muffins20

http://www.state.mn.us/portal/mn/jsp/content.do?rc_layout=bottom&subchannel=-536893594&programid=536913940&sc3=null&sc2=null&id=-536893080&agency=NursingBoard From the MN BON website, there's an Education tab that will bring you to the above linked page, then once you're there on the very bottom is a list of online websites providing CEU's.

Try your local friendly dermatologist clinic. I did a health promotion presentation in school on this topic and was able to find some samples from a skin care clinic. Also try asking the product company directly, not the stores, and maybe even ask other experienced nurses as they may have connections. Maybe even the makeup counter attendants at the mall may be able to help you out a bit.

While job searching I've seen straight days offered at assisted living facilities, clinics, home care, and at a LTAC facility. You never know, but I don't remember seeing any bedside nurses working straight days in the hospital I used to work at. Some have worked straight evenings or nights though, which may be easier for one's sleep schedule rather than rotating shifts.

I was actually just thinking about a song from Charlotte Gainsbourg about being in a MRI, called IRM (french abbreviation). And... Momma said there will be days like this...

Congratulations on the job!!

I worked with a lady who would always smile, "You're so beautiful," while reaching her hand up to try and touch my face... after she was done wiping herself. :uhoh21: I also worked with a man who was very demanding and whenever I said, "patience is of virtue," he would always reply, "not for men!" Another lady had a bedside plaque that said, "The queen sleeps here." After reading it she would proudly say something along the lines of, "It must be talking about me," or "that's right."

I actually just asked a career counselor about this situation the other day... the answer: Don't disclose the fact you're pregnant until you are offered the job. That way you can protect yourself from discrimination, AND you can help alleviate any of management's fears by promptly planning (preferably you should have plans in place at this point) what you plan to do when the time comes to take leave. Management is concerned about different things- how long you'll be gone, ordered bedrest if there's a complication and being short-staffed, and if you'll even return (some new mommies decide they want to stay at home), and what you'll do if the baby is sick- will you have a sitter? They can't legally ask you if you're pregnant during an interview- so you don't need to tell them/disqualify yourself. Best wishes.

My first thought was no due to lack of experience, but on second thought I really learned a lot from quite a few newer nurses at my old job (they weren't clinical instructors tho, just staff nurses). They really took the time to explain the diagnoses, treatments, procedures, charting, organization, and were very supportive. A few of them even had really strong leadership skills on top of the knowledge. Not too long ago they were new nurses themselves, and they could remember/teach what helped them learn the ropes. So it is possible it can be done well.

When I listened all I could hear was the vent pushing the air in. It kind of reminded me of watching a war movie and hearing rapid gunshots firing in the background. I couldn't really hear anything else besides that loud noise. Is it possible to hear regular or adventitious lung sounds when the vent is running? Does it just take practice? Any audio files online to listen to help become more familiar with this situation? The client also has the ability to frog-breathe for a little bit (diaphragm muscle has atrophied) and I listened to that while being off the vent and it sounded very faint to me, just like wisps of air, yet O2 sats are still good, is that expected or do I need to listen better? I plan on asking the client's longtime nurse about this but was wondering what any pulmonary nurses had to say. Thank you!

Well maybe the patient would actually appreciate you freshening up the room. Reassure them to something along the lines of; it's not their fault, they didn't do anything wrong, their body is just out of balance. Or you can be covert and help them wash up in the bathroom and spray the room while they're occupied.

Tzatziki sauce (cucumber and yogurt sauce) with warm, lightly salted and toasted pitas. It's also good as a veggie dip too. Cold pasta salad with Italian dressing, pepperjack cheese chunks, pepperoni, black olives, etc... Spinach dip in a Hawaiian bread bowl. Fresh salsa... or Tabouli Pizza!

You totally did the right thing. You put the patient's safety above your fears and that was the mature thing to do, and it shows that you have integrity compared to those other med passers who don't report their mistakes.

Yea, there is definitely a lot more to consider before taking this job. Thanks, you two for your input.

But as a home health RN, is this normal to take a case just to ensure certain treatments are done, like trach care and suction, and be there in case of vent failure. Don't I have a duty (as an RN) to monitor more of his overall health status to prevent negligence?

Well I have an interview for my first job. The client and an RN, are going to train me on the necessary skills I'll need to know to care for the client who lives with a chronic, degenerative condition. I feel hesitant that the main purpose of this position seems to be to monitor and ensure a proper airway. As a new RN, I want to protect my license, and I feel like there's a risk for negligence with that. So to minimize the risk I want to ask if there's anything I can do to protect myself or ask about during the interview. This is a whole new world to me. I feel like I need to assess and evaluate the respiratory system before and after the interventions, and document. I feel like I will also need to implement and document measures to prevent risk for infection and injury. And I feel like it'll be important to assess overall health status because of the degenerative condition. Is there anything I'm missing? The company should have Policies and Procedures to refer to, right? I'm not sure what to look for. Thank you