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Busia

Busia

Derm Nurse
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  1. Busia

    Vasovagal during procedure

    Thank you!
  2. Busia

    Vasovagal during procedure

    I tried again, and made it through. I did start feeling a little flushed around the same time, but was able to hold it together. Got a little confidence back, but I'll be on my toes from now on trying to catch it before something happens!
  3. I know there are a lot of stories about nurses passing out, but how common is it to also vomit? I'm not in the OR, but posting here because I think I'll get better response. The MD I work for does minor procedures in his office. I was observing a 20-30 minute procedure, he was just closing up, and with barely any warning I passed out and began vomiting. I was mortified! If I had only passed out, I think I would be ok, but seriously, vomiting out of control too? Does that happen? I had a headache and was a bit queasy the rest of the day and night, but I don't believe I was ill or anything. I have observed full blown surgeries before, and never really had a problem other than getting warm (which I frequently am). I'm so scared this will happen again. Is there any way I can determine what a trigger might be for me? I had eaten prior, I don't believe I was locking my knees, I wasn't too warm. How do I prevent this again if I don't know what caused it? When (if) I ever do start assisting with these procedures, I will be the only person besides the patient and the MD, so I can't exactly leave if I start feeling bad. I need to figure this out!
  4. Busia

    Manual vs electric lifts

    The nice thing for us is that every patient has their own lift (assisted living community). It stays right in their room. Hospice provides them, or they are rented through a 3rd party. We do have two that belong to the facility as well.
  5. Busia

    Manual vs electric lifts

    My issue is the amount of effort to operate the hand crank lifts- when my aids are hopping from room to room and sweating like pigs from all the lifts, watching them makes me fear for a thrown out back or shoulder, especially with obese patients. And for the patient- they are being jerked back and forth while staff is trying to crank the lift. On the ez stands sometimes it takes so long to crank it up, move them, and then back down that the patient is becoming more and more uncomfortable during the process. My biggest argument is with hispice, they don't want to provide the electric ones, even though I know they can. I want to be prepared with good reason when I put my foot down.
  6. Busia

    Manual vs electric lifts

    Does anyone have a resource that differentiates the pros and cons of each? I'm trying to rid my building of the hand crank type and would like something to support my argument that the battery operated ez stands and hoyers are better for patient AND staff. Thanks!!
  7. Busia

    Health and Welless Co-ordinator

    Yes, those are definite duties for a HWD at Brookdale. Along with MOD rotation, and assisting with marketing.
  8. Busia

    NON-medical homecare provided by LPN

    Thank you for the clarification! That was what I was thinking, but wanted another's input! Thanks!
  9. Hoping I can find some advice on a couple things on this forum. I am an LPN looking to provide non-medical supportive homecare services. NOT nursing services. I have been approached by a few potential clients, and one of the questions that keeps coming up is whether or not, legally, I can provide certain services that do not require a nurse to do if a family member can do it. Specifically simple dressing changes or lovenox injections after a person returns home from a hospital stay. These are things a person could do for themselves or a family member could do, but the patient is not comfortable doing it themselves, and there is no family available to do it for them. Would something like this be considered skilled, even though they can do it themselves or have family assist? Also, what other areas do I need to be careful to ensure I am not crossing over into skilled nursing services? These are the services I am wanting to provide: Appointment accompaniment Outings/shopping assistance Light housekeeping and laundry Meal preparation Medication reminders, assistance filling med planners (I don't believe I can fill for them, but I can guide the client to fill their own correctly) Walking/Exercise ADL assistance such as dressing, bathing, toileting Companionship Any advice or guidance is appreciated. There is a lot of info on the internet for started a medical home health service, but not so much to guide on a non-medical service. To be clear- I am not looking to start an agency or hire other people, this is strictly for myself to provide services. Thank you!
  10. I'm an LPN currently enrolled in an ADN bridge program. I'm having second thoughts about being back in school and becoming an RN, but I'm afraid if I don't do this there will be very limited job options for me in the future. As it is, in my area there aren't a lot of LPN positions to begin with other than nursing homes (where I currently work). I did have a clinic position but left when I decided to return to school so I could have fewer hours. (I also am a single mother of 3 kids). Anyway, I'm wondering if anyone has ever gone another route to further their education as an LPN rather than becoming an RN? What kind of options would there be? I have completed all of my general courses for the RN program, and have only completed one of the actual nursing courses for the bridge. I don't want all those generals to go to waste. Thanks!
  11. Hello! Can anyone tell me if there are any schools that offer CHA1 in the summer? Thanks!
  12. I am thinking of apply for an lpn position at a county jail. I have worked in a family practice clinic and nursing home, home health. I was thinking about applying for this same jail back when I first graduated, but didn't have the required experience that I now do. A position has opened up again and I'm just wondering what I could expect, what kinds of things does an lpn do in a jail setting? Thanks!
  13. Busia

    Nursing Home Blues

    You take your experience with you whether you use an employer as a reference or not. And honestly- the cattiness and backstabbing is pretty typical in nursing. It doesn't matter if you are in LTC, a hospital, a clinic... whenever you get a bunch of women working closely together, it's going to be that way. My advice to you is to work hard to gain that experience you need, and use this as an opportunity to work on your conflict handling skills. You will use those skills wherever you go in your career. As far as treating people badly after they give their two weeks- it happens everywhere in just about every line of work. That's not a nursing or facility-specific thing. Once an employer knows you are no longer vested and committed to their company, they just don't care about you anymore. Their interest is in finding your replacement, not making your last weeks pleasant. Keep reminding yourself of the experience you are gaining, and what's best for your residents, and you should be able to leave work proud of what you've accomplished that day whether it's a nice place to work or not.
  14. Busia

    Unit manager as first job?

    This is exactly how it worked at every LTC facility I've worked at and done clinicals at. Except there were usually 30-35 residents per nurse. Completely do-able after orientation.
  15. Most definitely!!! :)
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