Always_Learning BSN, RN

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All Content by Always_Learning

  1. Always_Learning

    Feeling Drawn to Palliative and EOL Care

    Always_Learning replied to JimmyDurham9's topic in Hospice, Palliative

    If you work in labor and delivery, you might also consider getting some additional training on perinatal loss. There is some great information out there on grief, loss, and palliative care specific to...
  2. Always_Learning

    Best tips for blood draw on elderly

    Always_Learning replied to Kitty Hawk's topic in Hospice, Palliative

    I prefer to use a butterfly for all of my draws...your mileage may vary. My best tip for drawing blood from an elderly patient is to maintain traction on the skin. Typically, an older individual will...
  3. Always_Learning

    conscious pt terminal wean

    Always_Learning replied to taylynnfree's topic in MICU, SICU

    I wanted to add a few thoughts to the discussion... First, "terminal weans" and/or hospice care are NOT euthanasia. The line is difficult for those outside the field to see, but for starters, you can...
  4. Always_Learning

    How to not feel embarrassed or dumb when you dont know a skill?

    Always_Learning replied to HeatherGurl84's topic in First Year After Licensure

    There is no shame in saying you haven't done something before. In fact, asking questions is essential to being a safe nurse. However, when dealing with patients, I like to say, "let me find out for...
  5. Always_Learning

    Hoping I didn't ruin my shot

    Always_Learning replied to beeker's topic in General Nursing

    Honestly, it happens more than you think...particularly if you are working in a hospital for the first time or working in a new area. There are all sorts of bugs floating around that you're not used...
  6. Always_Learning

    A Nursing Perspective of "Being Eaten":The "Eater" Nurse to the "Eaten" Nurse

    Always_Learning replied to The_Optimist's topic in General Nursing

    This made me
  7. Always_Learning

    A Nursing Perspective of "Being Eaten":The "Eater" Nurse to the "Eaten" Nurse

    Always_Learning replied to The_Optimist's topic in General Nursing

    A Limerick for the (Delicious) Know-It-All New Nurse So you think your preceptor a hack, for harping on skills that you lack. When your patient is dyin' Please don't come a-cryin' When you don't know...
  8. Always_Learning

    Words of wisdom/advice for new hospice nurse?

    Always_Learning replied to mama2's topic in Hospice, Palliative

    Some of the best advice given to me was, "In Hospice, the 'patient' is anyone you encounter behind that door." You have to get out of the mindset of caring for just the patient, because in Hospice,...
  9. Always_Learning

    4580 starting Fall, first 5 weeks....

    Always_Learning replied to momofseven's topic in Ohio University

    I'm in. This is my last one, thank
  10. Always_Learning

    What do you do when Work calls on your day off?

    Always_Learning replied to Joe V's topic in Nursing Humor

    "Ksssh.....kssssh.....uh.....bad reception here.....can't
  11. Always_Learning

    Help! I don't "get" vents!!!

    Always_Learning replied to Penelope_Pitstop's topic in MICU, SICU

    Go here...index and click on "Vents and ABGs." This site was always my best friend; in fact, I purchased it in book form. It's easy to read and even humorous.
  12. Always_Learning

    "I don't want an admit..."

    Always_Learning replied to MessyMomma's topic in Patient, Colleague Relations

    I don't think I ever squawked too much about getting an admission; somebody's gotta do it. Some admits are easy, some are complex. I help others when I can; they help me when they can. Some charge...
  13. Always_Learning

    What can I do to prepare for a hospice job?

    Always_Learning replied to Elle23's topic in Hospice, Palliative

    Only slightly off topic...at least in my area, there are pediatric Hospice organizations in conjunction with local children's hospitals. That's something you might think about (and be uniquely...
  14. Always_Learning

    Case Study: Solve A Neurologic Mystery

    Always_Learning replied to Corey Narry's topic in Critical Care

    Ehhh...Serotonin
  15. Always_Learning

    Facebook while on the clock?

    Always_Learning replied to maureen924's topic in Nursing Professionalism

    I've always wondered if updating Facebook while on the clock could be called into play if a legal situation arose. For instance, patient dies (unrelated to care issues), but family is angry, says care...
  16. Always_Learning

    First Year Almost Over, No Magical "Ah ha" Moment Yet

    Always_Learning replied to babysteps25's topic in First Year After Licensure

    Hilarious, and oh-so-true...I used to have the market cornered on
  17. Always_Learning

    how to ask patient for pain scale score correctly?

    Always_Learning replied to 7feetunder's topic in Emergency

    I'm not sure why you or the patient would feel uneasy about assigning a pain rating, but if so, you can always educate the patient on the purpose behind pain ratings: they enable us to tell if...
  18. Always_Learning

    I really dislike Blackboard...

    Always_Learning posted a topic in Ohio University

    Sorry to gripe, but I do. This is the first class I have taken in Blackboard, and it's annoying how much time I am spending hunting for things. It's not that I was necessarily in love with EPIC, but...
  19. Always_Learning

    I really dislike Blackboard...

    Always_Learning replied to Always_Learning's topic in Ohio University

    Yeah, these were just my general observations/musings, and I really only thought that OU students would reply, so it's interesting to hear from other folks whose schools use Blackboard well. It's a...
  20. Always_Learning

    I really dislike Blackboard...

    Always_Learning replied to Always_Learning's topic in Ohio University

    All righty, then...
  21. Always_Learning

    Sedation in ICU... your opinions/ experiences?

    Always_Learning replied to IheartICUnursing's topic in MICU, SICU

    We use propofol and fentanyl routinely, and Precedex alternatively and for weaning. However, studies have shown there are some adverse effects from longer-term propofol use. (I'm in class right now,...
  22. Always_Learning

    Ohio University RN-to-BSN Program

    Always_Learning replied to chuckster's topic in Ohio University

    My course is up on Blackboard as of
  23. Always_Learning

    Funny & Cute Things Our Demented Patients Say

    Always_Learning replied to TheCommuter's topic in Geriatric, LTC

    Hilarious.
  24. Always_Learning

    ACLS

    Always_Learning replied to NurseyPoo7's topic in Patient Safety Issues

    Without ACLS certification, I would think that you could not give them without an order (e.g., in a code situation, before an MD arrives to give a direct order). If the doc is there to give the order,...
  25. Always_Learning

    are you for real??

    Always_Learning replied to K+MgSO4's topic in General Nursing

    Yes, because Valium is the treatment of choice for a