rehab facility the day nurses have 6-7 patients with a CNA for...
  18. I was a B- to C+ student in high school. I was taking all compulsory courses and most of them I found so BORING it made my eyes cross. I just wanted to get out of there. Plus, throw in hormones,...
  19. Chaya

    Study in Thailand

    Suzanne- Thanks so much for responding. I thought I remembered you posting from Thailand months ago. My daughter will be going to Payap University ( I did have it wrong) in Chiang Mai. The program is...
  20. Chaya

    Complicated Issues

    Lovern- How about an
  21. A. Money talks. Self perpetuating cycle-Docs make more, therefore are accorded more respect, so society perceives them as deserving of higher salaries... B. Docs dress the part- they wear crisp white...
  22. Gonna pin it right next to my "Ask me if I brushed my teeth" and "Ask me if I wiped my --- "
  23. I was also concerned about having multiple pts as a new nurse. One good thing is that you don't have as much wasted "down" time when your pt is out of their room for a procedure or you need a certain...
  24. Chaya

    Is buying a present for a pt. appropriate?

    What I am unsure about, and am trying to find an answer to, is the appropriateness of any gift to a patient such as mine in general. See, I'm asking myself, what if he starts to think of me as a...
  25. The biggest thing I want from our students is COMMUNICATION. Can't emphasize that enought. My goal is to provide my patients with a consistent continuem of care. For their sake, I need to know the...