allele

allele LPN

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All Content by allele

  1. CVN certification....

    Is there anyone out there with CVN certification? I'm interested in obtaining it, but having a difficult time getting some questions answered. I wrote accn twice and they haven't answered me. Do...
  2. I LOVE Community Health

    That's great! I actually work in the same type of center....it provides care of anyone regardless of ability to pay, includes prenatal, primary care, pediatric care, dental services as well as a...
  3. I guess it depends on your situation. Five 8s may be great for a parent, etc. I did 12s for 9 years before going into homecare, I started with five 8s (and every fourth weekend), I couldn't stand...
  4. Laptop use in Home Health

    Our agency uses laptops, also with McKesson. I LOVE it!! I don't even carry scrap paper anymore, if I have to right a quick note I just type it quickly into the clinical note area so I don't forget...
  5. Ahh! Huge mistake

    I know the type of IV administration tool you're using and it really does hold very little air in the tubing (actually, the type we use comes pre-primed, don't even have to worry about air!), and it's...
  6. 44 year-old woman with DVT dies of PE--- ???

    I have to agree with everyone, not your fault! I work homecare, by the way, people are sent home nowadays on lovenox until coumadin is therapeutic, both people with DVT and with PE. While I was at...
  7. administering corvert

    We used to, but stopped a few years ago, it just didn't work that often. I usually kept a Lifepak hooked up so I could watch the rhythm myself in the room with the patient and stayed with the patient...
  8. Giving Vitamin K IV

    We gave it a handful of times in the unit I used to work on, I'd say out of 5 times giving it two patient's had an anaphylactic reaction, the pharmacy always gave us a hard time about it because they...
  9. How to remove staples and use steri strips

    Every facility has their own policy, but I usually take out every other staple, if the incision looks "iffy" at that point I'll apply the steris where I removed the staples and request the rest of the...
  10. Pleural Catheters

    Not sure how it works for private insurance, but if they're medicare we're required to supply them with everything they need, until they're discharged. Then we help set them up to have them delivered...
  11. How many patients prefer no scrubs

    I've never had anyone ask me to wear street clothes, but I have been asked why I prefer scrubs. I simply tell them they are more comfortable for the bending, stretching, etc. that I need to do in...
  12. You're in a tough situation! I did work full time and go to RN school, but I was a CNA and my job at that time allowed me to work two back to back double shifts...so I worked from 3pm Friday...
  13. Hemostats

    When I worked cardiac surgical we used them to clamp chest tubes (when ordered, of course!), I had to use them once when a patient ripped his chest tube apart at the joint....I clamped until we got...
  14. First Contaminated Needlestick

    First of all, I'm glad the testing came back negative!! I have stuck myself with a contaminated needle before. It was the end of my shift and I was in a hurry and broke one of my own rules. Safety...
  15. 10 months vs 3.5 years??????

    I don't know a lot about these programs, but I do know someone who chose a 10 month sonography course over a 2 year (she already had a bachelors in another area)...sounded great, BUT she had to find...
  16. mileage issue/home health issues

    Our agency gives us whatever the IRS allows, we were getting the max of 50 1/2 cents per mile, and the IRS raised it to 58 1/2 cents per mile from July 1 to January 1, just got the notice. We don't...
  17. What do you eat while on the road?

    I just started HH nursing in March and this was my biggest fear!! I still give in to fast food, but luckily only once every 2-3 weeks or so. Otherwise, I'll make a healthy sandwich some days,...
  18. The same has happened to mine, I tend not to take care of it well, but they last a few years. Do you have Littmann? If you do, you can send it back to the company, they'll refurbish it for you,...
  19. Nursing survival kit

    Hi folks! I was just wondering if any of the nurses out there can give me any ideas on a little gift I have planned. I've been precepting a wonderful student for her senior year internship and...
  20. Nursing survival kit

    Thanks Agnes Anne!! There are some great ideas in there!! How could I have NOT thought of lotion??!!! lol Thanks again!!!
  21. What nursing "invention" would make you famous?

    I just want some machine that can create more hours in a day......I need 'em!!
  22. Do You Get Off Duty On Time?

    :yeahthat: I don't have kids to get to school either or any bus to catch, but that person who is always late has absolutely no respect for you or your time, and that's what would irk me! I can't...
  23. TLC removal,....what the highest,..

    Our policy states to put the HOB all the way down, unless the patient just can't tolerate it, then we put it down as far as possible. I usually keep it up around 5 degrees or so, just a touch,...
  24. Pulling epidurals

    Sorry I didn't answer sooner, I just got this. Yes, we can bolus astromorph in the state of NH. It was actually just reviewed by the BON because some nurses were doing it at certain hospitals while...
  25. Living situation

    I used to work nights and living at my parents was a bit noisy. I could hear footsteps above me, traffic on the road, birds in the trees (OH, how I HATED those birds!), etc. My sister bought me a...