mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. flexing for major holidays

    There should be a tracking method, regardless of the holiday, of who has been sent home or asked to not come in. And then there should be a rotation schedule or a way to determine whom among those...
  2. Vastus Lateralis

    I love
  3. improvement to sterile gloves

    I wish you a lot of luck. Most of the sterile gloves I've used either say 'Thumb' on the package, or 'right' and 'left' on the package. In the near future, at least one or two of those companies...
  4. OCD at work

    I like to be neat at work, but am a total slob at home. I can never have people come visit me, it is very bad. That being said, I was a home health nurse for a long time, and those of you with the...
  5. OK, Cultural question here, please forgive the stupidity.

    One other brief comment - if you were attending a religious service in a mosque, you might be expected to dress accordingly, out of respect. The same way ALL men are expected to wear a head covering...
  6. OK, Cultural question here, please forgive the stupidity.

    This was a good question, IMHO. There are many articles in the various nursing journals about different cultures. Long before these types of questions were routinely asked at admission, I started to...
  7. Why are things so tough on older nurses to get jobs

    I firmly believe it is mainly a money issue. Pay for a new grad may be as much as $12 / hr less than for those of us with 20+ years of experience. Hospitals can hire 3 of them for two of the more...
  8. Autopsy Question

    So sorry to hear of your loss. My best guess here has to do with the patient load - have there been many other deaths in your area recently? Are they waiting for lab results to come back before...
  9. Who came up with the idea of 12 HOUR SHIFTS?

    I worked 10 hour shifts in acute dialysis, and I loved it. I hated the 12's on the floors - I was always exhausted by the end of the shift, and could barely give a decent report. I always thought 12s...
  10. Forced Baths and Patients rights

    If you have asked twice, and the pt still refuses, contact your supervisor/manager. Sometimes it may be easier to give the pt a choice - I have time to assist you with your bath, and to make your...
  11. Safety and protection while working....

    We had a security agency available - we tried to give them advance notice, and meet them nearby. Also, there were certain areas that were deemed too dangerous, and the agency was not supposed to take...
  12. Forced Bath's is this taking away a patients rights?

    There is a difference between baths in a hospital and in an LTC facility. Because of the high numbers of clients in an LTC, they are frequently on a bath schedule. Like Monday morning and Thursday...
  13. What dressing to use?

    Yes, you need orders. Write what you want on a fax to the MD if s/he won't come in to see the wound. Wound cleanser, 4x4s to pat dry, and the rest. Silvadene is a prescription item. Maybe ask for...
  14. Please Help With a Math Problem

    80 ml is the correct answer. 3 parts formula and one part
  15. Misguided Charge

    Strepto - - buy a few really nice gifts, keep them hidden. When the occassion arises, you will have something already on hand! If you know what kind of scent she likes - or you like! - keep a bottle...
  16. Disorderly conduct charge???

    We cannot give legal advice on this board. However, have you actually been charged? You state you were not given a ticket - what does that mean? Best wishes OH-ARE
  17. First pt code... is this normal?

    You will replay most codes or dramatic changes in status in your mind. This is normal. Some things will happen without any warning. You are a good nurse, be proud of that. Best
  18. Germ Cell Tumors

    I just googled 'germ cell tumors'. Lots of info
  19. Required to watch circumcision?

    Wowee. The topic here was would you have to watch a circ. I think that as a student, you should want to be able to observe as many different things as possible, whatever your medical politics are....
  20. Question about HIV patient

    Get the social worker involved. And HIPAA be damned if a deadly disease is being purposely spread. Your manager needs to be involved. There is a need for the 'greater good'
  21. Boredom in long-term patients!

    Can he read? Play video games? Can you get some volunteers involved? Have you asked him if there is something he'd like to do within the confines of his treatment? He is experiencing cabin fever,...
  22. Is nursing a sick , petty , vindictive world?

    I've worked at some very supportive units, where everyone worked together, and a few that were just terrible. But I always tried to give the best possible care no matter what, and the patients, in...
  23. I remember when I worked somewhere with a high number of alcohol abuser that I learned not to ask 'how much do you drink?' but asked do you drink a case of beer every day? or a fifth of (whatever)...
  24. confused...legal to not feed patients?

    The last few days before my Dad died, he refused to eat, saying he was not hungry. The docs wanted to put in a feeding tube, but he refused. He was very clear that he only wanted the pain to be...
  25. no wash cloths!!!!

    Who decided to remove the wash cloths before the wipes were ordered? That's the epitome of poor planning. And a set number per pt per day? They've never dealt with the incontinent ones, have they?...