CalicoKitty

My coworker (a nurse) was doing home dialysis for her husband (until she injured her hand). The requirements are a machine to purify water (if your water can be used), a dialysis mahcine, a clean place to do it, a person trained to do it, and a ton of supplies that are delivered monthly (many gallons of fluid, many more if the household water cannot be used) - so need the space to house a month's (plus "spare") worth of stuff.. Really not something most dialysis patients have if they are already living on a fixed income. It took several hours including prep, dialysis, and cleanup.

I see patients that have a hard time getting labelled as "disabled", even when they become paralyzed. Heck, my brother took a long time after a car accident left him with back pain that limits his ability to do anything (can't sit or stand for periods of time). I've seen young able bodied persons (who may or may not be working, but are uninsured), that end up in the hospital with things like DKA (which could be prevented with routine care). I've seen people that cannot afford any medications from the pharamacy (blood pressure pills, antibiotics) and end up back in the hospital. But, some working people, especially the "gig economy" such as delivery persons, and people working in massive companies that intentionally do not give enough hours to qualify for insurance, are still working but are somehow considered unworthy of health care due to our system, and with even fewer safety nets, our society will continue to bottom the charts for health and wellbeing.

I stopped wearing nail polish a long time ago when I did lab research and had to wash hands and wear gloves all the time. My nails would chip and drive me crazy. I uses fake nails to stop biting my nails, and eventally was fine with just polish. I don't know much about gels. Luckily my nails and cuticles appear healthy, and I like being able to see anything under my nails.

I have my wocncb certs in all 4 specialties. I earned my MSN and now have APRN certificarion and licensure. I am due for renewal for ostomy and continence this year. I am wondering about getting those as -AP. I expect higher level exam questions (but what if I fail?). Has anyone done this? My wound (and foot care) will be uo for renewal next year, and I do want the -AP for wounds.

At first I wondered if you were getting a fire extinguisher.. I kind of mentioned to people that if there's a dangerou situation and they want to stay somewhat hands off, fire extinguishers can probably be useful.. But in your situation, water sounds like a reasonable choice. "If you are smoking, I assume you are on fire"...

I am kinda asking for advice. What do people do when their license name is different from the name they use. And this is for the future as I think about doing a new job search. And still kinda kicking myself for not changing my name in Jr high like I wanted, though I do prefer the uh alternate name I have chosen now. But, maybe I could have been a dramatic Heather (my top pick in Jr high for a name change... there's a movie Heathers that may have affected that)..?

You could contact the provider for sliding scale orders for people that are NPO. If it says give with meals (and is NPO) it should be held, but if their glucose levels are high, that would also warrant treatment. Just contact the provider They could/should get a one time or new sliding scale order (some orders say give half if NPO).

My name (spelling) is pretty unique. A first name web search is me and eventually another person showed up, too. I have read research and articles that show people with non-traditional do not get call backs with the exact same resumes when the name was changed. In my workplaces, the few jobs I've gotten from resumes were in very diverse workplaces. It is probably one of the reasons I think diversity is very important, but makes me wonder with the new political attacks on employment, could affect my future applications. But this is basically why I am asking if the name I put on the resume "matters", in a more legal/nursing/license sense. I don't really know if I want to bother going for a legal name change, so is using a new first name OK just on the "name" part? And how does one go about that on applications? Such a Liz instead of Elizabeth or Dick instead of Richard. It is a relatively new idea for me, so asking people about their advice/experiences.

My first name has proven difficult to pronounce and spell. I would not be surprised if it has had an affect on getting job interviews, etc. I'm old. I have several educational degrees. I have RN and NP licenses. I have an "easy fix" idea that would essentially be first initial + middle name. Could I just start using that as a name on paper (resume, etc), like a nickname and not need to worry about a legal change? It seems like a lot of legal crap and paperwork. Do I need to use my "legal" name on resumes? What about things like my email signature and credentials?

