CharmedJ7

CharmedJ7

Member

  • Content

    193

  • Visitors

    5,104

  • Followers

    0

  • Likes

    10

All Content by CharmedJ7

  1. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    BMI is a screening tool, like a lot of other things. Just because it isn't all-encompassing and perfect doesn't make it useless. High AND low BMI are statistically associated with increased...

  2. Disrespectful, Lazy CNAs who bully

    CharmedJ7 replied to NurseyPoo7's topic in General Nursing

    I'm curious as to what the nurse:CNA ratio is for you guys? Delegation is tricky on my floor because at best we have 3 techs on the floor for 30 beds, so 1 tech assigned to 2+ nurses (and often it's...

  3. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    I think the genetics issue is overstated (I'm assuming that "within your control" is implying that a large portion of a given person's weight problem is genetic) in the case of obesity....

  4. The Washington Hospital Center RN Residency program February 2011

    CharmedJ7 replied to DivaT's topic in General Nursing

    Don't know how much of this has already been figured out by people, but thought I'd offer a bit of information if anyone still has questions. I started the new grad program back in July and I came...

  5. RN to NP

    CharmedJ7 replied to EDrunnerRN's topic in Nurse Practitioners, NP

    I think you'll find no one will give you a magic formula because really, there is no "right" answer. I think in part it depends what kind of NP you want to be - undoubtably those wanting to work...

  6. Torn between Nursing and Medicine

    CharmedJ7 replied to Loux's topic in Nursing Career

    CCL RN, I'm wondering what you are currently and/or plan on doing if you are frustrated at the bedside and do not wish to go further in nursing? Incidentally, I agree with you, or, I face the same...

  7. To get the flu shot, or not to get the flu shot...

    CharmedJ7 replied to jordansnapp's topic in General Nursing

    Fair enough :) . My point was that it isn't ALWAYS optional, as in, at some schools, hospitals, clinics, etc., that choice will not be available to you. Both at my nursing school and my hospital...

  8. Silicone NGT

    CharmedJ7 posted a topic in General Nursing

    I work on a GI surgery floor and we use a lot of NGTs. I hear a lot of debate though about whether silicone NGTs are preferred over the stiffer plastic ones. On the pro-silicone side, I've heard...

  9. To get the flu shot, or not to get the flu shot...

    CharmedJ7 replied to jordansnapp's topic in General Nursing

    A lot has already been said, but I wanted to point out to the few people who've said that no one can force you to take the flu shot, that is incorrect. We have at will employment in the US, an...

  10. Silicone NGT

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Interesting. So given that we predominantly use them on my floor for gastric decompression/suctioning r/t intractable vomiting, the large bore (stiffer) tubes probably are

  11. Caring for the Chart or the Patient?

    CharmedJ7 replied to Brian's topic in General Nursing

    Charting is kind of a pain in the butt, no question. I know the 'fill in the blank' assessment so well now I can write one up in about 5 minutes, about a minute for fall risk assessment, 1 for...

  12. Torn between Nursing and Medicine

    CharmedJ7 replied to Loux's topic in Nursing Career

  13. Moist Gauze dressings?

    CharmedJ7 posted a topic in General Nursing

    Hi all, I searched and didn't come up with much on this topic, so please point me in the right direction if this is redundant. Can someone please explain/provide evidence on moist gauze dressings?...

  14. opinions about 1 year "2nd degree" BSN nursing programs

    CharmedJ7 replied to pghfoxfan's topic in General Nursing

    I went to an 11-month program for second degree students. It was a lot of time, about 30 hrs a week between class and clinical and then you studied on top of it. We had 2 8-hr clinicals per week,...

  15. Moist Gauze dressings?

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Hmm... I guess I'm even more confused than I thought then. Basically, on a lot of wet-to-dry threads people have mentioned "moist gauze" dressings and I've seen it in the literature as what MDs...

  16. Thoughts on patients and pain?

    CharmedJ7 replied to TheOracle's topic in General Nursing

    I work inpatient (surgical onc) and I see this sort of attitude a lot. I have seen so many nurses who say "that pt is such a drug seeker" or get annoyed when someone asks for pain meds q4 on the dot...

  17. Things about your workplace that make it nice to be there

    CharmedJ7 replied to cerendipity, rn's topic in General Nursing

    I think one of the biggest things is self-scheduling. I'm not sure yet how well it works on my floor, but schedule issues are a big source of stress for me and the farther in advance I know mine and...

  18. a question about post-op temp and incentive spirometry

    CharmedJ7 replied to BB8789's topic in General Nursing

    This is an interesting explanation. Although of course deep breathing decreases the risk of atelectasis and pneumonia, it doesn't quite follow that the beginning of an infectious process is what...

  19. glycemic control

    CharmedJ7 replied to nursebettykay's topic in General Nursing

    I did a pretty thorough lit review a few weeks ago on sliding scale insulin and inpatient management of diabetes. I'm sry I don't have the links handy, but if you go to pubmed or ovid and do a search...

  20. lantus dosages

    CharmedJ7 replied to maelstrom143's topic in General Nursing

    I don't necessarily think sliding scale adjustment (I presume ssc = sliding scale coverage?) is the answer here, although it may be part of it. Is this lady getting prandial insulin as well? SSI is...

  21. lantus dosages

    CharmedJ7 replied to maelstrom143's topic in General Nursing

    The typical dosing of total daily insulin for an obese pt is 0.6 units/kg/day, so for a 300 lb pt, I'd think they'd start @ about 40 lantus then about 15 or so aspart with meals. That said, that's a...

  22. Steps of a wet to dry dressing

    CharmedJ7 replied to oxyjen's topic in Wound, Ostomy, Continence

    This is such a frustrating issue for me at work. Wtd dressing bid and tid is just about all I see (I work on a surgical floor) and often it just seems downright cruel/irresponsible to follow that...

  23. Wet-to-dry dressing question

    CharmedJ7 posted a topic in General Nursing

    Hi all, I had a pt the other day whose dressing orders bugged me and I want to see if anyone has some insight. I was desperate to get the wound care team to consult on him, but most of when I had him...

  24. Wet-to-dry dressing question

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Precisely, it does, which is potentially what you want if the wtd dressing order was inappropriate in the first place. But I think I'd only do it as a temporary stay until I could talk to the primary...

  25. Wet-to-dry dressing question

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    In this case it was night shift so the primary team wasn't around and night floats rarely-never make shifts on things of that nature, nor do they, in most cases, have the expertise to do so. It's one...