litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. Nurse Charged With Homicide

    I haven't been able to work thru the info to have an opinion and it doesn't seem like she is able to really give her side d/t legalities of the pending case. There are always more than one side of the...
  2. I would check in with the provider of the refresher course in r/t the clinicals and physical requirements. you wouldn't be standing the entire 8 hrs you do get breaks and i bet it go really fast.Maybe...
  3. IV Fluids Infiltrated w/o pain?

    There are no pump alarms for it but the machine alarms because of the pressure back up. If the fluid continues to pump into the tissues there is not a back up of pressure so the alarm doesn't go off....
  4. Catheter Change Question (May seem stupid!)

    Can you clamp the catheter for a short time right before changing it then you would get some urine flow in the
  5. CDIFF

    IF they are going to share a room you might as well treat the other person for cdiff as well because they are going to get it. They should have private room with staff using contact
  6. What is your procedure for passing ice water?

    Long term care and CNA's collect all of the water pitchers and bring them out to the nutrition center to refill and replace ice water then deliver them back to the room q shift. Water pitchers are...
  7. Nurse Charged With Homicide

    I don't have enough information to decide if she should be charged or not. The hospital is not going to support her because if she can get charged and convicted they would be released from liability....
  8. Advancement

    I know the feeling of being boxed in a position. For a while I was led to believe after one ADON retired I was going to be placed in an office position as well. When the time came for that person to...
  9. Writing Bad Orders

    I would tell them there is to much room for error with that order and if this person needs to be managed acutely then she needs to return to acute care for continued monitoring. This is a med error...
  10. Nurse assessors

    Ltcg is the name of the
  11. Nurse assessors

    Is there anyone here anymore that does assessments for lifeplans, ltcg ect? Recently lifeplans sold - part went to ltcg and the other part ended up with a company called Matrix Health. When they first...
  12. Nurses not caring

    I just dont' understand why these people that don't want to work and don't have time are still
  13. MED cart Wars. LTC

    I would definitely talk to her and if it did not change then I will take it to my
  14. Dementia Dramatics

    If she is starting to have aggressive behaviors that are progressively getting worse does the doctor know about it? She may be on medications for dementia that she no longer needs but causes her brain...
  15. Online RN-BSN with no math?

    Same here. I took stats twice and just couldnt get it when the test came
  16. Want to Change Locked Unit. What Do I Say?

    Why not try to look at the charting to see if it has even been addressed. Maybe there are behaviors that are preventing it. Change the dressing your self. Document what it looks like then write a...
  17. Catch 22 situation

    Dementia is psych as
  18. Catch 22 situation

    What regular medications does she
  19. Catch 22 situation

    what kind of medication is she on? I would have the MD due a med review as she may be on something that could cause increased behaviors as she continues to decline with her dementia. We have had to...
  20. Am i potentially liable for this incident?

    Everyone involved can be held liable - the attorneys just need to add your name to it. If you documented what you observed you should be fine. All head injuries are not sent to the ER. There have...
  21. scope of practice, the EKG/ECG?

    You did what you were supposed to. It irresponsible for the NP to ask you to compare EKG readings. She needs to review and compare and decide what to do with it. You really only need basic knowledge...
  22. How often is he requiring a supp? If it is pretty frequent and he takes po meds ok then I would ask for a routine
  23. Dressing changes????

    Generally its up to each specific
  24. Should I Stay or Should I Go?

    Are you taking medication for your ADHD? I took concerta and I could tell when it started to wear off. Maybe if your not you need to look into it....I now take my meal breaks in peace and quiet where...
  25. Is leaving before hurricane abandonment?

    I feel its a personal choice. You have an obligation to family first or least thats the way I see it. your employer isn't going to support your child if your alive. and every one saying these...