jjjoy

jjjoy LPN

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All Content by jjjoy

  1. Time to call a duck a duck?

    jjjoy replied to eriksoln's topic in Nursing Professionalism

    Good way to exemplify what you meant by "flipping burgers". On might also compare it to an "assembly line" and it most certainly demands being "task-centered". Such real-world demands are in direct...

  2. How does your hospital book beds?

    jjjoy replied to mappers's topic in General Nursing

    Just wanted to chime in that I think it's great to learn how the different departments work in relation to others. Sometimes it doesn't make the problem better but I think it helps morale to...

  3. A nurse by any other name...

    jjjoy replied to fungez's topic in General Nursing

    The main problem I have with the title nurse is that it's so all-inclusive and it doesn't help the general public have any idea of all that nurses actually do. In just the one job, a floor nurse wears...

  4. Leave me alone when I'm passing meds!!!!!

    jjjoy replied to debRN0417's topic in Geriatric, LTC

    I see this an example of a systems problem that gets blamed on individuals and causes unnecessary friction. If a patient's nurse is occupied for an hour (or 2+) straight doing a long med pass, are the...

  5. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy posted a topic in General Nursing

    OKay I needed a catchy title... let me be more specific now, my argument is two-fold as spelled out below. I appreciate respectful feedback on these thoughts. I don't really want to fight! #1...

  6. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    I took that under consideration for my original argument in this thread. That argument is that what RNs offer is professional assessment and management of health conditions, whereas MDs (and NPs)...

  7. Nurses Get No Respect

    jjjoy replied to KaroSnowQueen's topic in General Nursing

    "Respect is earned"... the point the OP was making was that in her experience, management didn't respect the nurses even when they'd more than earned it. The nurses managed to give quality care with...

  8. Detail oriented, sort of

    jjjoy replied to Landlockedinmo's topic in General Nursing

    Depends on the type of nursing job. For hourly paid shiftwork (eg bedside nurse), when you're off, you're off. No bringing work home or coming in on a day off to do paperwork. However, there's...

  9. Disillusioned, Depression, or Both?

    jjjoy replied to Kim O'Therapy's topic in General Nursing

    Too often too

  10. New nurse moving to Thailand

    jjjoy replied to yokara's topic in International Nursing

    I'm guessing your visa limits you to working very specific jobs, such as teaching English. Even then, as a new grad without any real experience, you wouldn't have much to offer as a nurse as well as...

  11. Time to call a duck a duck?

    jjjoy replied to eriksoln's topic in Nursing Professionalism

    I know that at my program, if we completed our baths or our 5 page assessment tools on our two measely patients too quickly, the instructors would accuse of us not being thorough and send us back in,...

  12. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    I agree that care plans are a useful learning tool. I personally found NANDA to make things *more* confusing, though, not less. I figured out how to apply nursing diagnoses more or less; after all I...

  13. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    But broken, protuding bone IS the definition of compound fracture. 'Fracture' would be a tentative diagnosis until the x-ray confirmed it. A clinician would review the x-ray and make the diagnosis...

  14. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    I don't know about you but I can go straight from seeing someone with a leg in a fresh cast to 'risk for falls' without going through 'impaired mobility' to get

  15. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    Okay, I'll bite. Sometimes, a diagnosis is as simple as restating the assessment findings as opposed to having to analyze those findings or apply deductive logic. Assessment: Broken bone sticking out...

  16. Time to call a duck a duck?

    jjjoy replied to eriksoln's topic in Nursing Professionalism

    Ouch! if the OP's attitude seems that bad, you must not think very highly of many of your nursing colleagues. Either that or the nurses in your neck of the woods are totally different than the one's...

  17. Kicked out of nursing school b/c medical dx! Wth? Really?

    jjjoy replied to Succubus's topic in General Students

    Some schools seem very arbitrary in whether missing a clinical day results in failure or not. I'd like to think that the reasoning behind those different responses were fair, but sometimes it seems...

  18. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    Determining the reason a patient didn't take their medication was because they are unable to afford their medication and/or need more education is part of a thorough assessment. If a physician or an...

  19. Time to call a duck a duck?

    jjjoy replied to eriksoln's topic in Nursing Professionalism

  20. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    It sounds like maybe you are parroting something your nursing school instructors said. Have you seen this for yourself? Do you have any examples of how the different approaches to care between LPNs...

  21. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    Is the diagnosis "risk for infection" a critical analysis of an open wound? Given that all open wounds present a risk for infection, where is the critical analysis there? A nurse observes a patient...

  22. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    Dictionaries reflect how words are used and the definitions I looked up did not define diagnosis as "a description of a problem". Doing a thorough assessment includes evaluating the data you're...

  23. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    Is there ever a patient with an open wound who *doesn't* have "altered skin integrity"? Of course not. This nursing diagnosis simply puts the assessment into a particular wider category. Pressure...

  24. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    How does SOAPIE compare to ADPIE? Subjective Data - Assessment Objective Data - Assessment Assessment - Nursing Diagnosis Plan - Plan Implement - Implement Evaluate - Evaluate Yes or

  25. Nurses don't diagnose! (wanna fight about it?!)

    jjjoy replied to jjjoy's topic in General Nursing

    LOL I don't see how the 'same data set' can lead to different conclusions in regard to specific nursing diagnoses. I do see that two people with the same medical condition won't necessarily have the...