nursenow

nursenow

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All Content by nursenow

  1. Patient doesn't know he's terminal

    I have had several patients ask me, not long before they died, if I thought they were going to die. Like I was taught in school, I "tossed it back" to them". I told one patient (about 8 hours before...
  2. Dirty little secrets to managing LTC

    The setup you described is not typical of most LTC/SNF. If the majority of a job is passing meds and a cma can do it for less $ per hour than an lvn/rn why keep the nurse around? If an lvn can do...
  3. Patient doesn't know he's terminal

    Do you know if the patient assigned that right over to the family? Your job is not to do what you personaly think should be done. Also the family is your patient just as sure as the sick person is...
  4. Patient doesn't know he's terminal

    I have a patient just admitted to hospice and her family requested she not be told. Until this happened I always thought I would be against it but now it doesnt bother me. for one, I honor the...
  5. Dirty little secrets to managing LTC

    Unfortunately many jobs require it like many nursing jobs require sitting at a desk 8 hours a day. Others require many hours aday on the phone. Others require standing in front of a goup of people all...
  6. Dirty little secrets to managing LTC

    If you take away over half the nurse's job by hiring med aids, there is no way nurses wont be laid off. There is not 8 hours of assessments/charting and Calmoseptine to put on red behinds to do on...
  7. If the reality was that two equaly qualified people were applying for a job and the job goes to the legal minority, I would be OK with affirmative action The problem is that is not what happens. The...
  8. The law doesn't use those exact words but to suggest that giving preferential treatment to the less qualified is not what happens indicates a certain ignorance of the reality of the situation. We are...
  9. Dirty little secrets to managing LTC

    A very large part of a nurses job in LTC is med passes. If a med aid is doing that how does it NOT take away from the job a
  10. Dirty little secrets to managing LTC

    The majority of what a nurse does in a LTC is pass meds. If you hire a couple med aids, why do you need a nurse? Just replace two out of three nurses with a med aid, pay them less, let the nurse do...
  11. Just as I suspected. There IS a conspiracy to hire more men. I always thought that guy wlith the dark glasses and black suit passing out leaflets at the park seemed to give more of them to men than...
  12. Dirty little secrets to managing LTC

    We give prostat and similiar supplements but can only do it with an MD order. We mostly give it to people recovering from wounds, sores, broken bones and the like for extra protein but the order is...
  13. Dirty little secrets to managing LTC

    Mainly, I was reffering to MAR signing errors (not initialing...) I would have to see it to believe it if someone told me they never made those types of errors. I have made one med administration...
  14. Dirty little secrets to managing LTC

    Well, I don't know what "she" would do, but I can tell you what "the nurse" might do. It's not that big a deal. By that I mean it is easy to fix. If you signed it out and the patient dies, you just go...
  15. Male Nursing Students

    The local college pumps out about 150 new rns a year and there are two hospitals in this town with a couple more in nearby towns but those same towns also have colleges pumping out students. That is...
  16. Nurses and Lawsuits: A Medico-Legal Perspective

    Very nice article but I wonder why it bothers me that the word "she" was used throughout the article when refering to the nurse. Kind of like something out of the
  17. sats/oxygen guidelines/situation

    Mid/high 80s when an older person is sleeping is not unusual but the 90 after being awake for awhile is
  18. Nursing for compassion or the financial reward?

    I have never met a nurse that wasnt in it for the money. If they took away your paycheck are you still going to keep going to work? No and it is nonsense for someone to pretend like the money isnt...
  19. Bathing Classmates and Other Personal Boundaries?

    "Someone" told you it happens? quakerkid, you seem sure it happens but where did you get your information and can you tell us the name of the school that does it? Why are you so sure it doesn't...
  20. Bathing Classmates and Other Personal Boundaries?

    PPLLEEAASSEE tell me you are a member of the online staff trying to stir up interest. And please while you are at it tell me there are really not female RNs that would tolerate that!! Why dont men...
  21. lab values

    You can get Labs360 as a download onto your phone or PDA FOR 29.95. A fantastic resource. I used it in school and use it at work. Even though all our lab results have low and high parameters on...
  22. Bathing Classmates and Other Personal Boundaries?

    last night I ask seven CNAs (one of them is my sister) and they all said no way did they practice on each other. I think times have changed. Like I said in an earlier post, it is not rocket science...
  23. Bathing Classmates and Other Personal Boundaries?

    CNAs dont practice on each other and they are the REAL pros when it comes to bed baths. Have you ever heard of them practicing on each other? No you haven't. For the same reason nurses don't....
  24. Medical Marijuana Opinions

    What about Coors, Bud or Miller Lite? Are they "gateway drugs" Why the irrational focus on the evil weed when there are other drugs (whiskey...) that have and continue to do much much more harm to...
  25. Medical Marijuana Opinions

    I am amazed our gvt. has spent billions of dollars trying to defend us from the evil weed when we can purchase vodka, any quantity, any day of the week. Countless people have died from alcohol and...