Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    patients

    Yup, these patients can be a challenge. I llike to see if I can "crack through" their behavior to understand the real reason they behave this way. Usually I'll find they have some specific anxieties,...
  2. Chaya

    Favorite Mnemonics / Memory Tricks

    Where to place telemetry leads in our 5-lead system: (White: right upper chest Green: right lower ribcage Black: left upper chest Red: left lower ribcage Brown (ground): middle of sternum)...
  3. Chaya

    Anyone else call 'em johnnies?

    Wow- I am just flabbergasted! It never occurred to me that the term "johnnie" is used no-where else to mean a patient gown! I know we New Englanders have many, many regional expressions for everyday...
  4. Chaya

    You know your pt is a jerk if........

    Yeah but if you worked in retail you wouldn't ever be placing a tube in the customer's willy, or helping them change clothes, or wiping their butt...gives some people
  5. Chaya

    You know your pt is a jerk if........

    Yeah but that could be the relief talking. Never been on the receiving end of a foley (not while conscious, anyway) but have been told by patients that being unable to empty your bladder is...
  6. Chaya

    Shifts

    EO weekend generally means one weekday off the week before your working weekend and one day off in the week after. They usually work it out so we don't work more than 4-5 days in a row, ie; work...
  7. My head says, EVERYONE deserves the best care available. But my heart says, Sheesh! Couldn't they at least ACT like they appreciate
  8. Most of my patients are pretty reasonable overall. Now their FAMILY members make me want to tear my hair out (or
  9. I've had good luck covering minor lacs with either/ or both tegaderm or liquid bandage. Neither is permanent but two coats of the liquid bandage usually gets me through a shift before it peels off. A...
  10. Yeah, we do. Haven't come up with any consistent way to deal with infection control 'tho... We usually take the whole looseleaf notebook in with us and we don't have a consistent policy on using...
  11. Chaya

    Depression Update....

    So nice you are starting to see some progress from all the hard work you've been doing. Keep believing in yourself!
  12. I dunno...in my experience when they say that, they're right as often as not. The first time I heard someone say that I brushed it off and said "Of course you're not". And he proceeded to prove me...
  13. Chaya

    who should be punished

    I'm not clear if nurse A had a second nurse check the Ca
  14. Chaya

    What Would you Do!!!

    Gotta look at the overall picture. What's normal for this patient? How are they acting? It being summer, I'd think about dehydration first. Am I seeing "tenting" of the skin and dry oral mucosa?...
  15. If I've stuck my head in the door for any reason during the hour-consider rounding done on said patient. For sure, if a nursing action isn't documented it isn't done. However, this degree of...
  16. Rounding is one of those things that looks great on paper...In real life, ' tho, it would only be possible if TPTB who are demanding I do this could guarantee me no interruptions for the time it took...
  17. Chaya

    Black scrubs?

    I don't know if it is the nursing equivalent of an Urban Legend but at my facility they tell the story about wearing costumes on Halloween while coding a patient. Seems the pt woke up looking at an...
  18. Chaya

    New "Hopkins" reality show

    BULLFEATHERS!! Anybody remember the TV show "Quincy"? How 'bout something with a similar format but from a nursing perspective: -Young, post-surgical patient. Mentions slight ache in leg. Observant...
  19. Chaya

    how should this situation be handled?

    As for why blood testing; even if the plunger was not deployed I would hope that her blood sugar was being
  20. Chaya

    ADD and social anxiety need advice

    I've been able to manage most of the organizational stuff and stay somewhat focused. Also, I'm fine relating to my patients one-on-one or with their families and I'm OK making calls to MD's or giving...
  21. Chaya

    I have patient gown dyslexia

    I find it helps to line up the cloth tape "ties" before snapping up the gown. I have to snap the gown up first to see how it goes then unsnap and resnap around the arm on the the IV side! Another...
  22. Chaya

    Fortune Cookie

    Now you trust in yourself, kiddo (and whatever or whoever you draw strength from). Now use the next 2 days for some deep relaxation, positive visualization, relaxing (or energizing) music, prayer,...
  23. I work at one of the larger suburban medical centers in the Boston area. Recently I submitted the name of a new grad acquaintance through our staff referral program. I was told that the only new grads...
  24. Chaya

    Made a mistake!!

    Yep, that's why we need to check and re-check each other. Sounds like you were the one who noticed the incorrect dose-how many nurses gave it incorrectly over the course of those two weeks?...
  25. Chaya

    Joke/Rejecting the Rejection Letter

    Warped- I love it! (Reminds me of an episode of