notanumber

Latest Activity

1. Raising them right.

   notanumber posted a topic in Patient, Colleague Relations

   I like working with new nurses, generally, because we learn alot from each othee and I get a chance to help them mature into competent, confident professionals. But. What do you do with a young...

2. Sliding up bariatric residents

   notanumber posted a topic in Geriatric, LTC

   This is a difficult one, apparently. Bariatric res, never leaves the bed, doesn't tolerate bed laid flat or feet elevated very high, doesn't like slider sheets because they slide down too much...

3. Are there any certifications for LPNs?

   notanumber replied to HawaiianDreams's topic in LPN, LVN Corner

   What sort of certifications are you looking for? I have Advanced Foot Care, Palliative Care (LEAP Core through Pallium), and am going for Advanced Wound

4. LTC Wound Care Kit

   notanumber replied to notanumber's topic in Geriatric, LTC

   I mean a carry-kit or tray that has basic wound care supplies ready to go, to be brought to the resident room for treatment. It's help to have certain things ready due to time constraints, but all...

5. LTC Wound Care Kit

   notanumber posted a topic in Geriatric, LTC

   Hi all, myself and another LPN will be working on overhauling our wound care strategies. Managers would like us to start asap to get better continuity, although we will further certified in Advanced...

6. Nitrospray Questioning

   notanumber replied to notanumber's topic in Patient Medications

   I understand you are not bashing, you are educating and advising and I appreciate it. I've been in the field for several years and have never (to my knowledge) made an error like this where a...

7. Nitrospray Questioning

   notanumber replied to notanumber's topic in Patient Medications

   We don't have a set protocol for nitro (due to the side effects) and it is rarely administered, so the rx is specific to the patient and usually a one time only order. Yes, I made an error in...

8. Nitrospray Questioning

   notanumber replied to notanumber's topic in Patient Medications

   Three together. I explained that point to the NMs as well and they both agreed that it may have been an appropriate order and I followed it correctly as stated. The typical protocol is one, wait five...

9. Nitrospray Questioning

   notanumber posted a topic in Patient Medications

   Situation - resident with cardiac hx presents with severe chest pain, altered heart rhythm (which may or may not have been chronic) and mild hypertension. Dr gives telephone order - "give him three...

10. Klazomania in Dementia

    notanumber replied to notanumber's topic in Psychiatric

    I can only say that it is the term that best fits the symptom. We are short on geri-psychs and neurologists (well, all MDs, really) in this area and the one in charge of this case isn't particularly...

11. Come On People, How Stupid Are You??

    notanumber replied to CapeCodMermaid's topic in Geriatric, LTC

    That is painful. More than one? Excrutiating. I've had some "what, really?" moments with some nurses, but nothing like

12. Klazomania in Dementia

    notanumber posted a topic in Psychiatric

    Wasn't sure whether this topic should be in neuro, geri, or psych, so apologies if this sounds misplaced. Does anyone have information on compulsive screaming in adults with either neuro or psych dx...

13. What do you do during down time?

    notanumber replied to Orion81RN's topic in Private Duty

    If she has an iPad, look through some apps designed for young children and/or developmentally disabled, especially those that provide direct cause-effect interaction (e.g. press a button, make a sound...

14. Patient Fell and Got up?

    notanumber replied to princesspunch's topic in Patient Safety Issues

    At our facility, transfer to acute care is dependent on approval of a physician (with some judgment-based exceptions, e.g. traumatic amputation or code on someone who is not a DNR), and the decision...

15. Tylenol for 10/10 pain?

    notanumber replied to notanumber's topic in Patient Medications

    Monitored for not quite two hours with no change in symptoms, then saw some improvement, and further repositioning resolved it almost completely. Still very painful on lying->sitting->standing....