I would not stress about getting "fired" from a patient. Usually saves a ton of struggle. (Sorry for typos using my phone). I started nursing before the purewick, and found the fracture bedpans to be great for pee. Just lift the hips a little and slide it in from the front. The legs stay a bit flexed and the urine stays well in the "cup" when I remove it. On the other hand, as a wound nurse I hate purwicks. They rarely work (most patients are wet when I check), staff pretend they work and don't check/change the patient. If a person is incontinent of stool, that is what I find between thr purewick and urethra. People do not usually want to pee on themselves (even with a catheter). People will hold their urine until they must pee on themselves (holding urine ia a UTI risk). Then they pee, likely way too fast for the simple suction to work (400 mls in 10 secs) so it overflows and leaks. Patients skin is still next to urine, sometimes whole shifts. The catheter is a warm wet sponge next to the urethra. And I have seen several women who end up with pressure injuries and skin tears to their labia and thighs, which can leave scars (especially on darker skinned people). I want to see a real study where they check a urine sample after 1 week of the catheter. They all say "reduces CAUTI" because they do not consider it a catheter. I think they only test if UTI is suspected.

Yeah, one of my coworkers said one of her employees had to go home because her babysitter was getting arrested. Not sure if she'll be able to go back to work if she has no reliable caregiver for her kid. My coworker is also distressed because of the raids on the other families in her apartment complex. Traumatizing for everyone involved. I'm horrified and disugsted. If it were 1000 arrests of people committing crimes (other than existing in a foreign land)...

I currently work as a wound care specialist in a hospital. I graduated and earned my MSN, so I have a signature with MSN. I fot my FNP certification and now am licensed in a state. When I sign my notes and emails, I am fine with MSN, RN, certs. But now that I have my FNP-BC, but not working in that role, should I omit it from my notes/emails (and business card) at work since my role is not a prescriber/provider?

My different roads eventaully led to nursing. In my early adulthood days, I did restaurant work. Not a good waitress, but OK in the back of the house. I knew I did not want to be a nurse because of the experiences of my grandmother (psychiatric nurse in the days of state mental hospitals) and my aunt (dialysis nurse). Both seemed to hate nursing. I certainly had no interest. So, I went to community college, after about 60 credits I decided I should pick a major to graduate. I decided I could study blood for 2 years (perhaps I was "goth"?). And from there I went to biology and research. But, when my grandmother (who went back to school and became a school psychologist and was happy), was dying, I was introduced to hospice nursing. So, about a year later, I decided to embark on my journey to become a hospice nurse. A 2nd degree BSN, 8+ years med-surg nursing. I'm now a wound care nurse (3+ years).. My current regret is going for my FNP when I realized I probalby would have been happier with AGNP. But, I should graduate in a few weeks, so my current path is set. I do wonder if I'll ever get into hospice, though. No regrets with nursing (or restaurants, or research). Life is a journey. I'll retire when I wanna grow up.

If you talk to your doctor, you may be able to get a medical diagnosis or pharmacological treatment. Hyperhidrosis is a term for excessive sweating and there are some oral (prescription) medications that can be used to treat that. You may also be exhibiting an anxiety side-effect without realizing it. Nursing school can be very stressful to basically anyone. I did notice that when I was trying a new job, I was beginning to perspire a LOT, and did not realize right away that it was probably anxiety (I left the job, and my sweating problem resolved, but perhaps there were other ways to dela with it). With menopause, I think I was getting a bit sweaty, too and I found a cool "cooling" thing (fans and a cooling pad) that I could put behind my neck. Maybe not while in rooms, but perhaps you could find a way to use something like that to "pre-cool" (such as in a charting room). https://sweathelpnj.com/oral-medications/ https://www.healthline.com/health/diagnosing-hyperhidrosis/depression-and-anxiety https://www.amazon.com/s?k=neck+cooling+fan This is the one I think I bought and used for a while: https://www.amazon.com/Portable-Wearable-Neck-Air-Conditioner-360°-Around-Cooling-Conditioner（Blue）/dp/B0C38LQL7Z

I left Washington Hospital Center about 6 years ago. For RNs they had an employee parking garage attached to the building that you could park in at night, and some parking lots on the campus that you could park in during the day. I think parking was like $25/month. DC is a major city, and like most major cities and their nearby suburbs, there is crime. There is limited public transportation to WHC, the metro train is a bit away, but there are shuttle busses. And there are metro busses that run to the campus. I live in north silver Spring. neighborhoods are hit and miss. Apartment complexes wil have more crime than homes. I've also worked downtown at GW where the hospital is literally above a metro train station. I currently work in Virginia, the comute is killing me, but I like the job. Good luck on whatever you choose.

