Muffy5

Muffy5

Acute rehab, LTC, Community Health

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All Content by Muffy5

  1. So frustrated!

    Muffy5 replied to sdemt's topic in Job Search, Interview, Resume

    I am sorry to hear of your circumstance, but it isn't just you. I moved to CA from the Midwest approximately 2 years ago. I started back East as a LPN working in a SNF and then continued to work there...

  2. Nursing doesnt define you

    Muffy5 replied to Mrs. SnowStormRN's topic in General Nursing

    My husband often tells me this very thing and it is funny that you should post this. I have recently re-located out west and have left the busy hustle and bustle of the big city for small town life in...

  3. The 5 things you love & hate about being an RN

    Muffy5 replied to Aly529's topic in General Nursing

    LOVE Feeling like I am making a difference Learning something new everyday Seeing people get better or die peacefully When nurses and doctors take the time to truly teach other nurses When nurses and...

  4. Very nervous.. can I lose my license for this?

    Muffy5 replied to glitterness's topic in General Nursing

    As the above poster replied, I don't think there would be many licensed nurses left if that was the case:) I just left a SNF as a new grad, because of the lack of support, the disorganization you...

  5. Last night put doubt in my mind if this is what I want to do...

    Muffy5 replied to borinick1492's topic in General Nursing

    Don't change your mind about your career based on this one incident! It is very different with people you love. When my grandfather had a shunt placed for dialysis and my aunt had surgeries on her...

  6. New Grad LTC Seeking Advice

    Muffy5 replied to kasendamiles86's topic in Geriatric, LTC

    If that's the case, I'm with the other posters...I think you should look for something else. If you don't have the support of other staff, it sounds like a miserable situation...Good luck to

  7. New Grad LTC Seeking Advice

    Muffy5 replied to kasendamiles86's topic in Geriatric, LTC

    No, it is not you. I am a new grad RN and also work in a sub-acute rehab facility. I however, do not have nearly as many patients as you. 46, really? Well, that does sound really unsafe. I would say...

  8. Is Jevity considered "medicine"?

    Muffy5 replied to tracyIngalls's topic in Patient Education

    I agree with the poster that stated you should speak to the DON about getting a MD order to administer the tube feeding and to put it in the care plan. We like to see our patients able to do these...

  9. what can be done????

    Muffy5 replied to marielina85's topic in General Nursing

    So you say this resident doesn't have dementia? Sorry, if I missed that part. We had a resident who has dementia, but was able to remove her tabs alarms and had repeated falls with no injuries...

  10. renewed confidence needed!

    Muffy5 replied to CarieLyn's topic in General Nursing

    I just want to say try not to get too discouraged. I work with a nurse who had severe ADD and failed the boards 4 times. Fifth time was the charm for him and I think he is one of our best nurses. I...

  11. evil.. just so evil...

    Muffy5 replied to nurse441's topic in Psychiatric

    What does your physical assessment show? Is their abdomen distended, how are their bowel sounds, did you do a rectal check? That would be an easy way to objectively back up the patients complaints......

  12. Have you been assaulted by a patient?

    Muffy5 replied to CrabbyPatty's topic in Patient, Colleague Relations

    The worst in LTC was the psych pt. who had been refusing her psych meds for quite some time. In trying to check her BGL, give insulin and pills, the resident attempted to smear blood in my mouth (has...

  13. What did you do before you were a nurse?

    Muffy5 replied to CAPPYBARA BREAKFAST's topic in General Nursing

    coat checking, kennel cleaner at a vet clinic, cook, cashier, CNA. HHA, activites assistant at a nursing home (that one was my fav! I couldn't believe I got paid to do the work). Worked at an optical...

  14. Mad cow disease- how can you get it??

    Muffy5 replied to Epona's topic in General Nursing

    I know a family who had CJD, because of this, none were allowed to donate blood or organs, even though the grandfather was the only person with the disease, leading me to believe that it is blood...

  15. Pre-Screening test

    Muffy5 replied to raebabelvn's topic in General Nursing

    I would add an O2 sat to your VS, since the pt. is experiencing

  16. Took NCLEX RN this morning.

    Muffy5 replied to lilmissjuly17's topic in NCLEX Exam, Programs

    I took mine at 12:00 this afternoon. Shut off at 75. Tons of SATA and meds. Only one med dosage. I got the good pop-up...The waiting is

  17. Help with nursing diagnosis

    Muffy5 replied to bowenchelsea's topic in Nursing Student Assistance

    I agree with you that impaired gas exchange is the best diagnosis, but remember the r/t needs to be the physiologic reason. So with pneumonia it is due to consilidation/mucus. The dyspnea,fatigue, low...

  18. Favorite Dr or Nurse Name

    Muffy5 replied to sethmctenn's topic in Nursing Humor

    Opthamologist Dr. Dick

  19. Question about lab values and what they mean

    Muffy5 replied to believeallispossible's topic in General Nursing

    Those labs indicate the child has liver damage. Increased ALT and AST indicate the actual liver damage. The liver synthesizes proteins, therefore, if there is damage, this would affect protein...

  20. Is there a 'trick' to the prioritizing questions and delegation questions?

    Muffy5 replied to coltsgrl's topic in NCLEX Exam, Programs

    Always acute over chronic, actual over potential, ABC's (duh, I know you know that one!). level one: acute and happening now! level two: actual problems in which clients already have help level three:...

  21. Need help with cardiac asap!!!

    Muffy5 replied to patricianyc's topic in Nursing Student Assistance

    Always remember MONA with AMI. Morphine to decrease anxiety and HR, but also to vasodilate and decrease preload to the heart, therefore decreasing the level of work it has to do. Oxygen to increase O2...

  22. Need help with care plan

    Muffy5 replied to peachmouse's topic in Nursing Student Assistance

    Since the pt. was receiving chemo. he not only has anemia, but low WBC's and platelets. How about risk or infection r/t surgical incision, impaired nutrition and low WBC's? I would agree with the risk...

  23. Is working as a CNA considered experience when looking for an RN job?

    Muffy5 replied to bowlofsurreal's topic in Medical Assistant, CNA/MA

    I completely agree with ZooKeeper3, when I was thinking about applying for nursing school, I was working as a CNA. I voiced to the nurses that I was interested in learning about what they do. A few...

  24. Is it anxiety?

    Muffy5 replied to Goodlord1's topic in General Nursing

    You are definitely handling it the right way! When I was a new glad, I used to have total panic attacks while trying to sleep the night before. I also sometimes had to rely on xanax.The good news is,...

  25. Glucometer / Infection Control

    Muffy5 replied to ktwlpn's topic in Geriatric, LTC

    They didn't stop with glucometers for us! We have to disinfect everything, including lifts, BP cuffs, etc...We were only told 2 minutes to let it dry though. Everyone has their own glucometer now...