Muffy5

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 as an RN. I could not find an acute care job to ...

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 beautiful wine country. I feel very lucky to be h...

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 doctors take the time to truly teach their patien...

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 speak of and just unsafe staffing in general. I also a...

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 bunions I passed out!!! I too thought that I wouldn't...

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 you.

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 it took me a year to feel comfortable, not have pan...

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 things themselves (if able). It keeps them independen...

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 (thankfully). All we did was document, document and event...

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 would trust him with mine and my families health. L...

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... When I was new to LTC I had a patient come to me w...

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 been known to put feces in others mouths) and thre...

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 company, research technician for a health insuranc...

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 borne.

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

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 excruciating!

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 02 sats, restlessness, decreased LOC are actually...

Opthamologist Dr. Dick Porn

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 synthesis and cause the low lab value.

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: relatively urgent level four: actual or potential...

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 concentration to the dying heart muscle Nitroglyc...

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 for electrolyte imbalance r/t chemo and n/v and d...

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 nurses became mentors of mine and gave me every oppo...

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, I rarely have a problem sleeping now. I also misse...

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 thank goodness, so a little less time consuming..