mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. Skilled nursing visits & preemies - how many visits?

    mamamerlee replied to JNogueira95's topic in General Nursing

    Well, I think the 'homebound' issue is moot in this case. The issue is WHY you will be seeing this particular infant. Are there lingering feeding issues? Respiratory problems? etc. When talking with...

  2. Endorsement of NCLEX California passer to FLorida..

    mamamerlee replied to rjohn08's topic in International Nursing

    Ask the nice people at the Florida

  3. Need help! Best way to quit?

    mamamerlee replied to Annymouse's topic in General Nursing

    I agree w/St Croix --- tell your manager what you told us. Don't miss taking an opportunity that you crave. Very best

  4. Do RN's need special training to read PPD tests?

    mamamerlee replied to SarahM2011's topic in General Nursing

    Here in Indiana, there is a certification program for giving/reading the test. I think it's a good idea so the tests are read

  5. Home health nurses and documentation problems - please help me understand.

    mamamerlee replied to nursetobeoneday's topic in Home Health

    When we were on paper, we had 48 hours to get admissions in, and nothing got paid without paperwork. On the computer - 24 hours. And who does not want to get paid for months on end? Something is...

  6. How many times do you try to start an IV before calling in reinforcements?

    mamamerlee replied to belgarion's topic in General Nursing

    Just because you have a transilluminator doesn't mean you'll get the stick. You still need to know what you are doing. Eleven sticks is battery, IMHO, and she should not be allowed near anyone else....

  7. Alert patients who refuse meds.

    mamamerlee replied to Caffeine_IV's topic in General Nursing

    I have had the opposite situation in my recent hospitaliztions - - begging for meds I knew I would need. Because I have GERD, Sleep Apnea, and a herniated disc, I never lie flat. I have had 2...

  8. The difference between hydrogel dressings and hydrocolloid dressings

    mamamerlee replied to Blackheartednurse's topic in Wound, Ostomy, Continence

    google

  9. is it ok if i write on somebody else's nursing notes and then she/he would sign it?

    mamamerlee replied to pennylane18's topic in Geriatric, LTC

    I can't even wrap my head around this one. What's done is done. Do not repeat

  10. Communication between nursing/pharmacy Crushing Meds

    mamamerlee replied to Mommy TeleRN's topic in General Nursing

    You should have an MD order to crush meds which should of course go to the pharmacy. Do not take it upon yourself to start crushing meds without notifying the doc and the pharmacist first. If the pt...

  11. Needle Stick Injury on HIV+ pt

    mamamerlee replied to holdencaufield's topic in General Nursing

    I know this is very frightening for you, but the chance of transmittal is relatively low. Does your employer have an EAP? SEEK IT OUT. They can help you get some emotional support. Try hard to...

  12. Fraud and wow...I'm disappointed.

    mamamerlee replied to akRN68's topic in General Nursing

    I have seen this a few times over the years in home health. It nearly always surprises me that the nurses thought no one would ever catch on. Sometimes it's entire visits, sometimes it's a...

  13. Nursing Education, Not Training!!

    mamamerlee replied to scoochy's topic in General Nursing

    Scoochy - I hope this is the worst thing that bothers you! I've been a nurse for 36 years, and never considered this an issue, at all. There are some very educated nurses who should never be...

  14. Accepting this gift from a patient

    mamamerlee replied to nursingpower's topic in General Nursing

    I agree that you should inform your manager - -check the hospital policy on it, as well. But I don't think you should 'share' it by buying food for everyone. Instead, find out if there is something...

  15. Repositioning/Turning Inservice

    mamamerlee replied to Mary C's topic in Geriatric, LTC

    I like the ankle cross demonstration. When I taught CNAs in the Jurrasic Era, I would tell them to take a washcloth and wad it up into a tight ball, then place it under their hip or side before the...

  16. Med Errors vs being "slow"?

    mamamerlee replied to sasha2lady's topic in Patient Safety Issues

    This nurse is jeopardizing patient safety as well as everyone's licenses. Emphasize pt safety to the management. Does the nurse document the times meds are given or the time they were supposed to be...

  17. Nursing Education, Not Training!!

    mamamerlee replied to scoochy's topic in General Nursing

    Oh, the things we fuss over! There is a lot of training - hands-on skills - that is part of our education. No disrespect is meant by asking that question, and the answer 'I went to school at XYZ...

  18. scared of losing my license one day

    mamamerlee replied to niteowlrn29's topic in General Nursing

    People do not get their licenses revoked just for giving out meds late. Although needing extra documentation, this is not often considered a true issue. Keep in mind that what you see is a VERY...

  19. need adv for change in full to prn???

    mamamerlee replied to erin01's topic in General Nursing

    Managers are not usually surprised when nurses decide to downgrade their position due to family matters. Happens all the time. But I would certainly wait until after the baby is born, and your...

  20. Medication errors

    mamamerlee replied to asluss's topic in General Nursing

    1. 100/ml is not a dosage. 2. 100 units of Lantus is a very high dosage. 3. You should never give meds poured by someone else - except in a code or similar situation. (In this case, the LPN) 4. Other...

  21. Question regarding Humalog insulin

    mamamerlee replied to Blondie24's topic in Nursing Student Assistance

    First of all, no one should be running 555!!! Ever! I take humalog ac & hs - - I am very resistant. I am not giving you advice, just telling you what my own dosing is -- 10 units ac PLUS...

  22. just got hired as per diem.. how does it work?

    mamamerlee replied to jxRN's topic in General Nursing

    And get EVERYTHING in writing. From BOTH places. Generally, if you are per diem, they will ask you for your availability for a particular time period, and then plug you into the schedule as needed....

  23. Proffesional/ Graduate eduacation?

    mamamerlee replied to vhiolin's topic in First Year After Licensure

    Are you a university or college graduate? Then it would be university, regardless of the degree. Or a Diploma nurse - that would really be a 'technical' education. Graduate/Professional refers to...

  24. Quirky Habits?

    mamamerlee replied to dorisc1981's topic in General Nursing

    I'm a nail-biter. Except when I get the fake ones, then I don't bite them. I have gone quite a while without biting them, but here I am, 58 years old, and still

  25. abuse and neglect

    mamamerlee replied to dsharonjr's topic in General Nursing

    Get a