Vtachy1

Vtachy1

BNAT instructor, ICU, Hospice,triage

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All Content by Vtachy1

  1. If you had to do it over again would you?

    Vtachy1 replied to Tally4970's topic in General Nursing

    No I don't think I would. The stress is killing me. You pretty much can't have a life outside of your job it

  2. Hospitals are cleaning house

    Vtachy1 posted a topic in General Nursing

    Its absolutely unbelievable lately. 3 nurses have been fired in my department. First they fired a full time nurse, then they fired our director, and Friday our supervisor was fired. I guess they...

  3. Selling your product

    Vtachy1 posted a topic in Hospice, Palliative

    I did my second info visit yesterday and family did not elect to go with Hospice. Or at least they said they wanted to think about it. I'm new at this, what do you tell people during info visits?...

  4. Night shift syndrome

    Vtachy1 replied to SweetsRN522's topic in Health, Stress Management

    I worked nights for 20 years and I LOVED it but the older I got, the more it started to affect me. I turned 40 and it all went downhill!!!! I visited my doc because I could not sleep more than 1...

  5. Port in the arm instead of the chest

    Vtachy1 posted a topic in General Nursing

    One of our nurses tried unsuccessfully to flush a port in a patient's arm. Is there a secret? We ordered EMLA cream to numb the area as it is very painful for this patient when it is flushed. So do...

  6. Port in the arm instead of the chest

    Vtachy1 replied to Vtachy1's topic in General Nursing

    I think when she said doctor, I took it to mean a surgeon instead of a radiologist. And gosh no, I'm saying that there has only been one nurse accessing it for the last 6 months since she has been on...

  7. Port in the arm instead of the chest

    Vtachy1 replied to Vtachy1's topic in General Nursing

    A radiologist inserted this "passport" patient told me that a doctor didn't have to place this kind of port in the arm it could be a radiologist, under guided radiology. I'm thinking it was placed...

  8. Port in the arm instead of the chest

    Vtachy1 replied to Vtachy1's topic in General Nursing

    She couldn't access the port at all. Its the accessing that we had trouble with and that was so painful. So what technique do you use? Hold the port real steady and tight with your fingers? What...

  9. NO LUNCH? NO BREAKS? Is that common in nursing?

    Vtachy1 replied to CleveRN2008's topic in General Nursing

    I can count on one hand the number of lunch breaks I have had in the last 20 years of being a nurse. Every job I've ever worked has been like this (med/surg, ICU, a nurse for a general surgeon,...

  10. So is counseling worth the price?

    Vtachy1 posted a topic in Health, Stress Management

    How did it help you? Is it worth it? My problem is anxiety. Cannot decompress to sleep or

  11. If people could see what we see don't you think they'd see things so differently?

    Vtachy1 posted a topic in General Nursing

    http://zocalopublicsquare.org/thepublicsquare/2011/11/30/how-doctors-die/read/nexus/ If people saw the suffering and the pain that so many treatments like chemo and stem cell transplants cause long...

  12. ALF

    Vtachy1 posted a topic in Geriatric, LTC

    Our local ALF would not accept our patient because he has a foley catheter. Is this the

  13. ALF

    Vtachy1 replied to Vtachy1's topic in Geriatric, LTC

    He's a hospice patient so they would have access to us,

  14. ALF

    Vtachy1 replied to Vtachy1's topic in Geriatric, LTC

    That's the thing, I would take care of it and even see him daily if that's what they want. We are in charge of replacing it. This patient does not switch to a leg bag he keeps it to the big bag all...

  15. ALF

    Vtachy1 replied to Vtachy1's topic in Geriatric, LTC

  16. Long term foley use

    Vtachy1 posted a topic in General Nursing

    How long have you seen a foley stay in a patient? I know they aren't meant for long term use, but in a dying patient it is there for comfort reasons and skin breakdown issues. He has had the foley...

  17. Long term foley use

    Vtachy1 replied to Vtachy1's topic in General Nursing

    I had another patient that had his foley for 10 years. I inquired to the wife if he'd ever had bladder spasms in the past. Yes he had. She said that what helped was irrigating with distilled water....

  18. Insomnia

    Vtachy1 posted a topic in Health, Stress Management

    I recently (about 3 months ago switched to a day shift job) trying to cure my insomnia and also following the advice of my family doc. We checked my thyroid, it was normal. He put me on elavil and...

  19. Insomnia

    Vtachy1 replied to Vtachy1's topic in Health, Stress Management

    I did pretty good for a while, now I am back to my old habits! I quit taking the elavil because I thought it was making me gain weight. Not sure though, it could also be the fact that I am not...

  20. How to Deal with Panic Attacks?

    Vtachy1 replied to cbrite's topic in Health, Stress Management

    I like Archibald Hart books on anxiety. How are you doing now? I have had only one panic attack about a year ago. So I'm no expert but I do suffer from tons of anxiety. I'm like a pressure cooker...

  21. My patient did not get seen.

    Vtachy1 posted a topic in Hospice, Palliative

    I talked to a friend at church that is a nurse at the assisted living that my patient was staying at and desperately needed a visit on Friday. I do not know why the patient was not seen! I took...

  22. My patient did not get seen.

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    So would you call your co-worker and find out why she didn't go see this patient? Or should I call and ask my sup, if I did something wrong when I called on Wednesday to make this patient a daily...

  23. My patient did not get seen.

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    No I think you have misunderstood. The ALF nurse was awesome and actually did our job! She is my friend and she spent 4 hours with this patient and their family on Friday night. She went way above...

  24. Assited Living: The new skilled care

    Vtachy1 replied to NJayne17's topic in Geriatric, LTC

    I know right?!?!? I saw this article and I said "you know, you can put lipstick on a pig and its still a pig" I see the trend too!...

  25. Odors

    Vtachy1 posted a topic in Hospice, Palliative

    I have heard that you can put topical antibiotics to help with horrific odors from decubitus ulcers that are necrotic. What about foul odor from urine? Can you do anything like this to help?...