stressednurse

stressednurse

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All Content by stressednurse

  1. I Don't Think So!

    Wow, guess I am lucky where I work. I did work agency for a while though and was put in uncomfortable situations as far as staffing in the past. The state of PA requires a minimum hours of care per patient in a 24 hour period (HPPD). This is calcu...
  2. 7 Days On/7 Days Off- Love It or Hate It?

    My first nursing job was 7on/7off, I worked 6 hours Monday-Friday, 12 on Sat and Sun. Then had 7 off, got paid for 40 and had full time benefits that was in 1992, I have suggested simular scheduling where I work. We have just started a weekend prog...
  3. Babies uneccessary death!!

    I cant seem to access this site with the mothers statement. Please offer a link. Thank you.
  4. Overuse of opiates?? Opinions?

    OK add LTC to this pain management dilemma. 105# 72yo wears 175mcg Demerol patches changed Q48hr. Takes PRN perc q4hr and klonopin TID. Usually seen dozing in her wheelchair, when awake she is on the call light for more meds. The narcotic use has...
  5. Does anyone double-glove?

    Yes I double glove for suppositories and suctioning and usually dressing changes. If the procedure takes more than 5 minutes I usually reglove. In my opinion everyone has everything imagined and things we don't know about. Gloves are cheap.
  6. What do you do and how long have you done it?

    Paramedic for 4 years while I went to nursing school. 1 year in med/surg then ICU/CCU in a 12 bed unit that did fresh open hearts (this facility also did sex change operations and I got pulled to that area occasionally). After 2 years of that I wen...
  7. Advice re. Demanding Resident

    Good luck with passing boards. When you do and a nurse aid says that a patient cannot have a BM and has passed very small balls of BM multiple times....please intervene and give the patient something to assist with this before that patient starts t...
  8. Ethical dilemma -- new nurse

    My orientation to ICU/CCU after almost a year of Med-surg was under the direction of the nastiest nurse (Bonnie) ever put in control of newbies to ICU. I quietly listened to her demeaning comments and not allowing me to do much of anything as "I was...
  9. Does This Place Exist?

    Yes I work in a facility that has really good communication between docs and nurses and respiratory staff and the nurse aids too. But cover your eyes as I work in a Specialty Care Center, yes what most people call a nursing home. Far from my first...
  10. Accident Scenes: Do You Always Offer Assistance?

    I was a paramedic prior to becoming a nurse. I also worked as a flight nurse and have my Pre-hospital RN certification. I stop if it looks like no one knows what to do or if it looks like someone is doing something unsafe. Otherwise I leave it up ...
  11. What was your secret weapon for surviving nursing school??

    I went to nursing school so I could support my kids when I divorced my ex-husband. That kept me going, working another job and pregnant with the third child during first year of school. My marriage wasn't going anywhere and after 3 years of trying ...
  12. Staff Safety & Facility Policies

    Where I work we would need a designated person to make all those calls to the authorities. Patients and family members seem to think that abusing the nursing staff will help to heal the patients.
  13. Understanding Alzheimer's

    They reach us from their world, those that understand that are so awesome.
  14. Doctor in your next life?

    Maybe a Veterinarian, but not a people doc.
  15. Black nurses VS. White nurses

    New vs Old
  16. Friend DNRed from nursing home by CNA.

    Humm, I work long term care. Big facility and we have dementia and subacute along with rehab covers 9 units....a total of 325 beds. And as a staff nurse and supervisor, I can honestly say we don't put up with this kinda crap. Administration puts a...
  17. refusal of an additional admission- overwhelmed

    As a nursing supervisor in PA, I have assessed that an admission would not be in the best interest of the patient due to staffing. That has only happened twice. I did have to get the DON and or the ADON to agree with me though. Both patients were ...
  18. Skin Care Products

    I work in a facility with a wide variety of geriatric patients. LTC, dementia, sub-acute, rehab, behavior. We use A&D ointment on all as a protective barrier. For stage I and excoriations we use Xenaderm ointment. For Stage II with the need f...
  19. Read this and Weep....

    Come to pennsylvania and find Mars PA north of pittsburgh. One of the finest specialty care facilites in the state resides there. St Johns specialty care center and I am proud to work there. All the nasty stuff said about long term care centers is...
  20. MRA 3 weeks after stroke? Why not sooner?

    He is your dad, go visit him. Talk to him and then go home. You will sleep better and dont get into an arguement with anyone. Smile and nod your head a lot.
  21. Job Title??

    You would be a wonderful social worker. Or a nurse for that matter, but your interest in helping families in the dilemma, social worker would be best but it is a masters degree.
  22. 90% of time. Some days I stay cuz someone else is gonna be late. I am able to get my work done before I leave most of the time.
  23. Medication Aides

    In personal care and assisted living nurse aids and care givers can administer medications. Depending on the situation, you may adminster medications from a prepared cup or from a bubble pack.
  24. Do I have the right to refuse CPR?

    To clarify the above post, too many years of seeing ICU, CCU, ER, telemetry, post op, med surg and now rehab and long term care to even want to be there. Please, it is my time to end life let me do this....dont do CPR.
  25. Do I have the right to refuse CPR?

    I am gonna have DNR tattoed on my chest just to make it obvious.