nicenurselpn

nicenurselpn LPN

Pediatrics and geriatrics

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All Content by nicenurselpn

  1. PLEASE HELP,Need to renew license by end of month

    Here in Va we are not required to earn CEUS, but my job does requires us to , so I always go to Medscape. I haven't paid for a CEU
  2. Affection to residents and still professional?

    I work with kids with severe handicaps and I will give them hugs. One of the kids is always asking for hugs and "head noogies". For most of the kids, there is little to no family involvement. I am...
  3. Using Creative Charting...

    I use the term glueteal cleft when describing an abnormality of that area! So far, I haven't been told by my higher ups not to!! One time I was tempted to chart a code brown that was epic in amount...
  4. HIPAA violation or just a bad decision?

    I too am the mother of a child who had a severe disabling genetic disorder. If I ever had gotten wind of his nurse taking his picture and making fun of his disorder and then sending it to other...
  5. When asked by a nurse manager who never ever works on the floor if I wanted to come in on my day off or stay over for another shift: " NO, I would rather have a pap smear done with a rake". Does that...
  6. Writing a sufficient nurses note

    When I worked in a LTC skilled unit, we would do documentation if there were wounds, incisions, and etc. We would also document on how the resident was able to do ADLS without assist, how does the...
  7. Does suctioning trach's ever get easier?

    One time I was changing the trach ties on a kiddo because the trach ties were all slimey and the child coughed and a big wad of sputum flew on my arm. There wasn't nothing I could do but finish up...
  8. Things you'd LOVE to tell coworkers...and get away with it!

    I really enjoy when we work together! We help each other when it gets rough! You are a great mentor to me!! To other coworkers: Is it too much to ask for you to clean the med cart up before I...
  9. Does suctioning trach's ever get easier?

    Those are the ones I refer to as "Everlasting gob stoppers". You know when you are suctioning a trach and it seems to take forever to get the thick loogies
  10. Giving PRN meds- need some clarification

    You did the right thing. Scheduled meds can fall under the one hour/one hour after window. PRN meds are followed by the time frame in the
  11. do you make sure your pts

    I work in a facility where usually the cnas have anywhere from 6 to 8 total care patients (depends on staffing and the unit). These kids get bathed (tub baths) every day and bad baths as well. Nail...
  12. Are 12 hour shifts going extinct?

    Right now my facility has a shortage of nurses. In my opinion if they went to 12 hour shifts, there wouldnt be so many holes in the schedule. One unit in my facility has been doing 12 hour shifts for...
  13. My monthly semi-coherent rant on the state of healthcare

    Fortunately I work for a "non-profit" facility. Supplies are always available and staffing is decent. However no raise in just over 2 years now. But our CEO is now driving a nice new mercedes...
  14. What is it like to work at Patient First?

    Patient First is a chain of walk in clinics. Down south we called them "doc in the boxes" lol. I actually have them as my primary care provider, because they are open 7 days a week from about 8 am to...
  15. Should i be a nurse?

    The only person that could answer that question would be themselves. For me it was a never a question of should I become a nurse, but a statement of I will be a nurse!!! And as Merlee stated above:...
  16. very well said! i too work at a ltc for severely disabled children and young adults. some of these youngsters were victims of child abuse (shaken baby syndrome), some were in unrestrained car...
  17. I have a personal experience about placing a loved one in a nursing home. My grandmother started showing s/s/ of dementia and Alzheimers. She lived way out in the sticks on a huge farm. For a few...
  18. I now work in a ltc like facility for medically fragile children. I have no more then 17 kids and usually around 4-5 cnas. I do miss my geriatric patients though! I loved to hear their stories from...
  19. I used to work with Geriatric patients. I treated them like they were my grandparents. That being said however, some families are unable to take care of their elderly parents etc. In this day age, it...
  20. Obvious violation of hippa

    My daughter was on her facebook and showed me that a friend of hers who works in a doctors office, had posted a picture of someones lab results with "HIV Positive" highlighted. The picture showed part...
  21. Obvious violation of hippa

    Evidently this is some type of a health history form. Hiv positive was highlighted with a highlighter on the
  22. Obvious violation of hippa

    I already did that. I just checked her page again, and her friends are telling her to delete the post. She said she couldnt because she posted it from her phone. I am still trying to figure out who...
  23. Obvious violation of hippa

    Now I am trying to figure out what office she works at. All my daughter knows is that she works for her grandmas dentist. I was disgusted by her thinking it is funny that person is hiv positive. You...
  24. Obvious violation of hippa

    Thank you!!!! I am very very sure that the Dr has no idea what she has
  25. Normal Saline in a nebulizer?

    We too use NS in our nebulizers at our pediatric long term care facility. Along with good old chest pt or a vest tx it really