All Content by bunsterj
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Student's hygiene?
This reminds me of several situations I was involved in. 1)1st or 2nd grade girl, not too bright. I was asked to see her about a bad odor; she had a general dirty smell with a fecal/urine odor as well as unwashed hair smell. I wanted to speak to Mom. She came in to see the principal later that week for an unrelated issue. The problem was apparent, as Mom smelled worse than her daughter and left a long lasting residual smell in the principal's office. 2.) Was speaking to a high school girl about assisting her younger siblings with lice removal (they all lived with Grandma, who had other children in the home.) She revealed--no vacuum cleaner, no washer/dryer, no money for laundromat, water heater didn't work. Laundry was done by hand in the tub with cold water. Bathing was done with cold water at the sink, or infrequently in the shower if they could stand it. 3.) Two jr. high siblings had bad hygiene and dirty clothing--including animal waste on the clothes. DFS was brought into the situation. Their single mom had some cognitive impairment and no support system. DFS got someone to do an initial clean-up of the house. A contract was set up with Mom for various things including what nights the children were to shower on. You just don't know what you are dealing with when you have a smelly kid.
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Price of Patient Satisfaction
Way back in 1982, during my new grad orientation, "the suits" came in during the early days. They welcomed us to the family, went over the history of the hospital, and other things I do not remember. One thing I do remember though, was when they told us that doctors and patients bring in money, and nurses cost the hospital money. If there was a problem, guess who they were siding with? It was cold, but through the years it was the truth.
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essential tremor
I have ET. My GP gave me one med for it, but the dose was not adequate. I went to a neurologist, who checked me out---neuro exam, EEG, MRI, I don't remember what else. Now I am on two different meds, have been on three in the past. I avoid caffeine, decongestants, getting over tired, and muscle fatigue. Not presently working, so haven't had to draw blood. Have found that for similar tasks, that bracing my dominant hand/arm on a stable surface helps.
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ALL nights or day/night MIX shift to pick? HELP! need to reply to recruiter!
- Is this normal?
When I was in nursing school, the hospital that we did clinicals in gave the postpartum moms little self dosing drug packs with unit dose vitamins, Tylenol, and Colace. It was in a Zip-lock bag along with a card to "sign out" their meds.- anyone traveled to kuwait?
I'm thinking 2600 USD/month is not a correct figure, because that is not a high salary.- Nursing students required to have health insurance?
Although it has been 30+ years since I attended, I went to my college's web site and checked their current catalog, and for almost if not all of their clinical courses it states that "individual transportation is required". At least in my day we only needed a car for community health, for our other clinicals, they loaded us up on buses.- At what point are employers asking TMI?
I have my own insurance through a different(government, as a matter of fact) plan, and likely won't be using an employer's plan with the exception of dental...would I therefore be able to decline all of the probing questions?- Nursing students required to have health insurance?
When I was in nursing school, a car was required for my community health clinical. I was turned down for for the usual financial aid I was receiving at that time (A BEOG, now known as a PELL grant), for that school year. I copied that page from my catalog that stated a had to have a car as well as prices for some other items I was required to have beyond the usual books...liability insurance, insurance for the car, uniform, shoes, stethoscope, as well as the miles I would have to drive each week ...the clinical took place in a town 60 miles away from the college--resubmitted it all and received an SEOG instead. It never hurts to ask.- Blood transfusions??? just say no...
i used to work with a jw nurse, and she didn't have a problem with her patients receiving blood...her attitude was it was their choice. i also used to work with an aide that didn't want to have anything to do with blood (our aids used to pick up our blood for us) ...including getting a quick temp. i don't think you need to change careers as some have suggested, and i bet if you look around there is probably a group of jehovah's witnesses nurses. as others have suggested, discuss this with your pastor, but i often find that one leader will say one thing and another will say something else. you have to decide what in your heart (with a trusted adviser's guidance) is the correct action for you. it is my understanding that your primary problem is the actual spiking and hanging of the bag of blood/blood products. as an rn, that is an easy and non time-consuming task and i would gladly swap you that for a simple dressing change, etc. if you let me know about it at the beginning of our shift or as soon as you know about it.- Relocating to Minot, ND
Taking an RN job at Trinity seems appealing, but from what I can see rental housing is slim pickens, and finding a place that would accept me and my cat is out of the question. Am I looking in the wrong areas?...Craigslist, different rental; websites, etc. It seems that most of the rentals are tied up with oil crews all they up to more than an hour away. Any suggestions on dealing with this? I'm willing to pack up my snow shovel and go, but I need a place to do to.- Spouses/Visitors In Patient's Beds