I have my "regular" email that is simply my name that I use for most of the stuff in my life. For "work/professional", have a NameRN@ address. But now I'm working on my FNP. Should I made a new email? NameNP@ or just keep using my RN email (since I still keep my RN)? I don't think I want APRN because it doesn't "Sound" nice.

Actually I often forget that my mom was anti-vax when I wsa growing up (I had some catchup to do when I moved states with a family member). She was a hippie and into all the "natural" stuff. Tons of garlic eating. She's since fine with vaccines, but still a bit leery of modern medicine.

There is the possibility of infection, but really low. gastric contents are designed to be pretty potent, and if the PEG tube isn't already having issues (bleeding/skin breakdown) and you clean the skin, it should be fine.

When a hospital I worked at lost the computer systems due to hacking, it was terrible. The stuff like handwriting MAR and assessments.. Waiting many hours for labs (such as stat labs, heparin drip, etc). Ours was only down for about a week, but it was scary, and while not mine, I wouldn't be surprised if people died simply because of the extra time it took for everything.

Not knowing your step-father's case, but as a wound care nurse there could be more to this. If he had fallen and was on the ground for a period of time (as little as 12 hours) and unable to reposition himself, he could have already developed a deep tissue injury that took time to identify or develop fully. Those wouds can open up pretty quickly. There are also "Kennedy terminal ulcers", or "Skin Changes at End of Life" (SCALE), which are essentially wounds that develop and progress very fast on the sacrums of people. Considering he had developed a femoral head fracture before the fall, I would assume he was already suffering from osteoperosis, and possibly underweight and somewhat malnourished. I'm sorry for the loss of your step-father, but sometiemes those wounds are simply heralds for the inevitable death, which sounds relatively quick for him.

What were your RN responsibilities in the blood bank? What types of experience do you have that could relate to acute care. And what kind of acute care are you looking for?

Sometimes my patients or families want to film me when doing ostomy teaching or some wound care stuff. I guess not so much me but what I'm doing. But that's about it.

President Gerald R. Ford was the son of Leslie Lynch King and his wife Dorothy Ayer Gardner, who divorced soon after the birth of their only child. Their son was known as Leslie Lynch King, Jr., until his mother married Gerald R. Ford, Sr. in 1916, after which he went by the name Gerald R. Ford, Jr. https://www.fordlibrarymuseum.gov/avproj/hseries/1915.asp A pic from him at the University of Michicgan: https://www.fordlibrarymuseum.gov/avproj/hseries/um.asp

Your 6 years as a PCT will likely help a lot towards getting a new job. While not "nurse" skills, the skills you learned as a PCT are absolutely used by nurses. Some of the most important things you've already got down - patient care, and dealting with trouble patients. Your new grad training, if you go through a formal training, usually teaches most of "the basics" such as using needles and setting up IVs. You'll be trained on hospital policies and how to find them, medication administration, and how to make yourself comfortable while spending most of your shift documenting. Getting the interview is usually the hard part, and shows that they think you are qualified for the position. As for getting the job, chances are you'll get an offer unless you bomb the interview. Most places want an eager warm body. Just be an eager warm body. Make sure you have valid reasons for chosing new hospital instead of staying at old hospital. Make sure you know why you want to do ortho nursing. Figure out how that ortho nursing is going to make you the nurse you want to be. Think about the tedious stuff, like best day of work, worst day of work, worst interaction with patient, coworker, and boss. Lots of interviews are about the "soft skills".

There are many schools available that you can use to gain or bridge to an RN, but you will still be required to do clinical hours. You need about 400 clinical hours in your program to qualify to sit for the NCLEX.