mamamerlee

mamamerlee LPN

home health, dialysis, others

Member
  • Content

    949
  • Visitors

    7,394
  • Followers

    0
  • Likes

    15

All Content by mamamerlee

  1. Faith-based Hospitals.. can anyone apply?

    I'm Jewish, but I have worked at 2 Catholic hospitals, back in the day when they were still being run by nuns. Never had a problem with the administration, learned a lot from the nuns, and they asked...
  2. Did I use alcohol swab?

    Usually an IV site becomes infected due to microbes under the dressing, not because of an unswabbed port. Unless someone has deliberately soiled the ports, or left them wet with fluid, they are...
  3. HELP...Health care considerations for the Amish culture

    Funny little story - - An Amish gentleman was going to have some surgery, and needed to take a shower w/an antiseptic soap. I explained about the shower, and gave him towels and a clean gown and...
  4. Caught a bad insulin error today

    I was a school nurse for a while, and I agree that it is much harder than it was years ago. Asthmatics, diabetics, special needs kids and an amazing amount of meds. Oy Vey! They trust you because...
  5. Venting

    I almost didn't read your post because of the PINK ink. Very hard to read. But I concur with everyone - these people are anxious and they made you the focal point of their inability to cope. If you...
  6. Legal Documentation

    Generally, if they return to do another audit, they will look to see if there is a change in the more recent documentation. How can you write in times for things that took place months ago -
  7. Should I have helped?

    You are feeling bad about not having stopped because you saw her there 3 times! They helped her stand, so she was apparently not badly injured. For some reason, someone called an ambulance. She was...
  8. Should I have Not documented?

    I'm curious as to what you documented. It should have been something very simple - '1030pm ms so+so cna, reported that pt had not voided this shift. Upon checking this pt, this nurse found he had...
  9. Dying Patient

    Well, this is complex. Is the patient actually dying? or near death? Ask the patient what makes her feel as though she may be dying. Do not commit yourself to yes or no, leave that to her doc or...
  10. Hanging myself out to dry

    They have no plans to spend the money for this equipment, no matter who you notify. You are now an official thorn in their collective side. Do you have someone in HR that you can speak to? This was...
  11. Digitally removing fecal impactions

    I only ever did one of these. You need an order, and sometimes the doc will order an oil-retention enema first. That sometimes helps to soften the stool and make the paddage easier. Try to get an...
  12. Please, please, I beg of you, do not flame me! The recent spurt of extremely unprofessional posts is beginning to annoy me. We ask to be treated like 'professionals', but some of us seem to...
  13. Want to have a baby

    As long as you have insurance, and are not pregnant at the time of the interview, then GO FOR IT. Keep in mind that you might not get pregnant on the first try, and most pregnancies are 40 weeks!...
  14. Med question?

    I don't know where you are, but my MIL has picks' and had started to put EVERYTHING in her mouth. We had to move her to a special unit where there is NOTHING on any surface to pick up and chew on....
  15. Getting back into nursing-- so much anxiety!

    The main changes you'll see are all the electronic systems, especially computer charting, and the emphasis so many facilities put on 'customer
  16. Nursing calcutations

    That's okay - you can still find grains on some brands of
  17. My age is showing, or 'No texting, please"

    Thanks for all the support! I was actually one of the few students who took a computer math class back in 1968-69, and my first job out of high school was in a computer time-sharing firm. I have...
  18. Dry, Cracked Hands

    I, too, slather on Eurcerin cream, and then put on cotton gloves at night! You can get the gloves at almost any supermarket in the cosmetics department. they are washable. I bought 2 pairs, wear one...
  19. How are you paid for On Call/Call Back?

    If you work over 40 hours, you should get time-and-a-half. So if you are on-call early in the week, the OT doesn't kick in until later in the week. You should fight for a no-cancellation policy, so...
  20. New Grad Starting in OB**** (Advice from all)

    You are extremely lucky to have been given a job in this tight market. And OB is where many people long to work - It is mainly happy work, with mainly healthy women. Cross-training is very...
  21. informed consent (texas)?

    The standards for obtaining 'informed consent' vary from state to state. Mostly you are not really obtaining the consent per se, you are merely witnessing the signature. In all cases, the doc is...
  22. Compulsively going to the doctor for the 20th time..

    We are not allowed to give medical or nursing advice per the TOS, but nearly any behaviour can be compulsive. It surprises me that no one has suggested therapy for this behaviour. And, yes, we all...
  23. When asked for advice

    Years ago, I tried to give my father some advice, and he wouldn't listen to me. He would rather listen to a med tech 1/2 my age, with almost no experience. I told him he paid a lot of money for my...
  24. Totally Gross! Had to share...

    Hahahaha! Better on the MAR than on
  25. Impossible patients/pt. family members

    Never argue with someone who is being rude. Leave the room, taking your equipment, and call the supervisor.As you leave, tell the fam. member that you will be back later when it is quieter, as you...