onedayitllbeme

onedayitllbeme

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All Content by onedayitllbeme

  1. Considering entering into nursing through a direct entry CNL Masters Program. Do you know of CNL's at your place of work? My plan would be to start my career as a Staff nurse and from there decide when and if I would want to start working in a CNL ...
  2. Getting your coworkers help : teamwork

    Hi all, i have been working in home care/hospice for about 1 year. Sometimes at a patient's house I realize I need help. Maybe I just am not having luck with foley insertion or want second opinion on wound. I usually call my peeps and I know if they ...
  3. Do you have a territory?

    Hi Home Health nurses. Can you share if your home health agency assigns nurses a territory and if you know of any software programs are used to decide which nurse new patients that come on will be assigned to? The process where I work is so manual. ...
  4. Charting until midnight?

    It really is what you make it and what the requirements are. A visit note according to auditors should be in within 48 hours. With self discipline and a reasonable caseload and territory you should only have to chart 15 min per patient though our adm...
  5. Hospice EMR

    We use iPads for consolo also. Through the website
  6. Female vs male patients

    No preference , I just usually prefer not to have middle age . I like over 65 the best
  7. What nursing task do you loathe???

    I don't like wound care on huge necrotic wounds, also tap water enemas are a big mess especially on patients that can't hold any tap water. But honestly if I had more time and wasn't always working on the next round of meds I definitely enjoy doing t...
  8. So I kind of messed up

    I would wait it out, see if your school is worried about it. If they bring it up I guess I would explain the situation and hope for the best.
  9. Nurse recruiter at Atlantic Health

    Just a method I use, I can usually find names of recruiters for hospitals on LinkedIn . I dont normally contact them but I might if I applied for a position online and wanted to "follow up"
  10. Medication error

    I'm so sorry that happened. It is a reminder to me to always leave the clamp below the pump on until it is programmed and I see it dripping appropriately.
  11. PICC line blood draw

    Wow I'm shocked a place would have you waste 20ml for a blood draw. I hope there is an exception for GI bleeds and other anemias. If a patient is a reasonable stick I actually prefer peripheral blood draw in these patients to avoid the blood loss of ...
  12. Weirdest/most difficult thing swallowed by a patient

    The inside of a instant heat pack. Turns out it is non toxic, likely for this reason. My patient was more confused than I realized! I was particularly shocked because I couldn't get him to take a bite of his dinner a few minutes before that.
  13. RN - Crushing medications

    I generally combine vitamins at the very least.
  14. RN - Crushing medications

    I have had CHF patients with a gtube that have between 10-15 meds at 10am. With previous suggestion we would get to half of their liquid requirement for the day by 10am with no nutrients. Here is a sample made up from my head of meds I seen scheduled...
  15. What nursing task do you loathe???

    Tap water enemas in bed.. Uhh, time consuming, uncomfortable for patient and a mess.
  16. Hep C? end of the line?

    Negative. I'm sure. Hang in there!
  17. Was I right, wrong, or am I going crazy

    I guess I should say a unconscious person in danger is not arouseable, sleeping is of course an unconscious state.
  18. Was I right, wrong, or am I going crazy

    It seems based on responses that posters know the original poster, as an outsider my question would be was she arousable, an unconscious person is not arousable a sleeping person is. If she was not arousable that is a problem and surely an aspiratio...
  19. Bedpan? Why not a Poise pad?

    I have had a female patient who was completely capable of using a male urinal, she was pretty mobile though. I think we should test out the female urinal more and get the shape right. My own 9 year old daughter is capable of pushing her pelvis out an...
  20. would you give this bp med?

    I'm always on the fence on what to do when the blood pressure is like 106/53 and pulse is 61. Sometimes they are getting it for afib but also have dizzy spells and bouts of hypo tension.
  21. Pixus waste never witnessed

    Never pull narcotics "just in case." You are asking for trouble. Waste later is ok if you pull the med go to a nurse have her watch you waste then go back and sign off. But don't physically waste without anyone watching.
  22. Snow & calling out of work

    blondy2061h, Omg were they forever indebted to you or at least appreciative? Did you at least get some recognition? Now that is dedication! Go you!
  23. Snow & calling out of work

    I imagine the hardest thing a southerner would have to learn about driving in cold wet weather would be not to use your brakes when u Want To The Most. If you never did it you are in trouble. I from the north east and I don't even n know what chains ...
  24. Gel Nails

    BuckybadgerRN, I for one find it really interesting to discuss regardless of hospital policy personally. I never wear nail polish but I'm interested in infection control so any thread that might shed some light on latest evidenced based information ...
  25. Best way to document late medications

    If it really is too busy like we had a code or something probably would go as 'dose rescheduled' and cross your fingers. We are human after all. we try our best but sometimes it happens.