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handyrn

handyrn

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handyrn's Latest Activity

  1. handyrn

    Random drug tests

    As an RN who is also from the same Iowa/Nebraska/South Dakota area, I have to ask: Are you nuts?!?! The job market is terrible here. It is hard to find a job in nursing in this area. Why would you even risk it? And as the wife of a cop, don't fool yourself, the cops probably already know that your relative is smoking dope in your back yard, they are probably just too busy to bust some small time user, but when they get bored and are looking for something to do, your relative (and you) may not be so lucky. Just tell the guy to stay away from you, your property, and no rides in your car if he's going to smoke the stuff. Didn't you stress and work too hard to obtain that nursing license? Why would you risk losing it?
  2. handyrn

    documentation

    I read this post wrong or at least different from everyone else I think. I thought she was asking about verbage. Such as how to narrate parts of an assessment, not format.
  3. Can you shadow a couple of day shifts just to see how the people work together-or not?
  4. handyrn

    Is there a correct way to crank a bed?

    Ha! While I can sympathize with you, I can also out-do you. The facility I recently worked at (not anymore) had the old crank beds that you could crank up heads and feet, but not raise the bed itself. Also, most of them had the wheels removed so they were in a fixed place. Squeezing between bed and wall presented challenges! Sorry, I don't know any good suggestions. Go online and look for grants for new beds?
  5. handyrn

    WHAT were they thinking at that Nursing Home???

    Maybe I can help to answer the actual question. Mind you, this is not a good explanation, but it's an explanation. First, you said that the order was a clamping protocol, so that gets rid of the bag ideas. Maybe the buck stops at the DON of the facility. Maybe the DON doesn't know the protocol for a clamping procedure. Maybe she is the owner of the facility and doesn't want to spend the money on a clamp (I know, this is a dumb idea, but I have worked in some LTCs that still don't think it's a big deal to make sure there are gloves on hand cuz they are expensive.) Maybe the DON missed the whole infection control related to UTIs discussion in class. In going with this theory, one would think that the other nurses would correct the DON, right? Well, in some facilities, what the DON says, goes, because she is ultimately responsible over and above the other nurses, especially if she is the only RN and the rest are LPNs. Of course the LPNs would know proper procedure and infection control, but they are somewhat covered since they are under the RNs license, and if she said this is the way we are doing it, then what can they really do? Quit? That doesn't solve the problem. And considering the economy, many can't afford to quit. So the next choice for a nurse would be to call the dept of health and report this. An inspection by them could happen next week, next month, or 2 months away. So maybe an inspection regarding this resident was in the works but you happen to get them in your ER before they could step in and help. By your post, it sounds like the DON didn't understand the clamping procedure or just didn't care? She is the leader. Maybe the other nurses just felt they had to follow her orders. As for being reimbursed for nosocomial infections, it has been many years since I was an MDS nurse, but I don't remember this being a direct question. (MDSs are how SNFs are reimbursed.) Besides that, since it is a residential living facility, any and all infections that the residents get while being there can be considered nosicomial, right? That's a lot of nosocomial infections and if SNFs were not paid if this occurred, they wouldn't get paid at all for some residents who get infections often, or there would be months when there would be barely any reimbursement because the majority of the facility catches the flu or something. Maybe this answers some of your questions, or at least provides another view to consider.
  6. handyrn

    Tattoos and nursing

    To the manager who wouldn't hire me because I have a tatoo: be careful not to judge. I have a very large tatoo (fortunately I am able to cover it with full length clothing for work purposes). This tatoo is NOT the product of being stupid when I was young. It's actually not that old. I was attacked and ended up with some serious scarring. Having lost my job I also lost health insurance, therefore, no coverage for a plastic surgeon. My choice was to either get a pretty tatoo to cover the scars (for a little money) or have to be asked repeatedly, "what happened to you?" until I could afford a plastic surgeon. (which costs a lot more money) And seriously, I can't handle anyone asking me to repeat the story of what happened to me. So, my tatoo covers scars from being attacked. And you wouldn't hire me because of this? You think that I was young and made a stupid decision? You would be wrong. Be careful who you judge.
  7. handyrn

    Thoughts on improving caring

    Finally the previous 2 posters brought up what I had been thinking after reading the OP. Isn't caring somewhat subjective? I mean, if a nurse came into my room and continued to call me honey and baby me, I would probably puke! But my friend would absolutely love it and think she had the most caring nurse in the world. We all have different personalities, both patients and us nurses. Who can really judge if you are being caring or not? Will there be guidelines for types of people? Being caring to the stone hard man in room 101 that just wants to be left alone to sleep is certainly a lot different than being caring to the little old lady in 102 that is scared, lonely, and wants constant attention. Seems to me like caring is like pain: it is what the reciever perceives it to be. And can you really assess that like you can assess pain?
  8. Stargazer-you bring up some good points. If I were an ER nurse and didn't know about AD, I would have probably not done anything either until the Dr. saw her. Like I said on another post, when the crisis happens to our own family/friends, we forget to use our brains. We are seeing it from the inside, not from the point of view of the nurse on the "outside." I know that my friend knows EVERYTHING there is to know about her condition. I know that she is very in tune with her body. I know that she is not a dramatic person. I know that her Dr. trusts her to know what is going on in her own body. And she knows this too. But the ER staff doesn't know this. And I wasn't looking at it from that perspective, so thanks for making me realize this. As for the Dr., I don't remember which one it was, so I don't know if he is a nice guy or not. However, I remember that she had doctored with the same guy for years and I think what happened was that HE knew that she was very in tune to what was going on and knew that the nurses should have believed her, but again, he was looking at it same as me, knowing her personally and his brain went on strike and he lashed out. It's a very small town and when you Dr. with someone for 20 plus years, and see each other in social circles as well, it's hard not to become a personal friend of the doc. So again, thanks for opening my eyes.
  9. handyrn

