focusedvalpn

Well to each his own but I love them I have 5. Two on my wrist that no one has notice yet (4 months and counting) because of the watch and bracelet I always wear. My tatts mean things to ME I am a nurse because it means something to me to help people when they can't help themselves. I know people judge others but honestly people judge you on your clothes, car, hair, teeth, education, and etc. I can't control that so I don't worry if someone doesn't like my faith and serenity wrist tatts written in my hand not my issue. I've worked on the floor and in management and my tatts have not limited me. Now that being said I wouldn't go and tattoo my face but really you have one life be a blessing and live your life like you see fit. Someone is always going to have something to say one way or another.

"Look at me how do you think it went! My hair was straight, combed, my clothes were clean, oh and I I'm glad I did stop to urinate BEFORE I came here. They're sleep, fed, breathing and pain free have fun! " counts cart and walks off. Calls back " oh I typed report ....sorry it was crazy today" 12 hours from the 3rd realm of hell is all I can say luckily I did type report and my coworker was my regular.

Not medical advice my experience is what I'm sharing. I had something similar this year. I have never been positive on a ppd but I've had a lot over the years bc some facilities here won't use another facility ppd and I don't want to go to the hospital or wait for xray for hrs to come. Anyway I have developed an allergy/ to the ppd. I noticed this last time I had one. I had redness, crazy itching, and was swollen about the ez of a big lemon it looked like a spider bite very soft though. I Had to take benadryl but just do what the other poster said and do the cxr saves a lot of headaches. Ended up with a cxr and a new allergy listing from my md

Have u gone to the NC forum to see if anyone can help? I don't know where u are but here in VA u can take the iv classes and you can look into taking the class online to see if that will help you. Ask the NC nurses and check with the bon too

Because it is what is best for them and they get to say they did have the meetings you just didn't show when they find something wrong even when it wasn't covered of course

Be overly honest! I feel like if it doesn't make sense then it doesn't make sense. Oh and if you ask me to do the impossible and you ask if I can do it ummm I'm gonna say no or not now or not today but I'll get it done but I get the face. Working on controling my facial expressions even when I try if I'm pved it shows.... Oh I'm trying not tell people they are doing incredibly stupid things that they are are killing me or making my job hard I've offered to help but when my pt keeps getting skin tears I educate, say to come ask for help if they need it) or giving them that look ..... I promise my coworkers love me I'm not a pain but a work in progress they know me and laugh at me when the don looks at me like u really just said u can't stand on your head, put in a foley, and start 6 ivs, and start the feeding in the room I just left with the bottles there.... She just wanted to make sure I knew it was 30min before I ran out .. really is all I could say??? Oh and I'm tryin to tame my sarcasm

Psych consult for the xanax if you feel like that is not managing the issue in ltc u usually have that standing order. But if not notified the md of your concerns and let him/her know that u have a pt that u feel anxiety and pain meds are not seeming to control the problems and your observation r/t pain, meds, n comments and ur thoughts of abuse. Reminded them that he is a new admit so u may or may not have the total hx so ask the pt to fill in. Then let them know u would like a psych n pain management consults to help identify other issues. We all know depression causes/ exasperates pain so he may have some pain. But I'd let my in md know what I am noticing never just stop his meds if he has had prolonged use he needs to be weaned off. Ltc is very tricky for pain I had a man taking 50mg lyrica tid, 1mg ativan tid , 20mg oxycodone tid, 5mg ambien q hs all at one time plus percocet 10mg n ativan 1 mg prn q6. He told family he was in pain but told staff she was depressed n just wanted to get her high to get away. We reported it his md dc'd meds to bid n no prn and he got mad and changed md kept requesting to be sent out bc of chest pain. When the er md wouldn't give the meds he wanted and the new said no he and his family called state n he got them. Then when he went to .being so high he couldn't remember if he had stuff or care bc by know he all the old stuff plus fentyl patch 75. His family was mad bc she called them confused all times of the night. they dc'd the patch. This was a person who had documented manipulating behaviors but because he said he had pain he had pain. I think he did honestly have pain but the meds really did provide his with an escape. All we can do is provide the pt, md, rp, a nd administration with the information and document document document. I even refused to give the meds when he was out of it and was reported but bc I documented that he was out of it it saved me from state bc I had another nurse n supervisor document each time always at least one witness.

