anangelsmommy

anangelsmommy ADN, BSN, RN

Home Care, Peds, Public Health, DD Health

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All Content by anangelsmommy

  1. Telling a patient you will be working other cases?

    I see how that could have been read that I was convincing the friend- I meant that I was trying to convince mom that there was no convincing evidence that it was anything but a blood vessel in a...
  2. Telling a patient you will be working other cases?

    I didnt actually discuss the case...the mom handed me the phone and the woman was talking saying that isnt this that etc etc and I just said " mom needs to discuss this with her doctor, the women then...
  3. Telling a patient you will be working other cases?

    When I first started working this case, I had a very hard time saying no at all....my first response was to say "oh I will call my husband and see..." well my husbands response was "sure why not" he...
  4. thanks I will look this up and see if I can find it online, I have two dx books I am not fond of the one our school had us buy and it is big and bulky but when our lpn program had us doing care plans,...
  5. I am doing a care plan that is a little different than regular care plans. I need to work on nursing dx and interventions I would actually do myself. The problem is that this patient I had was so...
  6. the family is not ready to let her go...and I guess she isnt ready to give up or she wouldnt have been full code. she has mets to brain, lungs and not sure where else...they stopped even testing for...
  7. well I see that on my nanda list but I dont see it in my book...I am going to have to do some research on this one..I will get back to you. Thank you for the suggestion! angels
  8. Should I quit nursing school

    I laughed when I read your email because I was there a year ago! Dont give up because someone else has something to prove! A bunch of us were just joking about how we were practically throwing up...
  9. I am a student and I had a patient a few weeks ago, we are studing respiratory now in Med Surg and of course one of the side effects of Rifampin are Hepatitis....well my pt had liver failure and...
  10. could rifampin treatment cause liver failure down the road?

    Questionsforall - do you find that they KNOW the reason for the liver failure? do they test for it? if they can? or is it simply history? I haven't seen in these pts any reasons other than...
  11. could rifampin treatment cause liver failure down the road?

    good point...she said that she would only have a little sip of something here and there on a holiday.... and could never give cause for liver failure but we had to do paracentisis twice in one week...
  12. could rifampin treatment cause liver failure down the road?

    This is the second pt in a week that has had liver failure and denied alcohol use - though in this ones chart - the doc had written in used alchol "to abuse" so apparently there was a hx of alchol...
  13. I need some help with tips on being more time efficient without losing the caring touch....I work mostly home care but in clinical we need to do so much more and when we leave, we have to go...last...
  14. books to help with better charting

    can you let us know what you think about the book? I also ordered two books. it would be great if everyone that orders books gives a nice little review of what the books covered and didnt cover etc....
  15. books to help with better charting

    I have been working in home care now a few months and writing notes is a large part of my job. I feel as though there is always a much better way to write what I am doing. I started looking at books...
  16. books to help with better charting

    i just ordered 2 books, I will let you know if they are helpful at all. I got them from
  17. help with knowledge of long acting meds for chronic pain

    ok, found it. up at the top of the forum. http://www.endpain.org/dosage.html. is there any difference real or percieved between vicodin and percocet other than how one responds to it? angels...
  18. I am an LPN that works peds and am in school for RN so this is out of my league but a patient I had started a discussion and it made me realize how often we are told things and sometimes a lot of...
  19. need info on drug step down/holiday for pain pt and info

    well golly:bugeyes:. i guess that would have been the place to look and ask in the first place. didnt know it was there. Thank you!! you guys! :chuckle always keeping me straight! thanks again....
  20. need info on drug step down/holiday for pain pt and info

    I took my friend to a pain clinic visit and it was the movie version visit so I guess that is what is in my head sorry - I know they arent all like that and I did a clinical rotation where there was...
  21. need info on drug step down/holiday for pain pt and info

    THANK YOU! The one thing I forgot to include, sorry is that for several years, patient refused opiates. was on many other non opiate form of meds but developed esophagitis (sp?) and doctor was...
  22. need info on drug step down/holiday for pain pt and info

    Even if the patient expresses that she wanted to try the drug holiday or to go down on the amount. She said that at one time she was only on a very low dose, that she had been taking .25 and not even...
  23. Are all staffing agencies crap!?!

    do you have a bayada there? I like working for them. I work for another agency too but i know they arent on the west coast.
  24. Are all staffing agencies crap!?!

    oh, no, I should have told you that part, I found that job on Craigslist! MY BAD!! I should have known better!! LOL! I haved learned my lesson, never find a job on craigs list. I was applying for...
  25. Are all staffing agencies crap!?!

    LOL oh my gosh, I have to laugh, I went to my first job interview out of school and they kept saying they were located in a medical building....i couldnt find them. I already worked for a home care...