Adalisa

I work in LTC and when someone comes to our sub-acute unit with a history of infection we as RN's have the right to put them on precautions and have them tested. Once they come back cleared infection control is notified and then & only then are they removed from precautions. We even do that w/our long term residents who become ill and the tests show an active infection. Either put the patient on precaution or risk having a whole infected building...

Was reading about how your mom had applied for medicaid. Was just wondering how long did it actually take for her to get approved? I am currently with a lawyer who is doing all the paperwork to get my mom approved for medicaid. Only thing is she transferred all her assets to me a couple years ago and I don't know how that is going to factor into the approval processes. Any information you can give me would be greatly appreciated.

I'm not a hospice RN but work in long term care and deal with alot of hospice pts. I would answer by : I would give them a PRN med of Roxanol or Morphine & Ativan to help decrease the heart rate and decrease his respiratory rate. From the looks of it, Mr. Jones doesn't have much longer to live if he has already starting mottling on his BLE. So how did I do?

If your living in VA and working in DC, you would need to get a DC license and vice-versa. With a compact license you would be able to live in one state and work in another with the same license. Only thing is that both states need to be a compact state. Click on this link https://www.ncsbn.org/nlc.htm to see if DC is one of those states and if so, I would get licensed in VA since that is where you will be living. Hope I wasn't confusing.

I took my 13 yr old son to the ER with chest pain and SOB. When we arrived at the ER, they put him on a cardiac monitor and noticed that he was pacing at 160-175 bpm. The automatically rushed him in to a room and the ER doctors all came in and started to assess him. Well the did a battery of tests on him and put and IV assess just in case. MD came in and told me that all his blood work had come back and everything was all within normal range. About an hour later, they decided to bolus my son 1000 ml of fluid. While they where given him the fluids his heart rate dropped about 10-15 bpm but once the IV was complete his heart rate went right back up. Within about 15 minutes of finishing his first bolus they hang another 1000 ml and started to give it to him. Now my son was at the time, 5 feet 8 inches and only 110 lbs. Now I have had a chance to get out of mom mode and into my RN mode, I started thinking. If all his labs where within normal, why in gods name do they keep giving him fluids 2000 ml within 2 hrs to be exact. I asked to speak to the MD and ask why they keep giving my son fluids. And he said that they believed he might be dehydrated and in turn it can cause the heart rate to increase. That's when I said, "You did an Chem 7"? And that's when he said how did I know what a chem 7 was. And that's when I told him that I was a nurse. He looked at me like he was in shock. Needless to say they did not give my son anymore fluids. After about 4 hrs there, his heart rate broke on it's own. It went away as fast as it came on. We found out later that anxiety was the main cause of the increased heart rate.

I currently live in Rhode Island, RN's new grads can start anywhere from $23-30 an hour. I am currently looking for a job in Virginia as an RN, but I only have about 8 months of experience. All the home health care that I have contacted said that I need at least one year experience. Was wondering what company you contacted? Can anyone help? Please.