Peetz BSN

As labor nurses, do you consider pain as part of your reasoning for increasing Pitocin?

I took that program and all of the education was with her. Seems it was re-branded. Still a very good program.

Hahahah. yup. Basically study all meds, ya never now.

I worked in LTC/SNF for almost two years, as an RN I did it all, including push meds. The most common were colase ( everyone was on that, regardless) Norco, Insulin, blood pressure meds ( brush up on them all) omeprazole, many different chronic pain ...

You could get in the door of the hospital you want then work your way to that unit. Get some med/surg nursing under you and get to know the staff, then make your move. May start with an On-call position while you work your regular unit then wait for ...

Sure sounds like the mother is the one that needs medical help. Glad the boy is not suffering with Cancer.

First, you have to ask yourself, why is it stinky? Necrosis? Infection? Yeast? That needs to be treated first. Debridement, different antibiotics, anti-fungal cream. Dankins is good but you can only use it for a short period of time. If the odor con...

I have two different signatures, one for work and one for "other" stuff. My last name is long so I write it out during work for legibility purposes and of course that includes the RN and on formal letters to Docs and what not it is RN, BSN. On banks ...

Most is EMT work I would imagine. I am comfortable with the requirements but not sure if EMT work in in my scope? Any advice would be great. Also, they asked an LPN to do the same thing, I am really unsure of what is in the scope of an LPN. I was t...

I am starting an online Intro to Statistics class on the 27th. I have the Stats for Dummies book with work book, so far I like it. But really such at math, so am a little scared of this class. I have heard many stories, very few are on the positive s...

I work in a SNF, going on a bit over a year now. I shake my head often at things that I would never do yet are being done by other RN's and LPN's. I understand that things are different in the world of long term care but some things just seem not oka...

or to re-negotiate my wage? I work in a SNF and just found out they hired an LPN,( I am an RN half way done with my BSN) at the same wage I make. Not sure how to feel about that, but this LPN quit without notice after a few weeks, we are stuck withou...

The short answers is NO. The control of when a person evacuates the bowels is driven by the colon muscles and sphincters inside the rectum, therefore there is no contraction control over muscle movement in the areas where the stoma is located. The fi...

I work in LTC/RH and we are having to deal with family of a resident over a wound. There is talk of lawyers, suits and what not. I found out that the documentation for this "wound" was poor if at all. There was a signature that another nurse has pre...

A large part of me knows that but the new nurse in me is very naive regarding the outcomes of these things and have yet to come to terms with the fact that she simply is a lousy nurse and should not be taking care of people. I feel bad, but then I...

We had a med aide who charted they gave meds to a person after they died. I called her on it and she admitted to charting ahead.

There is a treatment for one patient that I know is not being done because I asked the patient. She is A&O x4 so I trust what she says. The treatment is not a life sustaining treatment but still being signed for and NOT being done, and this part...

This is the same indecent that started the dating and initialing of bandages. I found a bandage that had a smiley face on it, one I did a few days prior yet it was marked in the treatment book it had been changed. If things like this are done one t...

My charting is not in question in this matter. We date and time all briefs and all wound dressings are supposed to be dated and initialed.

This is about proper pt care. I am a strong advocate for education before discipline and feel a strong dose of re-education is what this rn needs most. I know there is documentation of treatments that have not been done. I feel she does this to mak...

I am the other day shift charge nurse. It was the family that was using the words like lawyer, suit and neglect repeatedly during their visit. I am only on shift a few days a week due to my schedule at school , I am half way through my BSN. I unders...

I am going to say, first stop ASKING her to do her job. Remind her of her duties when there are discharges and things happening outside of the normal routine. Insubordination is a fire-able offense in most areas of nursing, but if no one reports it o...

Oh, and I have gotten in the habit of saying " here is your ... ( and saying the name of the medication)." And telling them about a new medication the first time I give it. It is said that teaching a person something helps you retain 90% of the info...

Welcome to long term care. I doesn't get any better. What will get better is your ability to deal with situations like that. Your abilities to prioritize , work with what little you have, multitask and you will get a rock solid, crash course in medic...

Not true. I work in a SNF and our meds are given out by a CMA. If anything is to change in SNF's and LTC facilities it will be due to our voices changing regulations and finding new ways for patients to fund the stay. Until then, it is what it is. We...