Do_Good

I purchase all supplies for a hospice house. We have many Aspira kits and only 3 - 1L bottles of Pleurx kits. We tried connecting an Aspira to a Pleurx but that doesn't seem to work. Does anyone know of a connector so we can use the Aspira?

So many have negatively commented on my previous post. I refuse to lash out but respond with facts. Here are but a few of the researched articles and statements that have contributed to my view. https://www.ismp.org/sites/default/files/attachments/2022-04/20220407_0.pdf https://www.aacn.org/newsroom/aacns-statement-on-the-conviction-of-radonda-vaught?sc_camp=418004B3328440E7AADEFF086157BE4E https://www.midwife.org/statement-radonda-vaught-conviction#:~:text=There are processes and procedures,individual providers like RaDonda Vaught. https://www.wsna.org/news/2022/joint-statement-on-the-conviction-of-radonda-vaught https://www.oncnursingnews.com/view/ana-tna-release-statement-on-radonda-vaught-conviction

I agree! She is helping by educating others. I've added an article that describes what she talks about. Also another by NIH about the incident I've made medication administration errors twice and thankfully without fatality. I reported both times and received instruction from the provider. How many nurses in this community have made errors. One of my instructors in nursing school said she made an error and her patient died. She didn't get fired or lose her license. She spoke at all staff meetings about it... https://www.medpagetoday.com/special-reports/features/109178 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724400/ She works for an organization which probably set her fee which other organizations are willing to pay. I have made medication errors twice. (without fatal consequences). How many in this community have?

Thanks for what your wrote! You are right on. I've been a hospice RN for years and am compassionate and caring. I worked hard for my license and wouldn't want to jeopardize it in any way. I also wouldn't want any harm to come to my patients. Another poster mentioned that essential oils should not be taken orally. Other articles I've found say they are OK. Since this is controversial I'd rather err on the side of safety and agree with you when you said, "I wouldn't want any harm done." My BON was of very little help. In our state they don't put out opines and instead leave it up to each facility. Very different from the state in which I initially licensed. I ended up speaking with my boss about my concerns.

Hi , I work at a hospice house. We have and IAC aromatherapy nurse who brings in different "blends" for us to use. Recently we received this email.... There is a new aromatherapy blend to try for hiccups called Hiccup Helper. It comes in a small squeeze bottle like the Mouth Gel. The directions are to place one drop on a clean or gloved finger and touch it to the roof of the mouth. you could squeeze one drop into a medicine cup to take into the patient's room. ....... Because this is new, we will heavily rely on your feedback! I wonder if this is ethical. I think this is experimenting on patients. Also, no literature about side effects is given or ingredient list. I wrote to my BON and they replied , in part, with this.... We are unable to advise on setting specific or client/patient specific practice questions I was hoping the BON would give me something I could go to my boss with. What would you do? Note: I also posted this in the hospice section but noticed that they don't have many replies......

Hi , I work at a hospice house. We have and IAC aromatherapy nurse who brings in different "blends" for us to use. Recently we received this email.... There is a new aromatherapy blend to try for hiccups called Hiccup Helper. It comes in a small squeeze bottle like the Mouth Gel. The directions are to place one drop on a clean or gloved finger and touch it to the roof of the mouth. you could squeeze one drop into a medicine cup to take into the patient's room. ....... Because this is new, we will heavily rely on your feedback! I wonder if this is ethical. I think this is experimenting on patients. Also, no literature about side effects is given or ingredient list. I wrote to my BON and they replied , in part, with this.... We are unable to advise on setting specific or client/patient specific practice questions I was hoping the BON would give me something I could go to my boss with. What would you do?

"it's about me and my practice" Excellent!! That's exactly how I feel too. Although I'd feel this way no matter where I worked. But, behind the wall, it really brings it home especially when I take care of an inmate hospice patient. They are people who can't have their loved ones come and visit them on a daily basis while they are dying. Rubbing their sore back, placing a cool cloth on their forehead, reading a book aloud (if I have time) are all things a family member might do. It's not how I am with any other inmate because I know these guys aren't trying to get anything. I'm a Christian and it's the only time I can really let my light shine.

I think this is great. However, at our local hospital DNR wishes are suspended during surgeries. The only reason I can think of is that the surgeon doesn't want that on his statistics. Also, usually DNR orders are reviewed prior to surgeries. This must have been an emergency right?

8 months ago our new DON mandated SOAP notes. We were recently told that part of our yearly review will include chart reviews of our notes. I don't believe this type of note fits every situation. Does anyone else have to write SOAP notes?

Wow...."north of $170???" combined??? But your take home is more than his? You are paid well. In what state do you work? I'm in the northeast. Cost of living is high. I make $60K without OT and I've been a nurse for 5 years.

I have been in a mens' correctional facility for 3 years. I constantly hear other nurses making judgements about an inmate because as one of them put it today, "they are always out for secondary gain." As a result, inmates whom may have real medical issues sometimes get swept aside because of it. I work hard to be firm, fair, and consistent. I don't want what someone else says or what I'm "supposed to be like" cloud my critical thinking and assessment of a patient. That is not to say that there are some guys who come to sick call and all they want is to get away from their unit, or have a break for the COs or their blockmates, or just to be treated kindly and they have nothing wrong...but a good assessment will tease that out. I'd like your thoughts. Am I being naive?

I'm an RN working in a state prison system. I'm very interested in getting my certification in wound care which would benefit the prison system as a whole. We have patients who go to a wound clinic at a local hospital and they come back with wet to dry dressing changes BID with no necrotic tissue involved.....8 hours of heating back up to wound healing temperature never mind the substandard care of wet to dry..... Wondering if anyone out there may have done a proposal or can give me ideas about the benefits of having a certified wound care RN on staff. thanks for any help you can be....

Thanks for the tip about taking off the rubber tabs. I work in a facility with minimal equipment and we have to work with what we have. I had looked for a simple mask but couldn't find one.

That was me....ADON hired with promise of training hahaha....didn't happen. That's why I posted all that I did.

I used a non re-breather mask with 5L O2 with a Pt who was mottled, RR 28-32, O2Sat 88. I couldn't find a regular mask and my thought was that he was mouth breathing so a canula wouldn't have done much good. Did I use the right O2 delivery system or should I have used the canula?