mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. All about staffing???

    Never heard of them, but I hope they don't ask you for any money for their
  2. Take the IV out... yourself.

    SHe said what????? I am beyond flabbergasted! Even if she knew you were a nurse, that is so inappropriate. I hope the second nurse follows up on this. And you have learned a valuable lesson....
  3. How does a BLS Skills Session Go?

    You will be expected to demonstrate the appropriate skills - how to recognize the need, get EMS on the way, take pulses, etc. Everything that was taught in the program. The instructors don't want you...
  4. What was minimum wage when you first started?

    In June of 1974, fresh out of school, I made about 4.55/hr. In July, there was an across-the board increase, and I was making 4.76/hr. I lived in a FABULOUS apartment in downtown Philly! Thought I...
  5. Best practice for sacral ulcers?

    Everything depends on the size/depth of the ulcer. It's can be very difficult to heal these - keeping the pressure off is a main priority. Opsite and hydrocolloid are not the way to go here. There...
  6. New Workplace Guidelines

    Cute, and
  7. Who me? A nurse?

    My family members usually just chirp up - 'my mom's a nurse!' I listen carefully, but I ask many questions. I want straight information. Before my husband & I got married, he was very sick, in...
  8. telephone orders

    No. It should have been
  9. Pregnant in the ICU

    Nurses have been getting pregnant for a long time!!! And they work everywhere. You must avoid CMV patients, and any other suspected viruses. Unless you work with chemo, most meds should not be a...
  10. about contact precautions

    Wooh - - Hahahahaha!
  11. The point of hospice is to keep the patients home, and not have to send them to the ER! I think you should go to part-time as soon as they can accomodate your request. Whenever the next schedule...
  12. about contact precautions

    They should keep their purse under the gown. No one wants to leave their belongings
  13. I did the stupidest thing ever

    Are you saying that you merely approached someone about a position, or was one actually offered and you accepted it? If no offer has been tendered, then there is no problem - just explain that your...
  14. There must be something missing here. Seems like the pt was appropriately assessed. Was there already a DNR order? Was the emesis an expected consequence of her dx? Was the family notified?...
  15. I'm very disturbed by this

    Katie - - Prior to the mid 80's, when Universal Precautions were not yet heard of, about the only time most of us wore gloves or other PPE, was when we had to clean up after a pt - stool, vomitus,...
  16. Does this make me a bad future nurse?

    I don't like working neuro areas or burn units. No one ever said that we had to like everything, and some try a few areas before they find what they really want. But keep an open mind during your...
  17. As a new nurse...when do you start to feel competent?

    There are many threads that address this issue. In general, at many jobs, not just nursing, it may be a year before you realize that you relatively competent. Sooner or later, some one will ask YOU...
  18. "Community-based alternative" v.s. "nursing home"

    Neither of these is the equivalent of LTC. People who live at home go to their own doc; in some cities there are docs who make housecalls for those who are truly homebound - confined to bed or...
  19. "Community-based alternative" v.s. "nursing home"

    Community based = pt lives at home. May go to adult day care, senior center, have in-home assistance. Family/caregiver is responsible for meds,
  20. Straight cath vs indwelling question

    Believe it or not, there are many women who straight cath at home, q 4-6 hrs. Even older women. And they use a clean technique, not sterile, at home. Not everyone wants to have a bag attached to...
  21. quick SOAP note question

    Why would age/race be in a SOAP note - they are part of demographics and/or history. SOAP notes usually refer to the status of a diagnosis. And as noted, they are
  22. Nurse with potty mouth.

    If it's really tourette's, then everyone should be made aware, and educated about what to expect. I suppose it falls under the ADA, but if patients complain then the hospital has to weigh what to...
  23. Nurse with potty mouth.

    A 'potty-mouth' co-worker makes for a "hostile workplace environment" and can be easily removed if the inappropriate language isn't tamed. At a non-nursing workplace, there was someone who spoke way...
  24. Troubled RN...Need advice please!!

    Don't be afraid to move on. I agree with other posters who say you may be very pleasantly surprised at the acuity at the smaller hospital. Go for
  25. I'm very disturbed by this

    OMG - I remember when we did all sorts of things without gloves, let alone masks!!! I carried a pocket mask around with me for years and never had the occassion to use it. Raindrop - if one of your...