goodneighbor

goodneighbor

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All Content by goodneighbor

  1. Life is bare bones on the Lakota reservation

    I think there is a growing awareness of alternative medicine and holistic practises. For instance, we now know that ice water is not given to certain Asian people when ill or post-partum because they, like some Latin Americans, believe that hot is he...
  2. Life is bare bones on the Lakota reservation

    Oh my gosh, I didn't even think about CPS. They don't still take "Indian Babies" away do they? I have a naive (perhaps) belief that CPS is there to help (with education, blankets etc) I cant imagine the fear of an NA mother taking a sick baby who mig...
  3. Life is bare bones on the Lakota reservation

    I have been to he Wind River Reservation in Wyoming and met wonderful people there. I have since been reading about the Pine Ridge Res in South Dakota and there seems to be great need there, but it seems almost overwhelming. I imagine the hardship of...
  4. Life is bare bones on the Lakota reservation

    Thank you RaineyRN, I'm afraid I had you confused with another poster (it was late at night!!) I read the article and was shocked about the conditions our fellow Americans are living in, and then did some further research, and was further shocked. Th...
  5. High rate of alcohol deaths in Indian Country

    Silly question, but is bottled water, cola, ice tea, lemonade, kool aid, gatorade, watermelon, ice cream, etc. readily available on the rez? Smoothies anyone? I mean, are alternatives as available as alcohol? What did ancestral native americans drink...
  6. Life is bare bones on the Lakota reservation

    RaineyRN, that is so sad. Tell me, is there a lack of necessary supplies at clinics on Reservations? On another post I believe you mentioned that alcoholism and violence are "a way of life". This sounds like it is very dangerous to work on a Reservat...
  7. This is either the funniest or the saddest forum here! I am laughing because it is so true. Who is it that comes up with these forms?? It seems that facilities (hospitals, corporations, etc) look at us as "employees" when they should look at us as "p...
  8. Frightened to Become a Nurse

    Remember, most nurses LOVE their work, but HATE their JOB. This means we love to take care of people, love to learn our craft, are excited when our patients improve and take real satisfaction in the part we take to help someone regain their health, o...
  9. What? You take breaks? What? You pee?
  10. Brand new Nurse in charge of Veteran CNAs

    Good veteran CNAs usually bond with their patients and know them very well. They also tend to know the "scuttlebut" in the facility. They are invaluable help in caring for your patients. But they can also be wily and so "efficient" that they tend to ...
  11. Reducing ED transfers from SNF

    Southernbeegirl, you must be beloved by your team. You exemplify what an RN supervisor should be in that you guide, educate, and provide support to your nurse! You are writing about a true example of teamwork and nursing excellence. How important it ...
  12. Reducing ED transfers from SNF

    This has been a very interesting discussion, and I appreciate the input from Cape Cod Mermaid who shared that she has to send an "Unplanned Discharge" form to Corporate that gives me another level of understanding of SNF management. I am thinking tha...
  13. When is patient education TOO much?!?

    Oh, and I forgot to add that PAIN itself is not necessarily a priority in triage, but the patient in pain can take up a lot of time. The person on a drip needs your attention more. Jeesh.
  14. When is patient education TOO much?!?

    There are patients who take a great many pain meds and demand amounts that can scare you. These patients usually demand pain meds by TIME not by pain score, ostensibly so they can AVOID the pain that they say is coming. Pre-emptively. You have to ass...
  15. Reducing ED transfers from SNF

    When a pt has AMS and any other S&S, particularly on Noc, you have to call the physician to advise. At night, you get the on-call who frequently is an intern whose safest bet is to "send them out". So now you have a Dr's order to ED. Also anythin...
  16. IV tips and tricks

    Saline lock tape trick: When preparing your anchoring tape at the beginning, take a strip of tape, sticky side up, turn the two ends inward and stick it to a clean surface. So now you have a semicircle of tape, secured, at the ends underneath. When y...
  17. Does allnurses.com make you a better nurse?

    Yes, allnurses makes me a better nurse. It is alive, it is interactive, it is an adjunct to journals, books, and lectures. We can bounce our ideas and knowledge off each other and grow. Take, for instance, the blog on "sedation before death" which de...
  18. Preventing FRUTI (Foley Related Urinary Tract Infection) in LTACH

    The CDC has published best practice guidelines to prevent CAUTI Cath Acquired UTI that you can look up with those keywords. They do recommend not having the collection bag on the floor, no routine bag changes unless clinically indicated (contaminated...
  19. Why is this forum so dead?

    Regarding the patient with personality changes after injury...the question was is there a component of neurology to help the family deal with changes in their loved one. Gosh, I certainly hope so! These types of changes happen in many types of disord...
  20. Why is this forum so dead?

    Hey, I'm listening! I too have just been offered a place in the exciting Neuro world and we will help each other!
  21. Are we experiencing mass burnout in healthcare?

    S. 1031: National Nursing Shortage Reform and Patient Advocacy Act Oh, it's wonderful. It's " A bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other...
  22. Are we experiencing mass burnout in healthcare?

    Wow, Tabitha, thank you for addressing your response/challenge to me! I wish I could write as well as you! Sure, I'll be happy to stand up for the nurses in Washington State, but I am in Texas and I'll have to stand here too! I will check to see what...
  23. Are we experiencing mass burnout in healthcare?

    Ok, Miss Tabitha, you appear to be the new Sister Simone Roach! And the internet is the new "book" that you should write. Ok so we all agree that something is wrong, and like politicians we can go on stating the problems that we find and we all will ...
  24. Are we experiencing mass burnout in healthcare?

    What I am really good at is assessing the patient, listening to them, interpreting the S&S they describe and putting it into "doctorese" so they can obtain apropriate treatment. I am also a good caregiver in that I can make someone feel better wi...
  25. Dear preceptor

    What I am really good at is assessing the patient, listening to them, interpreting the S&S they describe and putting it into "doctorese" so they can obtain apropriate treatment. I am also a good caregiver in that I can make someone feel better wi...