mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. Who you gonna call??? (not Ghostbusters!)

    mamamerlee replied to mondkmondk's topic in Geriatric, LTC

    We receive phone calls about my MIL for specific orders - a change in a psychotropic, but not a BP med. If she fell, is running a fever, acting strange. Not for routine stuff - routine labs, dental...

  2. How much education to be a state inspector?

    mamamerlee replied to mondkmondk's topic in General Nursing

    The requirements vary from state to state. To work for my state government in any capacity, a BSN is required. Board of Health, BON, state-run

  3. Sorry another ques. Was this write up justified?

    mamamerlee replied to mondkmondk's topic in Geriatric, LTC

    I would definitely question a resp rate of 32, esp if his normal was 20 or less. And I would not have orally fed a patient with a resp rate of 32 - - increased chance of aspiration. Try to not worry...

  4. confused...legal to not feed patients?

    mamamerlee replied to IHeartPeds87's topic in General Nursing

    It's not considered starving. When we can no longer swallow because we are near the end of life, that is part of the normal dying process. Putting in a tube can be considered cruel because it only...

  5. The "Experience"..

    mamamerlee replied to Katie5's topic in General Nursing

    In that post, about a nursing home not wanting new grads, the poster was being sarcastic. Although I am certain there may be a few RNs that make really good money, it's on weekend nights overtime!...

  6. So How Do I Get My Foot In The Door?

    mamamerlee replied to HappyMeNow's topic in General Nursing

    You won't get into trouble - - this is how many people get their first job. You are not 'soliciting'. You are building your

  7. My first code... ever

    mamamerlee replied to ishootu's topic in General Nursing

    The images will fade with time, you will recall the feelings forever. This was wonderfully written, BTW. Best

  8. Nightly chart checks - last 24 hours only or go through ALL orders?

    mamamerlee replied to Iggy123's topic in General Nursing

    It's called a 24 hour check for a reason.... If you only work intermittently you would not check multiple days/weeks - just since the last 24 hour check was done. It's not possible to check...

  9. What is a "foreign-trained nurse"?

    mamamerlee replied to helikias's topic in General Nursing

    AppleRN - - I have worked in 5 states and a foreign country, myself. My Philly accent was a cause for humor everywhere I worked, especially in New Orleans, where the accents are varied and frequently...

  10. What is a "foreign-trained nurse"?

    mamamerlee replied to helikias's topic in General Nursing

    There are other threads on this topic. Many years ago, in the 70's, many large hospitals literally imported nurses, frequently from the Phillipines, to fill vacancies. They were frequently given...

  11. Literally cried in front of the person interviewing me

    mamamerlee replied to AB normalRN's topic in General Nursing

    Wow - who was this awful person? And if they weren't going to hire a new grad, why were you asked to come in? If you decide to be interviewed by the DON, ask up front if they will hire new grads. And...

  12. What orders can an LPN write?

    mamamerlee replied to nuebelpn's topic in Geriatric, LTC

    Ask your manager, and find the policy manual. Ask where the lists of standing orders are kept. People look at you funny because they are probably unsure themselves, and you have stumped

  13. Anyone ever heard of a policy like this??

    mamamerlee replied to martin738's topic in General Nursing

    Many years ago I worked at a facility that had a policy like that. So if someone didn't come in on Saturday, they frequently didn't come in on Sunday, either. What a pain. Very annoying to those who...

  14. Can someone tell me how PTO works?

    mamamerlee replied to Nightingale11's topic in General Nursing

    Ask your HR dept. Look in your employee handbook. Each facility is

  15. Nurse stealing Dilaudid

    mamamerlee replied to susiesmith21's topic in Patient Medications

    IMHO, as soon as you found the tampered med card, you should have found a baggie, and put the card in another area of your LOCKED med cart. Then call the administrator - I don't care if it was 3 AM,...

  16. Been a nurse for 5 years... now 2 med errors in one week. Help.

    mamamerlee replied to jen42's topic in Patient Safety Issues

    You won't get sanctioned if no one reports you to the board, and that doesn't seem likely. Same name things are vexing, especially if you are not aware that there is someone else with that name....

  17. Embarrassing question reguarding CNA classes...

    mamamerlee replied to janelane's topic in Medical Assistant, CNA/MA

    When I taught a CNA class many years ago, my students did very few things to each other - vital signs, including BP, fake bed bath, making an occupied bed. But I think doing more to each other is a...

  18. interested in home health or visiting nurse

    mamamerlee replied to piscean75's topic in Home Health

    I was a home health nurse for quite a while. It is not a good job for an inexperienced nurse. You are on your own after orientation, and even though you can call people for info, you have to do all...

  19. First Bump on a Bumpy Road

    mamamerlee replied to NickB's topic in Ob/Gyn

    I have moved a few times, and changed insurers from time to time, necessitating getting new docs. Over the years, I have had male and female docs in a variety of specialities. Many years ago, I had a...

  20. New grad got fired, help

    mamamerlee replied to haitianrn's topic in General Nursing

    Do not lie. In many cities, there seems to be someone who knows someone at every other facility. You will be found out, sooner or later. On the other hand, you can say that your sitter problems have...

  21. Manager Test

    mamamerlee replied to rkrs6673's topic in General Nursing

    When I was interviewing for a mgt position, the staff doing the interviews gave me a variety of 'scenarios' that I would then have to answer and justify the answers. Some were rather tough. They all...

  22. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    mamamerlee replied to Plagueis's topic in General Nursing

    I read the article and the instruction sheet. A few things come to mind - I think sterile water is one step too many, although in places where there may be well water, or poor water quality, I would...

  23. Insensitive managers...

    mamamerlee replied to SaraO'Hara's topic in General Nursing

    Wow, so sorry to hear this. There is something else going on, behind the scenes. It may be time to move on, if you can. Are you seeing someone about your depression? If not, I agree that you...

  24. Anyone had this problem?

    mamamerlee replied to sunnycalifRN's topic in General Nursing

    I think it would be okay to silence the alarm just once and notify the nurse immediately. When my son was in the hospital recently. his pump alarmed for over 20 min before it was attended to - late...

  25. So my heart broke when I saw this patient....

    mamamerlee replied to Da_Milk_of_Amnesia's topic in General Nursing

    You are a very sweet, thoughtful person. As long as he can safely chew and swallow, bring it in. I am less concerned about a prescribed diet ( low salt, low cholesterol, etc) than I am about his...