TopazLover BSN, RN

Member

All Content by TopazLover

  1. TopazLover

    Alzheimers is the worst

    TopazLover replied to hippylady7211's topic in Geriatric, LTC

    Reality is not so great so I enjoy entering the world of a person with dementia. Re-dierecting is a great technique. Another way of dealing with the issue of the parade is reminiscence. Talk about...
  2. TopazLover

    Alzheimers is the worst

    TopazLover replied to hippylady7211's topic in Geriatric, LTC

    :typingI usually agree about Alz. Some days I think other chronic diseases are right up there as they, too, effect the family so badly. Liver and Kidney disease come to mind quickly. You know the...
  3. TopazLover

    AC & HS

    TopazLover replied to 2008el's topic in General Nursing

    I am sure you know that ac means before meals. Reason for this is to determine blood sugar before eating to see if there are insulin needs not being met by natural insulin, added insulin or oral meds...
  4. TopazLover

    WHY do we need more nurses

    TopazLover replied to getinfall's topic in General Nursing

    Perhaps some of the students who are picking apart the nurses they see fail to see what I see and work with. I see nurses who are "burned out" by working 5 12 hour shifts in a week because there are...
  5. TopazLover

    Regulation Proposed to Help Protect Health Care Providers from Discrimination

    TopazLover replied to Anxious Patient's topic in Activism, Healthcare

    Maybe we should expand this to meds we don't like to give. Lactulose, Lasix, and especially those pesky drugs that you have to keep monitoring all the time? There are jobs out there for waitresses,...
  6. TopazLover

    Regulation Proposed to Help Protect Health Care Providers from Discrimination

    TopazLover replied to Anxious Patient's topic in Activism, Healthcare

    We will never all agree on hight to life vs choice. So let's look at how this could impact us individually and as a profession. Look at the list of specialties list in this forum. There many that...
  7. TopazLover

    problems with the old folks - sorry long

    TopazLover replied to jackson145's topic in General Nursing

    It is really hard to watch our family members get older and decline. I think seeing the doctor is a great idea. Make sure that all the medical aspects are ruled out before he is labeled as having...
  8. TopazLover

    Employee Incentives

    TopazLover replied to michael79's topic in General Nursing

    I like the idea of scrub jackets. Residents love to see the great variety of bright clothing and usually make positive comments to staff. Most of us respond to thank you from the people we care for....
  9. TopazLover

    Desperate need of advice

    TopazLover replied to SandraKBrown's topic in General Nursing

    Hugs from me, too. This is an unreal load. I can't believe you have been able to keep this up, like you have. You really are a wonder-woman! Great suggestions from all to you. Additionally, see...
  10. TopazLover

    How do you wonderful nurses do it?

    TopazLover replied to tryingtobecome's topic in General Nursing

    Thanks for the compliments. I agree that you need a good stethoscope and comfortable pens. In addition, keep a good drug reference book handy. Nobody can remember everything. If you only give a...
  11. TopazLover

    Night shift woes

    TopazLover replied to MamaT's topic in General Nursing

    I agree with all the suggestions given, especially the not switching. Additionally, you might want to discuss this with a Gyn. as the migraines might be related to peri-pause. She may have other...
  12. TopazLover

    LPN's managing RN's in LTC setting

    TopazLover replied to Thor77's topic in General Nursing

    In that facility RNs ended up evaluating other RNs who were are a different level. The higher level RNs were evaluated by the administrator. This person made it clear that nurse practice was not...
  13. TopazLover

    What's the most pain meds you've ever seen ordered?

    TopazLover replied to blondy2061h's topic in General Nursing

    Thanks, I did need to read that. I knew in my heart it was OK (I did mean mcg. by the way) but our pharmacy really was placed under great scrutiny after this experience. They questioned us about...
  14. TopazLover

    What's the most pain meds you've ever seen ordered?

    TopazLover replied to blondy2061h's topic in General Nursing

    Fentanyl patches totaling 650 mg., changed every 2 days rather than 3. Well, actually, the person had been on 600 mg. for quite awhile and had needed break through po meds. She spoke her MD and...
  15. TopazLover

    LPN's managing RN's in LTC setting

    TopazLover replied to Thor77's topic in General Nursing

    I appreciate others who can do the activities of scheduling, budgeting, etc. It allows me more time to do those things I was educated to do. This includes supervision of staff. LPNs have not had...
  16. TopazLover

    LPN's managing RN's in LTC setting

    TopazLover replied to Thor77's topic in General Nursing

    Does the LPN supervise the RN, or is it a management position with the supervisory tasks? My lic. says that I can supervise LPNs. The LPN lic does not say they can supervise an RN. This is where I...
  17. TopazLover

    Re: IHS information or experience?

    TopazLover replied to PACIFICWHALES's topic in General Nursing

    I agree to a certain extent. Alaska is more than bush. If you go to Anchorage there is an IHS hospital there. Anchorage is a real city with many things happening. You would get a good experience...
  18. TopazLover

    Scheduling Death??

    TopazLover replied to icyounurse's topic in General Nursing

    It is so hard when we know our patients and connect with them only to have the family seem to be holding on selfishly to a loved one ready to die. I think most patients recognize being ready for...
  19. TopazLover

    pay

    TopazLover replied to josh1974's topic in General Nursing

    Nurses do plumbing - ever dealt with a foley, especially a pesky female meatus? How about starting an IV in a 97 year old man who is dehydrated? Nurses do electrical work - heart need I say more...
  20. TopazLover

    WHY do we need more nurses

    TopazLover replied to getinfall's topic in General Nursing

    I have been reading this thread for days and keep getting hotter under the collar. We don't need to bash eager students and new nurses for their idealism. We had it at one time. We don't need to...
  21. TopazLover

    Failed Drug Test!!!!!!

    TopazLover replied to coolpeach's topic in General Nursing

    My guess is that he violated by leaving any message other than "call xxxlab @ #. I would not have a problem with calling the lab and speaking with someone in customer satisfaction. The need to know...
  22. TopazLover

    Cultural Diversity

    TopazLover replied to texasmedicrnj's topic in General Nursing

    I, too, get frustrated by the changes in terminology and meaning for these terms. It is very easy to have a cultural awareness, diversity, competency course or class and find the stereotypes. It is...
  23. TopazLover

    agressive patients

    TopazLover replied to JOHNCHE's topic in General Nursing

    Most people who are aggressive are trying to tell you something. You heard his message. He did not want to be there. Sometimes a call to the NH will give you some cues that will help give care. If...
  24. TopazLover

    BP 50's/30's left arm, 130's/60's right arm--?

    TopazLover replied to RNcDreams's topic in General Nursing

    Personally, I would not have called the doc. I would mention it when the doc came it to see him or pass it on to the next shift to mention it. This is based on what you describe as his clinical...
  25. TopazLover

    Different Stress Relievers, Which Would You Choose?

    TopazLover replied to NurseJamesMcCoy's topic in Health, Stress Management

    This subject has made some people very rich. Look in any bookstore or library and you will find rows of books on the subject. I believe in the simple things. Write a journal, do something not...