merlee

merlee

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All Content by merlee

  1. I just don't get it. When I started dialysis nursing in 1981, there were a variety of modalities available. I believe that MDs set the standard and the MDs who are strong enough to leave their ego...
  2. Oy. There is nothing new under the sun, as far as nursing education goes. There is no real nursing shortage these days. There are few positions on the 'net, and far fewer print ads than ever before....
  3. Walking vented patients

    If I am ever desperately ill, I want everyone to keep in mind that I SLEEP IN A RECLINER, and can tolerate side-lying positions for maybe an hour-and-a-half. Maybe. Keep me in a high-fowler's...
  4. OB nursing...I just don't get it.

    No matter where you think you'll end up, or what you think you like at first, all the body systems are inter-related. Inevitably, you go into ICU and you end up with a 5-month pregnant lady post-...
  5. Wow. So sorry. Get a
  6. ascultating the lungs of a female patient

    To Nerdtonurse - - I often use a thin (old) washcloth under each breast, and sometimes under my panniculum, in the summer, to prevent yeast infections. The skin-on-skin contact is sweaty and...
  7. ascultating the lungs of a female patient

    A very simple "I need to listen to your lungs, can we loosen your gown?" is appropriate. And posterior is usually easier to hear most areas. And should be practical in most cases. I had a LUL...
  8. Caseload of 70 active patients

    Find out what the avg is in your agency. Is this home health, or
  9. Forced ultrasounds

    Another way to diminish women. Right up there with limited access to contraception. What could women possibly know about their own health-care needs? Laws made by men who govern women. When men...
  10. Third attempt

    Please PLEASE stop putting your email adresses in these posts. That's what private messaging is for. And pony up for your own review
  11. Tell them that you will need 4 weeks full-time orientation so that you will be safe to take call. And that you will not be able to do your MDS role while you are orienting. And did they want a...
  12. Forced to be in charge before I'm ready.

    Many years ago, I had a class on the balloon pump, and was reassured that I would have 2-3 shifts of hands-on orientation before I would be 'allowed' to do this on my own. THE NEXT NIGHT, I came into...
  13. Older, overweight, and drug addicted patients

    I am already getting 'old'. And I am somewhat overweight - but not morbidly. No drugs yet! So be kind to me when I am admitted to your
  14. The Mockery of Nursing

    1. Do you deserve to be a nurse? 2. Are you truly stupid? Then, no. 3. Start over, please. Because you need more education. And I have a very low tolerance for whining. No matter who you are. A...
  15. When I worked in Acute Dialysis, the chief of the unit told the new docs, the interns, the residents, the fellows, to listen to the nurses - the nurses know what they are doing. If they question...
  16. Scared and need advice

    In 34 years I cannot remember ever getting anything from a patient. And the nurses who were sick from something usually brought it in with them! Before blood was tested for everything, a nurse I...
  17. What is the secret to getting along with custody?

    Bribe them. They are many who are corrupt. Sad to say this, but it is
  18. If the meeting is mandatory, it should start no later than 30min after your shift ends, and DECENT food, not just coffee and doughnuts, should be provided. Also, you should be getting paid for your...
  19. Lost two kids yesterday

    I wish there was a way I could reach through and hug you. My very first job out of nursing school in 1974 was in Neonatal ICU. I remember when I participated in those first codes, especially the...
  20. I agree with Crunch. Although it is illegal you will be setting yourself up for a very bad time at work. When I see a doc these days (for my own healthcare needs) I frequently ask the person taking...
  21. School nurse practitioner

    I worked briefly as a school nurse - it can be very stressful, and, in general, the pay is very poor. Most nurses do it so they can have the same calendar as their kids. If there is anything really...
  22. Scared to DEATH

    Stop studying. Put your books away. You know all you can at this time. Quit trying to cram more into your brain. Take some time for relaxation. Do something diversionary - movies, a concert, ice...
  23. How to Determine Whether a LTC / SNF is Well Run

    My grandmother spent the last few years of her life in an LTC, and our biggest complaint was the amount of her clothing that 'disappeared'. Despite having her last name printed in large letters...
  24. Nursing math class questions

    Please take the time to inquire at the collge. See if you can make an appt w/someone there. And all the AP classes you can take will help you in the long run. Best
  25. Wording for a resignation letter?

    "Thank you for the opportunity to work at XXX, it has been an educational and worthwhile experience for me. Please accept my resignation effective x/y/z/. Yours truly,