smartnurse1982

smartnurse1982

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All Content by smartnurse1982

  1. Are my pts "brain dead"?

    smartnurse1982 replied to smartnurse1982's topic in Patient, Colleague Relations

    Whatever.......nurses don't know everything.Geez. I see nothing wrong with admitting you don't know something. Yes,I googled it before when Terri Schiavo was in the news,and even then some were...

  2. IV starts, blood draws

    smartnurse1982 replied to ceebeejay's topic in Private Duty

    Sometimes,an agency will let you start IV's in the home.My current agency,its not permitted to even touch a picc line nor central line,even if you are an RN.Anytime a kid with a broviac needs Tpn...

  3. Nursing Salary Survey 2014

    smartnurse1982 replied to TheCommuter's topic in General Nursing

    Philadelphia Metro(Camden). 27.50 at one agency,32/hr at another: Private Duty Peds: Rn9 yrs experience.: No Certs,well actually have vent cert. 2 full time jobs,80+ hrs a week Various shift,but...

  4. Respiratory question for a patient with a trach...

    smartnurse1982 replied to goannain's topic in Critical Care

    To the above...I do find some nurses don't understand 02 liters and percentages.Neither do

  5. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    smartnurse1982 replied to Mini-Murse's topic in General Nursing

    I've learned to never ask questions on Allnurses! Biggest mistake of my career so far hehe.I think my biggest mistake was not working in med surg first. I became an RN after being an lpn for 4 yrs,but...

  6. Are my pts "brain dead"?

    smartnurse1982 replied to smartnurse1982's topic in Patient, Colleague Relations

    My agency has NEVER,EVER,gave continuing education courses except for new vents. They only require a one yr inservice. I wouldn't even know how to find info on nursing conventions,and I don't have $$$...

  7. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    Thr only reason I don't trust Bon websites all on its own is that on the Nj Bon website,it has my license as "deleted" and then the same exact license as active. There are tons if those on the Nj...

  8. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    I'm not talking about to work,but in conversations with new friends(if I were to move to Texas).I know most "laypeople" won't bother to look up my name in the Nj website.Some states make it hard to...

  9. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    There was a thread way back,some 8 yrs ago,where Veterinary Techs were calling themselves "animal nurses".I saw nothing wrong with

  10. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    Btw,I know the wuestions I am asking have nothing to do with the opening

  11. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    I understand.I want to use an example.Can't I legally present myself as an Rn if I went to Texas,even though I'm not licensed in that state?My state also isn't one of the Compact states,but I do...

  12. Nursing Imposters

    smartnurse1982 replied to Irish_Mist's topic in Patient, Colleague Relations

    Well,here I go again,but this particular case is a gray area.There are some nurses I know who were nurses in Asia,but haven't got their licenses yet. Some haven't passed the Nclex just yet,but are...

  13. Charting for Home Health Pediatric Patient

    smartnurse1982 replied to chickengirl1977's topic in Private Duty

    How would you chart a pt that has aw/as cycles"activity"?One post in particular got me thinking,because well,sleep is subjective...and objective at the same time. Slowed respirations,hr...

  14. 485 and facesheets

    smartnurse1982 posted a topic in Private Duty

    Ok,so I had a question on the general nursing discussion and fell bad for asking it.In any event,I now know some of my pts aren't "brain dead" but they might be in a persistant vegetative state.I have...

  15. Are my pts "brain dead"?

    smartnurse1982 replied to smartnurse1982's topic in Patient, Colleague Relations

    Never said that either.The whole story isn't being told;I understand we only have one side...it never occured to me she might be on BP meds or unable to obtain a temp.None of that was

  16. Are my pts "brain dead"?

    smartnurse1982 replied to smartnurse1982's topic in Patient, Colleague Relations

    Gosh,I grasp it.I said that a few pages ago. I can "see" that they can't respond,move purposely,etc.We often don't get the full "report" in the home charts. Anyways,as I ve said,I've never seen "PVS"...

  17. Agency removing communication log?

    smartnurse1982 replied to SDALPN's topic in Private Duty

    Doesn't leaving the nursing notes in the chart when your shift is over solve this problem?Instead of going through the communication book I just look at the previous shift's nursing notes,even though...

  18. Charting for Home Health Pediatric Patient

    smartnurse1982 replied to chickengirl1977's topic in Private Duty

    Are you guys using assessment sheets also?I keep getting told there isn't a reason to write all that when there are checkboxes.As a matter of fact,the supervisor said its really not neccessary to...

  19. 485 and facesheets

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I think I'm going to start putting that.For most cases,I just put the diagnosis under neuro,but aw/as cycles under activity.We have a thread on this in this forum. I've got to search it

  20. 485 and facesheets

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I'm not charting vegetative state or anthing like that.My pts open and close their eyes;that's it.None have an official diagnosis of "coma" and rightly so,because they do open and close the eyes. Of...

  21. Are my pts "brain dead"?

    smartnurse1982 replied to smartnurse1982's topic in Patient, Colleague Relations

    I don't work in Neuro;I actually work in Private Duty peds.In any event,I had it explained better on that forum,and I guess its because they understand.The poster over there said when a child is born...

  22. No more phlebotomist in the hospital?!

    smartnurse1982 replied to squatmunkie_RN's topic in General Nursing

    My nusring school never taught us phlebotomy skills,vent management,nor how to read an Ekg.There reasoning? "Your place of employment will have phlebotomist and Rt's.At other times they said "the...

  23. 485 and facesheets

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I always thought "Global Developmental Delay" meant something similiar to a "vegetative state" but wasn't

  24. 485 and facesheets

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Thanks,and I wish I would have asked this question here first. I had no idea those labels referred to people who were intact at some point. Most of these kids were born that way,although I have one...

  25. Let go from my first patient - Please help me understand!

    smartnurse1982 replied to cazach0122's topic in Private Duty

    What's up with cases and age?I've had a case where a guy(22 yrs old) only wanted young nurses...being 29 at the time,I was allowed to stay. He said he didn't think older nurses could handle hime...