I never had a problem with it, but the topic did remind me of a certain situation. I had two young guys who both had had eye surgery...I can't recall what, I think one was a scleral buckle and the other was something retinal. It was some years ago, so they both got to spend a few days inpatient post op. Both were doing well, up to the bathroom on their own, could sit up, probably were going home the next morning. They both had girtlfriends in visiting and both were cuddling very innocently with their girlfriends in their respective beds watching TV. All looked very innocent to me. The eye surgeon came in (they had the same one) came in and had a fit. Ordered both girls off the beds and gave anyone within earshot a lecture about no canoodling of any sort after his eye surgeries because arousal could cause the pupils to dilate, and whatever surgery these fellows had needed the pupils to stay constricted during recovery. He seriously felt that the girlfriend sitting next to the guy was too much.- RN Refresher Programs in Virginia
I took the GMU course in January of 2009. I thought it was a good review of med-surg info. We did our clinicals on the weekends at INOVA Fairoaks, but I think they might be doing them at INOVA Fairfax now. I think most of the people from my group that actively persued employment eventually found it. We "graduated" at one of the worst possible times. Sadly, I have not found a job...yet. I think being in a class with a group of people that are in the same boat as you is helpful, I don't think you would get that with NVCC. We also received a lot of encouragement and support from our instructor and each other.- The Washington Hospital Center RN Residency program February 2011
- Washington Hospital Center Residency February 2011 COHORT
- Civilian Nurses at Walter Reed Army Medical Center
I am not a civilian nurse at Walter Redd, but there is information about civilian opportunities here: Welcome to the Walter Reed Army Medical Check the top right column of the page. Walter Reed is closing in about 400 days, and services will be split between Naval Hospital Bethesda, and DeWitt at Ft. Belvior which is in the process of building a new hospital. I've been a patient there, and think it would be an excellent place to work. The staffing was good on the unit I was on (a general post surgical unit). My nurse, the floor supervisor, and the interns and docs were all great. I've also been to several of their clinics, and the staff did not seem overwhelmed. If I lived closer, I would definitely want to work there.- pt pass out after IM ceftriaxone inj
My 18 yr. old son did this with a PPD skin test...not sure what the deal was as he has had plenty of injections, and has also donated blood without incident. He said "the bubble freaked (him) out." He had a bit of seizure type activity when he went down, less than 5 seconds. No one seemed concerned by that. I haven't had fainters do that--is it normal?- Cough - send home?
I guess I was incorrect in assuming that the cough was as a result or a cold or the flu. If that didn't seem to be the case, I would let the parents know.- Are cardiology Stethoscopes harder to uses?
I had a similar stethoscope when I first started in nursing. The one shown might be a bit lighter due to PVC vs. latex tubing, but mine was heavy...I would have liked to have kept it draped over my neck, as that's what I did in those days, but about halfway into the shift, I would get a bit swoony from it pressing on my carotids. It was too bulky to keep in a pocket (once again the PVC version might not be that way). I ended up getting a much cheaper, sleeker, and lighter model that I could easily coil up and slip into my pocket. Beware that stethoscopes can disappear in a moment if left at the desk, on the cart outside of an isolation room, etc.. Sometimes it might be actual theft, but our docs would sometimes just grab a scope laying about to check someone and walk off with it, perhaps leaving it on a different unit. Make sure it is labeled and engraved if you can. I believe a jeweler can engrave them for you.- Menstrual talks, tampons/pads the only option?
There is also the Diva Cup which is made of silicone as well.- Cough - send home?
If they were afebrile, not coughing up something ugly, and not coughing to the point of emesis I gave them some water and the coughing into elbow and hand washing lecture and sent them back to class. This usually didn't sit well with the sending teachers, who commonly felt that the child should go home, take some cough syrup so they will "get better", or go to the doctor for "some antibiotics." I repeatedly reinforced that antibiotics do not help colds or other viruses, cough syrup and other cold products do not cure colds..and likely don't help a cough any better than water, and that students cannot stay home for as long as they are coughing as it could last for a few weeks. I reinforce that everyone should wash/sanitize their hands frequently and keep their hands away from their mouth/nose/eyes. Every year the same teachers send students to the office with a note of "John needs to go home, he is coughing," or "John is coughing, he needs a cough drop"--we did not stock any over the counter meds, and John would need a note from his physician for any cough drops he might bring in, and would have to stay in the office while it dissolved. Never utilized a face mask.- Do RN's need special training to read PPD tests?
I used to give and read them all of the time. Many years ago, My doctor's office used to give you the test, then send you home with an embossed post card to return after you read your own test...the embossing represented different types of reaction, you circled the image that corresponded with "My test site looks like this."- Um, problem....
Are you talking Mag Citrate, or Golytely? If it is Mag Citrate, have you iced it or tried the other flavor? We used to drop a NG or feeding tube in, confirm with x-ray, and administer it that way. Beware though, you are going to have a huge mess. Please post what worked for you.- CAAN Academy of Nursing LPN Program in Matteson, IL
Coalition Of African American Nurses - Richton Park, Illinois (IL) | Company Profile This site has a phone number, perhaps it is different than the one you have. It also indicates that it has three employees...I don't know the date of the report. Illinois has a list of nursing schools, it is listed there; it is the only one without a web address. Have you looked into Prairie state or Joliet Junior College?- Are there any jobs available for new grad RNs in AZ???
Thanks for responding. I just figured that I wasn't looking correctly. - Is this normal?