jnrsmommy

jnrsmommy

LTC/Rehab,Med/Surg, OB/GYN, Ortho, Neuro

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All Content by jnrsmommy

  1. CNA going behind my back

    It would help if you had the P&P regarding the task that you are talking about, so that you can talk to the CNA and have your proof that "Yes, Virginia, it is done this way", or if you don't feel...
  2. Ooooh, words can't even begin to describe this. Is there even enough hot water to feel clean after
  3. Tossing Your Cookies...

    This didn't make me "toss my cookies", but it definitely made me weak in the knees, saw spots before my eyes, and had to stand against a wall. Podiatrist came in to check on my diabetic pt w/ a pretty...
  4. seasoned nurses..less stress in ltc or med/surg

    That just boggles the mind. So glad you got out of that. Both facilities that I've worked at (current one included) that had a skilled wing, "this is our money maker. we do whatever we have to to...
  5. Tossing Your Cookies...

    Leslie, I was reading my husband some of these posts, and he about lost it when it came to yours. Thank you :bowingpur The things that make us
  6. Tossing Your Cookies...

    GI bleed, c-diff, pseudomonas, abd incision coming back open and intestines spilling out... I can handle all that and still eat lunch no problem. Put me around sputum when I'm not expecting it to come...
  7. seasoned nurses..less stress in ltc or med/surg

    This is kind of like asking which is easier, day shift or night shift. There is no one size fits all answer. Yes, med-surg you have a smaller pt load, you have more acute pts, you get to see...
  8. Prn meds - can they over-lap?

    I think that I would have to disagree. Considering that the pain was so high to begin w/, I would've started w/ the higher dose of Morphine, then worked back from there. Playing catch-up on pain...
  9. Do you ever feel guilty about....

    Nope, don't feel guilty at all. I work 10-6, 4 on 2 off. On my first day off, I do all my running around and any chores that need to be done. I stay awake all day so that when I pass out that night,...
  10. Why Do Nurses Write: "no new orders received"?

    Sitting here, reading a very interesting thread, eating my cereal after a bad night at work, and you just made my day. Although, now I have to clean up the
  11. An interesting policy

    I don't think that a blanket policy, especially regarding an individual's pain, is the appropriate answer. Just because someone has a chronic issue, doesn't mean that they don't have acute...
  12. Yes, treat the pt, not the monitor... but you have to be able to see the pt first. The only thing the tech has to go by is what is on the screen. It is still our job to assess the pt when we are told...
  13. How do you tell someone they smell bad?

    I don't know, going to the preceptor/instructor to talk to the student seems like it would be more embarrassing for the student. I think the OP said that it was just one time that she noticed it,...
  14. What are the top 5 ethical dilemmas faced by nurses?

    Vito, My story was just an example of a system that seriously needs to be fixed. As it were, that took place in Louisiana. At the time (have no idea if it's changed or not), did not matter if the DNR...
  15. What are the top 5 ethical dilemmas faced by nurses?

    The terminally ill pt who has his DNR paperwork in order, whose wife watched him sign not 3 hours before, after a lengthy discussion about this being his wish. When he passed, having her scream "Do...
  16. LTC/rehab facility: ?'s --LPN Scope of Practice

    You are going to find that scope of practice for an LPN/LVN is going to vary greatly from state to state. You need to check with your BON about what their scope of practice is, and also become...
  17. Confusion on Rounding in Nursing Math. PLease Help!!!

    This might sound generic, but ask your instructor(s) what they want you to round to. When I was in school, had 1 instructor that wanted them rounded to the tenth, and another that wanted rounded to...
  18. "Staff according to acuity"

    This phrase is probably the most common request from any staff nurse, but seems to fall on more deaf ears than not. That being said, I had a job interview today, and this phrase was said from the DON...
  19. Odd Situation/Travel Nursing...Input, Please

    I'm curious if this is being performed at a military installation, because you can work w/ an out of state license, but I don't know if that applies to someone not employed by Uncle Sam. Just a...
  20. Bad News

    Don't know the right words, but definitely have big shoulders to lean on, long arms for hugs, and plenty of strength to help get you through. Sending warm thoughts your
  21. I saw a news story not long ago where the judge ordered for the defendant (a teen I believe) to stand on a corner wearing a sign addressing the wrong-doing he had done. I don't feel that the year in...
  22. Got into Galen College of Nursing's LVN to RN!

    I don't have any info, just want to wish you the best of
  23. do the correctionals hire new grads?

    Never hurts to try. I had friends in Louisiana who went into corrections first job after nursing
  24. Question about making dr apts for residents

    We do write the follow up appt as an order "Schedule f/u w/ Dr. X" then write it down in the Nurse MAR and schedule it for 6-2 shift. If it didn't get passed on in report, while I'm signing my book,...
  25. Diet and Meds

    I guess, my curiousity (hate spelling that word) came from remembering in the hospital setting a lot of teaching regarding food and meds and interactions, but I really don't see it in the LTC setting....