mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. Written up today for something stupid

    A 24 hr chart check is just that - 24 hours. When the order was taken off, was the total amt left off? Two people are responsible - the one who took off the original order, and whoever did the 24 hr chart check after that. Write your rebuttal, loo...
  2. Dilaudid

    In many places, only RNs can give IV meds.
  3. What would you Do?

    Call your DON, let the higher-ups deal with it.
  4. Out of control resident!!!!!!

    If this is a fairly new behavior someone needs to tell the doc. His behavior is disruptive to the entire unit, and will make many people resent him. When does he sleep? And why does he need to have his cell phone with him all night long? Make certa...
  5. When nursing staff ask for medications

    Nothing off the med cart because everything has to be charged to someone. I usually have Ibu in my purse and I'd gladly give someone 2 of those. Many places have small kits with some OTCs, bandaids, etc.
  6. bullying at work

    How are people getting to your belongings? What did you do when you found your sneakers? I would have called security, at the very least. And gone directly to the head honcho, whoever that is. Look for a new job, pronto, and file for a hostile wo...
  7. Patients who stay on the phone when you come...

    It's okay, in my opinion, to interrupt to tell them that you have their meds, or need to do whatever. Ask if they can call back in a few minutes because you have other pts to tend, and may not be able to get back for a while. It is not rude to ask f...
  8. Exposure to Medications

    In 36 years, I have been exposed to many things, but usually the quantity is very small. If anything liquid were to get on my hands, I would wash them - gently - immediately. I am allergic to Sulfa drugs, and avoid handling them as much as possible,...
  9. Yes, the 'no eating/drinking' rule (aka NPO) has to do with the possibility of vomiting and aspiration. If the patient is having frequent stools, the docs might want to investigate the possibility of infection. Not to mention how bad it might be for...
  10. Conflict of interest, nursing family

    You should not take care of your family member, and you should try to let your charge nurse know ASAP to avoid scheduling issues. Remind your family that when you are at work, you may not be able to help or intervene on behalf of them. They should t...
  11. So ready to throw in the towel and it makes me sad...

    I just could not read this huge block of type. Why do all the angry and sad people find writing in paragraphs so hard?
  12. Always listen to a patient when they say they are allergic to anything! Nothing is worth the 'oops' that happens when someone thinks they know better. I had an adverse reaction to Versed and don't ever want to get it again. I tell everyone I am all...
  13. We've all seen crazy things. I've been a patient too many times to count. During my last inpatient experience, post cardiac-cath, I got really disgusted when a doc listened to my femoral artery (we all know where that is, don't we?) and then wanted ...
  14. This would have to be done 2-3 days before surgery to really know if an allergy exists. I am not allergic to iodine or shellfish, but developed a bad dermatitis from frequent hand washing w/Betadine. Chlohexadine would be my choice.
  15. HS meds....do they have to be given at 9?

    HS is what the patient says HS is.
  16. Sandman hates me

    So after your MI, who will tend to YOU? Stop trying to be all things to all people, and get some rest. You already have chest pain????? And if you miss a few things with your kids, they will survive. Are you married? Where is your husband during...
  17. is this dispensing without a license?

    This is probably more info than this discussion board should be into. And I have seen erroneous information already on this thread. Generally speaking, home hospice care usually does not offer PT/OT, because the pt is probably too weak or uninterest...
  18. Tips for Allergy Clinic Interview?!

    Don't sneeze! (only kidding!) I can't imagine what you should study about; I am certain they will provide you with some training.
  19. I called in today, no I mean ..I called Out! / huh??

    I called to say I ain't coming in!!! That solves it!
  20. Skating on thin ice?(at my job)

    These issues are not new ones for any NH/LTC business, especially the for-profit ones. Of course they want you out on time, they don't want to pay a penny more than they have to. And med passes are constantly being interrupted by everyone and their a...
  21. Breastfeeding support by HCPs

    I believe that if more nurses breast-fed their own kids, then they would be more likely to encourage and support moms who were interested. I worked with a nurse who was very private in many ways, and she 'knew' that she just couldn't breastfeed, it w...
  22. when to call a code

    Yes to call a code before total arrest. I have called codes on patients who were still awake, aware, and responsive, and have been correct every time. One was a patient that had rec'd 2 Units PRBC's, no furosemide, and started to cough and wheeze. ...
  23. supply room

    LOL !!!! Yes.
  24. Just sign for it

    She wants you to sign for meds that aren't delivered yet? Can she say 'lose the faciility's license?' Can you say 'I need to protect MY license'? No, you cannot sign for meds that aren't even there yet.
  25. Can I read my friend's ppd test?

    Are you sure you even know how to read it? They are frequently read by a different person than the one who administered it, so that should not be an issue. Call around to local med-checks and ER's, see if someone will read it for free.