mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. PRN nurses are making my job a living HELL !!

    Is there an orientation packet for the PRN staff? If not, ask if you can work with the clinical educator to develop one. Make sure it lists very specifically everything that needs to be done on each...
  2. OB Nursing?

    Start applying right away. If you are obligated for a year at your present place of employment, then start at least 3 months before your contract is done. Best
  3. Relocating-and takin' my license with me!

    Whoa, dishes, that was harsh. Many people stay with friends or relatives when they first move. Although I may not do this myself, I would not call Geaux's integrity into question like that. Most...
  4. At the first hint of trouble with a patient or family, get your manager involved. The FIRST refusal, the FIRST instance of truly inappropriate behaviour. Then, WRITE IT UP. Yes, I know that it is...
  5. How to give an injection?

    Everything you need to know will be taught to you. There are a variety of types of injections, and each will be taught, explained, demonstrated and reviewed many times. There is little reason to...
  6. Question about tinnitus

    It's more common than you may realize. I personally believe that it is a side effect of many drugs, and may be overlooked as
  7. Do you want to know what I find scary...

    Very often, it's in the approach, and the place. In front of the patient is a definite no-no. In fact, anywhere that someone can hear you is not appreciated. Also, sometimes it's easier to swallow...
  8. Med Calculation exams

    You are correct. The weight would be 20.25 lbs. But don't you usually convert pounds to kilos, anyway? Most meds are calculated in mg per kg body weight. 20.25 lbs = 9.20 kg 20.4 lbs =...
  9. Nurses in a Government / Military Hospital??

    And I'm sure you know that no one will hire you straight 'outta' anywhere. Althought they may hire you straight out of school at some
  10. Nurses taking patient's off backboards without doctor clearnce?

    Rolo - you have my permission to use our story. I wish that the EMTs had been more specific when they gave report, or had taken him off of it when they got there. I never understood why they left him...
  11. New Grad-Unsure of self

    Some of this is completely normal, everyone has a 'break-in' time with any new job, anywhere. Try to mull these things over for no more than 15 minutes, any longer will make you crazy, and you can't...
  12. Nurses taking patient's off backboards without doctor clearnce?

    A few years ago, my husband fell at work, and broke some ribs. He has Cerebral palsy, which made him have tremendous muscle spasms, and he could hardly move. Due the the acute angles in our...
  13. 1. Where is the social worker? Who is calling the health department? 2. Use shoe covers if necessary, and if you have it, spray bug repellent on your shoecovers and lower legs. Take the smallest amt...
  14. Camp nursing

    I've done camp nursing at two different camps - one was really great, the other a drag. Be sure to ask about time off. At one of the camps I was the only nurse, and never even got to the pool. At...
  15. Fluctuating Blood Sugar?

    ris - always retake the test, first. Call MD. Gather equipment to draw a venous sample, it may be ordered STAT. Do not give insulin until an order is received. When my own tests seem off, I always...
  16. Alert but confused

    My MIL has Pick's dementia. She is still ambulatory, but rarely talks, She is definitely alert, but not oriented. She will look at someone who calls her name, she will mimic 'how are you today' but...
  17. Where did you learn all of the acronyms??

    Haha! After 25 years of nursing, I needed a change. I became a travel agent - another entire language. Every airport in the world has a three-letter code, and we needed to memorize the most...
  18. UVA second-degree MSN

    Have you already spoken to someone at the university? I would think that you should do that
  19. did your job give you a holiday gift??

    Hey, Sharpie mom! I am Jewish, and I would not have hesitated to say something directly to the insensitive person who gave out the hams. I would have taken the ham and given it to someone else who...
  20. Overtime Pay for Change of Shift Report

    ALWAYS try to take your lunch and breaks, unless there is a code going on. This is for YOUR health and benefit. I remember the days when many nurses smoked, and the smokers never missed their...
  21. How serious!

    I wouldn't worry about it - if someone catches it, they will simply ask you to sign the original and fax it again, or come in to the office to sign it. Did you get paid for the work? The patient's...
  22. On call pay?

    Every place I have worked has had a different set of rules. They will pay as little as they can get away with. It's usually better if there is a union or some kind of bargaining unit. What's really...
  23. My Crazy Month

    You have been a wonderful granddaughter, and a great support to your entire family. Everything appropriate has been done for her, and her nurses will care for her and for your family. Once the...
  24. Raining On My Parade

    Just read a very good book - - Hurry Down Sunshine - - a true story of the breakdown of a teenager, told from her father's point of view. Read it, it may give you some insight as to what to expect...
  25. Help! How do I sign my name??

    The only thing that really matters is RN. BSN, RN is okay. I've never seen an MD or a PhD list their other degrees on anything. Just MD or PhD. If you have a master's degree, then I might list...