pielęgniarka

pielęgniarka RN

Hem/Onc, LTC, AL, Homecare, Mgmt, Psych

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All Content by pielęgniarka

  1. grief

    It is hard to watch someone decline, especially if you have bonded with them. Keep reminding yourself that this person is in a better place now, no worries anymore, it's us left behind that have to...
  2. Psych history, decreasing drugs, who to tell?

    What about looking into support groups in your local hospitals or community services? Try googling it or call up a few places in your region. Good
  3. Can I do it?

    Buy an amplified or electronic stethoscope-- try Littman or Cardionics-- they're some of the best! You will be amazed at all you've missed out
  4. LPN doing assessments Mn

    Our Admit Assessments or Quarterly Review Assessments were changed to "Observations" so that the RN's don't have to do 'em all. LPNs can do all the observations and the RN's are supposed to follow up...
  5. Grossest Thing You've Ever Seen

    Long term stasis ulcer on the lower leg of an old farmer. Had to remove the old packing to visualize the half-way rotted through tibia. Ugh, it looked the spine of a chicken... after it's baked in...
  6. Roxanol Dosage Error?

    My guess would either be: 0.25 ml (5mg) or what the other nurse said: 0.25-0.5 ml (5mg-10mg). We've had hospice pts getting 1ml (20mg) hourly round the clock so it's not like an alarming dose or...
  7. How often should someone get a TB test?

    If the bump (induration) is 5 mm and you are at high risk it could require an x-ray follow up. Generally for low risk the induration (bump) has to be 10mm to be considered positive. The test is not...
  8. called in sick for a night...feel so guilty/bad

    I worked nights and I would NEVER call into work and say it was because I was unable to sleep prior to coming in. I would try to find my own replacement first if that was the case. Next time say...
  9. Ticked off a Chaplin today

    Ok, here's the scenario. I work as charge nurse in a LTC center. Had a resident pass away today at 100+ years old, the resident had been on comfort cares so it was rather expected. Notified the MD,...
  10. Ban on Mandatory Overtime Passes PA Senate

    My facility can mandate a staff member for overtime if no one else is able to stay. Say a nurse refuses to stay for the OT, it counts as abandonment of shift and that staff member is subject to...
  11. Patient Care or Man Handling???

    I feel for you and the resident. Usually if the MD can't get some meds that work or if our nsg care plans are not working and the res. is not able to get proper care we get MD orders and family...
  12. NGT and PEG placement verification

    PEGs don't get an X ray every day. Currently the protocol I know of is to confirm all gastric tubes with auscultation of air and then aspiration of contents. At the places I've worked at we still give...
  13. "I don't have the money" OR "I don't have a ride"

    Ohhh the smoking thing in front of kids drives me BONKERS! When the kid comes in smelling like they've been sitting in a bar all night. Then the parent wonders why the kid has bronchitis and colds...
  14. Child Restraint During Induction ?

    I know it's an old thread but I had to reply. My preschool aged son was in the O.R. many times over the course of several years for intrathecal chemo. My husband or I was both allowed in the OR for...
  15. Ticked off a Chaplin today

    OMG, I would absolutely honor any patient requests to be blessed. Unfortunately I am not a mind reader and if indeed this was a desire that the deceased had verbalized to the chaplin I had no way of...
  16. A name for Computer on Wheels

    Oh and our med-carts are color labeled on the top: we have the "red cart", "blue cart" and "yellow
  17. A name for Computer on Wheels

    Lol think how this progress note would be absorbed: "Pt is S.O.B. upon exertion." "Pt B.S. active x4." We were advised at our facility to write out the words shortness of breath and bowel sounds so if...
  18. Patient Died from Med Allergy

    I used to work with a nurse that inadvertantly administered a lethal dose of a medication resulting in the pt death. She was fired, had to go to classes to relearn med-admin, interviewed by the BON,...
  19. Failing In Ky

    Rock on!!! Good for you!!! I know so many nsg students that chicken out at the
  20. Failing In Ky

    You are subconciously failing yourself because you are scared to become a nurse. Pull yourself back together, get into a study group and try to make it
  21. Help!!! Insubordinate CNA!

    MAKE the CNA write up a list tonight {that way she will not be complaining to you for at least a little bit}, of all these grievances and then YOU leave a note for the DON, to make an appt with this...
  22. Is it like this in your facility?

    Yes... the ebb and flow of good staff members in a nursing home. We'll have a bunch of mediocre nurses/aides (at best) for a while and they'll all be fired or quit, then we'll have some fabulous...
  23. Incentive for aides

    CNA morale depends alot on the floor nurses I think. If nurses are willing to help out and be nice ("thank you, nice work or that resident looks great today") morale starts to go up little by little....
  24. Terrified of NCLEX-pn

    I bet 99% of people feel this way before the boards! Just think of all the things that could be more terrifying than the NCLEX.... and you'll feel rather fortunate :-) It's a good motivator to review...
  25. Meds in lock up

    We lock up Lomotil but don't lock up Atropine gtts. Always stuck me as funny because Lomotil has atropine in it. I seem to recall a pharmacist stating that lomotil/atropine is related to...