blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Is this really how it is?

    blondy2061h replied to Stella_Blue's topic in General Nursing

    Most med surg units in this area are staffed 1:8. Our step down unit is 1:4. I can't imagine you're going to have much luck pushing for a 1:6 ratio in rehab. Push for consistent, good

  2. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Just another thought. It sounds like if this child is running near 250 daily, he overall isn't getting enough insulin. If we can remember our pathophysiology days briefly, insulin is what allows...

  3. IV chemo while in transit?

    blondy2061h replied to VANBMTRN's topic in Oncology

    Send with cytotoxic chemo bag over the drug hanging on the pole so anyone seeing them knows it's chemo. They get sent with a brief transport/report sheet that has the unit contact info on it and we...

  4. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Plenty of patients with type 1 diabetes have fine management without supplemental Amylin/Symlin. It certainly sounds like this child has some room for improvement in his control. It sounds like he's...

  5. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Right, patients still have a right to autonomy, provided they can competently understand the effects of their decisions. In the case of a minor, the parent has the right to make autonomous decisions...

  6. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    I use Humalog in an insulin pump. I take 1 unit of Humalog per 13 grams of carbohydrate eaten. I consider the Humalog to take about 4 hours to have its full effect on my blood glucose. 1 unit of...

  7. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Insulin is the devil? Good Lord! I'd be dead if not for that! So would you, even if yours is naturally made. Well controlled diabetes is not a sad

  8. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Yes, and those are good recommendations there. Except the lots of fruit. Most of that will spike people's blood sugar quickly. Lean proteins, healthy fats, lots of green veggies, complex

  9. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Here again. Most patients on a diabetic unit are going to have type 2 diabetes, where carb restricted diets are a common part of treatment. Fun fact: ADA developed the exchange system, but never...

  10. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    It's kind of the whole judgemental attitude toward the family the OP had, calling them neglectful and abisive, and overall lack of knowledge of how type 1 DM is treated that's the issue here, which is...

  11. Memory supplements for Students

    blondy2061h replied to peters824's topic in General Nursing

    Post sense unusual not conceivable unintelligent ramblings lunatic less supplement study more this help you may form coherent sentence life skill excellent to have that it

  12. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Not being able to directly speak with the parents has got to be INCREDIBLY

  13. hiding piercing holes?

    blondy2061h replied to blah_blah_blah's topic in General Nursing

    I think your best bet is a clear stud. It will still be visible, but not super noticeable, and they'll appreciate your efforts to appear

  14. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    it does sound like there is room for improvement in the diet, not so much from a diabetes point of view, but even just from a general health and nutrition point of

  15. Nursing School Vs Med School, no comparison

    blondy2061h replied to MedStudentNotRN's topic in Diploma, ADN, BSN

    I remember one time when rounding with the physicians the I was trying to tell my point of view on the patient. The resident was countering my every point and seemed irritated that I was daring to...

  16. Nursing School Vs Med School, no comparison

    blondy2061h replied to MedStudentNotRN's topic in Diploma, ADN, BSN

    In a word, no. I don't even compare my 7 years of post-high school education to that. I only need to go to some of the physician level CME offerings at my facility to understand

  17. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    And if not that, alternatively, "Are you low? Do you need to eat? You look low!" I'm just tired dammit from staying up late to finish that assignment! Me too. It truly does seem your intentions...

  18. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    Immediately after diagnosis of type 1 diabetes it is common for the pancreas to still make some insulin. This is referred to as the "honeymoon period." Blood sugars run lowish during this time and...

  19. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    What about conferring with, oh, I don't know? The parents! Ultimately they have the say in what is being done for their child. If you feel they are grossly mismanaging his care, contact the treating...

  20. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    You said in the first post the child was already getting insulin because their blood sugar was high. Now you're saying they are only to get insulin when eating? Which is it? A 30gm snack is...

  21. suspended for doing the right thing...

    blondy2061h replied to farmernurse26's topic in Patient, Colleague Relations

    I have type 1 diabetes. Current recommendations for type 1 management are to "carb count" and cover with insulin, providing a normal, unrestricted diet and allowing the child to participate in...

  22. For AAA patients

    blondy2061h replied to Sam. W's topic in General Nursing

    A truly ruptured AAA will only take minutes to cause death. Having generous pain medication orders in someone who is dying and wants natural death allowed is a good idea,

  23. Which was more stressful: nursing school or actually working as a RN?

    blondy2061h replied to fatrabbit's topic in General Nursing

    Actually working as an RN, but at least I get paid for that, vs having to pay for the

  24. painless injection?

    blondy2061h replied to IHeartPeds87's topic in General Nursing

    Hospitals are never going to pay for something that costs $2 more per shot. Especially when the same effect can be achieved cheaply- with ice. Books geared for diabetics recommend keeping a spoon in...

  25. Unique Cna

    blondy2061h replied to Boomer434's topic in General Nursing

    My initial thought is it's good he's telling patients he's a CNA and not pretending to be anything else. At one year into a nursing program he's barely even touched on nursing classes. There's nothing...