I've never tried this brand but I have flat feet n I pronate. Needless to say I can go through shoes like no bodies business and I love timberland hiking boots. The style I use is Men's Chocorua Trail w/Gore-Tex membrane it runs $130 on their site but in stores u can catch them on sale for less I paid $79. I've been using these for about 12 yrs I used to work in a speciality shoe store in hs and fell in love with them. I can stand on the cement floors we have in nursing for 16 hrs and get off and do it again with no worries and I have done 40 hrs of ot plenty of times in these. No swollen feet, aching feet or back, or burning calves. In these I can work my shift put on a 4.5 inch heels and not die the next day from my feet hurting in my work shoe the heel towards the end of the night is a different story lol. I have worn the same pair for 3 yrs b4 I replaced them. Granted I did try other shoes during but they were a waste of money and ended up being given away so I cut the total 4yrs to 3yrs. Plus they are waterproof aka urine/vomit proof, easy to clean, great for snow n mud, and they last and feel sooo good. And despite the look they are not heavy to me anyway the cloggs feel heavier.Another shoe is the Nike shox they are good and cost from 80-130 depending on where u get them. but they hurt my feet after a while but friends who don't pronate while walking had no problems. I know u asked for a certain brand but I have had no luck with "nursing shoe brands" thought is share what I know.

47000 salary no weekends day shift 7-4p m-f. took a pay cut for it though but if I have to come in and work about 32/hr for those hrs (time and a half) needles to say I don't work OT much. Was making 24hrly 3-11 ltc with every other weekend working short and stressed out no breaks

But don't forget the cost of living there. I know when I was looking to move there I found great paying jobs but the rent was outrageous in some areas then there were places similar to what I pay here in VA but less space. I know ladies there who are cna's and they made $17+/hr but when the came here they made 13-14/hr. But again they are paid well but cost of living needs to be accounted for where ever you go.

FYI for those who wanted an update I got the job put in my two weeks I'm so pumped!!

document behaviors, psych consult, notify MD, low bed, and floor mats. i had a resident like this and i told the um and don and they had to just tell him that a fall is any UNINTENTIONAL change of position so if you put your self out of bed they dont have to send you out to the hospital for no injuries and if you continue to do so we will make safe accommodations if that is where you would like to be. now of course we sent him out but it did work for a long while then we just reiterated when he starts up and comes back to the facility on the same meds. also send him to the same hospital after a while they will recognize him and catch on that always helps and call in report to them. my resident would crawl feet first onto the floor mats and lay there or crawl out in the hallway. and then say im grown i can do what i want to do then cuss us out to pic him up off the floor.

but when it comes to vac time i take what i want when i want but i do give notice ahead so im first in line. like now i have my vac for jan and may in and approved because i was first in line

i kinda skimmed through this kinda long so sorry if this is not that helpful, but if you and your friends wedding is next year put the request in now. then six months from the first date remind your don about it. That's what i did for my wedding despite the fact it didnt happen because of the hurricane when had here i was the first to put in the time so i had it off if i needed and i was able to reschedule with time off. but if at six and the time leading to it they cant find someone to fill that spot then you have your alternative. Plus the sooner you let then know exactly what you need the sooner the can hire more prn closer to the date to cover you and you have less chance of scheduling stopping you or making compromise. i find that if you are dependable and are a team player the more they will compromise with you.

yup when i'm gone i dont need them might as well keep doing what i've been doing and help someone else feel better:hug: