smk1 LPN

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All Content by smk1

  1. I'm not assuming that you are all idiots. Performing basic tasks is one thing, interpreting EKG's and and approving prescription refills opens up an entire house full of worms, not just a can. If...
  2. smk1

    If you have read Nursing Against the Odds

    I know! I was reading it between sales and left it on my fold up table and came back and it was gone. I looked and looked, but finally realized someone must have taken it because it was nowhere to...
  3. smk1

    If you have read Nursing Against the Odds

    I read most of it and then my copy was stolen at my garage sale this summer. (I really need to get on amazon and get another). It had many thought provoking issues. I think it definitely makes some...
  4. smk1

    NA's not professionals

    You were not the person whom I was referring to when I wrote that someone was putting down the education and knowledge that a nurse has. You have no need to "challenge" me to find negative posts from...
  5. smk1

    NA's not professionals

    A physician has a COMPLETELY different job than a nurse. The tasks are almost completely different. A CNA is doing some of the tasks of a nurse. Therein lies the difference. A nursing assistant is...
  6. smk1

    NA's not professionals

    No one is saying that CNA work is not taxing physically and that you aren't busy as a CNA. But you know what, I feel pretty comfortable saying that the vast majority of nurses could do the job of a...
  7. He is slightly acidic ph 7.33. The bicarb is to bring the ph up a bit. I don't think the concern with bringing down the potasssium is warranted because the patient is on the high side of normal....
  8. smk1

    NA's not professionals

    How can a job that takes a portion of the workload from someone else be deemed just as "hard" as the job of the person who is still held responsible for the totality of the work that they do as well...
  9. Cooperate and graduate. If you choose to say anything, make sure it won't put a bullseye on your back. Everything you do in nursing school follows you from term to term, and teacher to teacher....
  10. smk1

    Would You do the same thing I did?

    So educate us then. (not being disingenous, I reallywant to know!). A teenager with a severe headache and a fever of 104.2 and nausea/vomiting with what sounds like a sudden onset (it was around 3...
  11. smk1

    NA's not professionals

  12. smk1

    Would You do the same thing I did?

    I probably would have called 911. Maybe it would piss off the medics and ER staff, but if my kid has a temp of 104.2 with N/V and a severe headache and I can't get to him, 911 seems appropriate. He...
  13. Texas is a big state. What may hold true in the DFW area may not be true of El paso or Houston. I've heard many great things about certain areas of Texas and terrible things about others. This is...
  14. smk1

    Ineffective tissue Perfusion: GI

    Maybe, but only if you have further data to back that leap up. Is the patient passing gas?, how are the bowel tones? If no flatus is happening and bowel tones are hypoactive of absent I would be...
  15. He is at risk for skin breakdown so skin integrity could work, disuse
  16. smk1

    Patient's Demanding Family *Vent*

    Adult people can understand someone saying that they are not allowed to do something on the job. Most adults would understand if a nurse says "I'm sorry, I can't cut that cast off, I have to get the...
  17. Areas where you will encounter little in the way of clean up duties: School nursing (though it is possible), clinics, out patient mental health settings (though you will have to deal with a vast...
  18. It is possible that I might burn out fairly quickly if cleaning up poop/vomit/pee were 75% or more of my job all day everyday with little else mixed in. Probably not going to be the case though. In...
  19. It is hard to say because you didn't say what the patient's medical issue is but I like your top two if they are actual and not going to be risk for dx. I would put gas/airway issues first though...
  20. ADN seior year you start with 3 (primary care no CNA) then when you move up to 4, if the unit utilizes CNA's they would still work your patients so it is more of a team
  21. smk1

    Schizophrenia

    non-compliance (regarding medication usage) risk for self directed violence (if you have evidence to back this
  22. smk1

    Spouses scheduling conflict

    Helping out is fine, but I can't expect management to make sure I have the correct schedule to go my daughter's recitals, games, practices, parties, holidays etc... deciding when and how to attend...
  23. smk1

    What do you think about people calling you "honey"?

    depends on the context and age of the person. I once saw a nurse at an assisted living calling all of the CNA's "girls". She is about 40 and some of the CNA's are 50-60's. Seemed very inappropriate...
  24. smk1

    sign-on bounus payout

    NICE! nurses usually don't make this kind of money let alone RT's so I am very excited for