    Disrespected daily by residents

    Well, I KNEW when I left my comment that I would be flamed! First of all, I never told the OP to have thick skin. That was something that others are throwing into this. What I did say was that it doesn't bother ME to be called names. Second of all, I was explaining how some of the older generation think (like the example of my grandma who slipped up at times.) We always talk about patient education, sometimes we need education ourselves. The OP stated she was 20 years old. Let's do the math. If she graduated from High School at age 18 she is probably a brand new nurse and this may be her first health care job. So, I don't think that educating someone about what our older population may be thinking is out of line. And third, for the person who figures I never have gone through anything like this, you are wrong. My son has CP. There are so many uneducated people out there that asked me what I did wrong, if I did drugs while pregnant, told me I should never have any more kids cuz I made him that way through genetics, etc. And that is NOTHING compared to what my son went thru in public school. But, it's ok, keep flaming. I can take it. I am seldom understood so I'm used to it.
  10. handyrn

    Disrespected daily by residents

    I seriously have mixed feelings on this. I think it depends on the context. Are they asking someone for the N***** nurse to come help them? Or are they saying "Hey N*****! Come help me!" If they are being derogatory it is one thing, but if they are saying it because that is the only way they know to describe you to someone else it's another. Sometimes we have to think about the age of these people. My great grandma used to say N*****, then she would sometimes catch herself and say, "Oh, I forgot, we aren't supposed to call them that anymore." It was just really hard to get out of the habbit after 70 years. I am wondering if any of us are any different? Someone in one of the above posts said something about being gay. Some people would condemn that writer because they are supposed to be called homosexuals, not gay. And what about calling a patient manic depressive instead of bipolar? Or what if your housekeeping department is actually now called the enviromental specialists? How long will it take to get the new words in your head? For some people it takes a while, especially if they have gotten used to it for years and years one way and all of the sudden it has changed. Heck, I understand that people use descriptive words because they can be ignorant and just don't know any differently. I have been addressed as the fat one, the heavy set nurse, the one with the boy haircut, etc. And seriously, if I were in a predominantly black or mexican environment and they called me "honky," who really cares? To me, being called names means nothing, as long as it is not in a threatening or demeaning context. So I guess I just think that unless it is said in the wrong context, who cares? Flame away!
  11. handyrn

    The Whistle Blower!

    It seems as though it doesn't really matter what kind of charting it is, there is too much of it. Hand written charting is tedious and arthritis provoking and takes up a lot of time, and if you end up charting late, you MIGHT have to do a late entry. Then there are the problems with computer charting like you stated. Seems like the real problem is too much paperwork. (don't we all know that!) Why not have a toll free number to call where a transcriptionist is on duty and has 5 minutes to transcribe the note that you speak into the phone, which links to your computer system. Kind of like how Drs. do, only immediately, not a few days later? Seems to me this might help the problem and help the economy by all of the sudden there being a need for massive amounts of transcriptionists. See? If "they" would only ask me, I could solve all the world's problems.
  12. handyrn

    C-section vs. letting Mom go naturally

    @alohagirljam-the documentary was called "The Business of Being Born." I watched it on Netflix. Another thing they mentioned on there was the lack of bonding between baby and mom with C-sections. I don't remember exactly what was said but it just sticks out in my head that the bonding process was interrupted with C-sections. I think it had to do with the lack of pitocin/oxytocin (?) release when you have a CS.
  13. handyrn

    C-section vs. letting Mom go naturally

    I saw a documentary on this recently. They were calling them "designer births." I guess a lot has to do with Hollywood hype. You know, faster recovery of body parts, some body parts never needing recovery, etc. As soon as some of them find out they are pregnant they are planning the C-section date. Kinda sad if you ask me.
  14. In your situation, since it is a small hospital that you go to, I would definitely ask your Dr. or someone on the hospital staff if they could do an inservice on it for all the hospital employees. I had a good friend who was a quad. Her Catheter fell out which threw her into AD and she went to the ER. Her friend that took her there was in the waiting room. The staff there also did not know the severity of what was happening and left her laying in a bed even though she told them what was going on and if they would just cath her it would fix the problem. They didn't believe her. She ended up yelling until her friend heard her and came into the room and cathed her himself with a straw or pen tube or something. Dr. finally arrives and boy did the ER staff get in trouble I guess. He was an older doc and this was before the days of Web MD and people were not self diagnosing so much. He told the staff that they really needed to listen to their patients and give them credit for what they knew was going on with their own bodies. Anyway, I just basically agree that education is the key.
  15. handyrn

    Community College? You must be stupid.

    I went to a community college myself, and several years ago. Just the other day I had a question regarding my classes and I called up the college and got to talk to someone right then and there. My very first nursing instructor, who remembered me, answered my question, shot the breeze a bit, and hung up. Does this happen in a University when there are lots of students in each class and the instructors do not know one from another? I :heartbeat my CC degree!
  16. The perfectionist/OCD patient Generally these are little old ladies. The ones who you have to assist to the bathroom and then wait while they count out 4 squares of toilet paper and have to have it folded just right before they can wipe. The better-than-everyone-else nurse The one that sits at the desk and when asked for help cleaning a patient states that she didn't go to nursing school for 3 years to wipe butts.
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