mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. Circumcision at change of shift?

    mamamerlee replied to Rhee's topic in Ob/Gyn

    Circs at SIX HOURS? OMG! Sure glad I'm Jewish, we wait until the 8th day. And I don't believe in circumcision as a general rule. Do it strictly as a religious preference. BTW, long-term...

  2. I am tired of inconsiderate visitors . . .

    mamamerlee replied to Rhee's topic in General Nursing

    What happened to family members only, no kids under 12, etc. Many local hospitals have clamped down on children as visitors ddue to H1N1. I worked on a reproductive surgery unit when I was preggo...

  3. Ever have family members of a pt who was a doc?

    mamamerlee replied to buddiage's topic in General Nursing

    A more tender side to this scene - - many years ago I worked in an excellent acute dialysis unit. Got called in for an overdose of Elavil, which does dialyze out. The patient was the mother of one of...

  4. Ever have family members of a pt who was a doc?

    mamamerlee replied to buddiage's topic in General Nursing

    1. As nicely as possible, for EVERY pt, ask the family which person will be the ONE to represent the patient. You put yourself in a bad place if you inadvertently use a different word in an...

  5. Walking Rounds

    mamamerlee replied to rntg's topic in General Nursing

    Many years ago we gave an oral report, AND did walking rounds in the ICU. The 'walking' part was to eyeball the pt and confirm IV drips and monitors, so thee was no confusion. It went pretty well; we...

  6. Riddle Me This

    mamamerlee replied to blondy2061h's topic in General Nursing

    Every time I have been a witness to some similar scenario, if the person doesn't come around really quickly, it's off to employee health or the ER, whichever is the most appropriate. Who is deciding...

  7. WDWN - do you use this abbreviation?

    mamamerlee replied to pinkiepie_RN's topic in General Nursing

    In reference to 'House of God', which was filmed at a hospital in Philadelphia, (the old Graduate Hospital), the best ever was GOMER - Get Out of My Emergency Room. And of course - Gomers go to...

  8. Dansko shoes

    mamamerlee replied to snowangel3's topic in Scrubs, Uniforms, Gear

    The last I knew, the factory outlet was actually in West Grove , PA, South of Philly, off of Route 1. I believe that the turnoff is Route 10, a right off the ramp, and they are less than a mile from...

  9. Complain more please! It is just an hour!

    mamamerlee replied to Tait's topic in General Nursing

    I can't imagine a state labor board agreeing with the idea that hourly workers do not get paid for all of their hours. And most places will pay you for 8 in the spring as a good-will gesture....

  10. WDWN - do you use this abbreviation?

    mamamerlee replied to pinkiepie_RN's topic in General Nursing

    I know I've seen WDWN for over 35 years, but usually only in an initial assessment done by an MD/PA. And, no, it does not apply to the obese - they need to say obese! Needless to say, it should only...

  11. I need information on how to pay for a PCA program at my school?

    mamamerlee replied to TrinaCNA's topic in General Nursing

    Have you contacted the financial aid office at the

  12. What to do when you've had it!

    mamamerlee replied to MAISY, RN-ER's topic in General Nursing

    1. Try to develop a hobby outside of health care to help develop different aspects of your life. 2. Contact your EAP for an evaluation for depression. 3. Consider a transfer to a different unit. Best...

  13. wound vac supplies and Medicare

    mamamerlee replied to chenoaspirit's topic in Home Health

    KCI is extremely knowledgeable about what is covered, and their personnel will walk you thru all the paperwork. As for the excess supplies, any unopened boxes of items must be sent back to KCI for...

  14. Did I do the right thing???

    mamamerlee replied to luvmy2angels's topic in Home Health

    You did the right thing - most agencies would want you to call the case manager or supe, as well as the MD. I always told the LPNs I worked with to contact MD or 911 first if necessary, then me or...

  15. Unsanitary Condtions in Home/Can I refuse to take case

    mamamerlee replied to MayBoo's topic in Home Health

    Is your agency truly aware of the circumstances? Has anyone contacted the Board of Health? Who is the responsible adult in the house, and does that person have the wherewithal to deal with all of...

  16. Random vents

    mamamerlee replied to nyteshade's topic in General Nursing

    I was once on the last bus over a bridge before it was closed due to the snowstorm. Worked well past my 8 hrs that day! Plus, I was the only RN who made it in, so I got to be the charge nurse! And I...

  17. LPN license renewal: what's the policy if not actively practicing as LPN

    mamamerlee replied to cynthy's topic in General Nursing

    Check with your state board, each state is

  18. Negative Pressure Wound Therapy - does it really help ??

    mamamerlee replied to i.care's topic in General Nursing

    As a home care nurse, all I can say is YES it is worth every penny. Wounds that used to take months to heal, with sometimes multiple dressings/day now heal in a few weeks with 3x/WEEK dressing...

  19. You may think this is stuipid, but I'm need advice!

    mamamerlee replied to wrightLPN's topic in General Nursing

    Your post made me chuckle! As a student, I nearly passed out watching a med student jab an elderly woman 4 or 5 times to start an IV. So my 2nd job was on an IV Team!!! Why watch other people botch...

  20. Range of Motion, Contracted Patients, and the Elderly

    mamamerlee replied to Harparia's topic in Geriatric, LTC

    The reason those patients are contracted is exactly why passive ROM is needed. We were taught to do PROM every 4 hours while awake. It is supposed to be gentle in nature, and thoroughly done may take...

  21. Have you experienced bias from being a left-handed Nurse?

    mamamerlee replied to Hopetoheal's topic in General Nursing

    Although I am right-handed, I learned to start IVs either way - sometimes it's a matter of need. I have also put in a few foleys with my left hand, rather than move furniture in the home-health...

  22. Measuring blood pressure

    mamamerlee replied to Moogie's topic in General Nursing

    Wrist/forearm cuffs are very popular in home health and certain other settings. I used one when I worked at a jail, too, for my own safety. I take my own BP at least 2 times/day with a wrist cuff,...

  23. Washington Redskins Cheerleader Suffers Dystonia From Flu Shot

    mamamerlee replied to musiklover's topic in Disaster Preparation

    This was not to h1n1 it was to a seasonal flu

  24. Helping others outside of the hospital

    mamamerlee replied to labman's topic in General Nursing

    AAARRRGGGHHH! This is a classic scenario of between a rock and a hard place. If you had intervened, I can almost guarantee that whatever you did or suggested would have been wrong in their eyes....

  25. Is swz.salary.com/ accurate?

    mamamerlee replied to chul_soo's topic in General Nursing

    The information can only be as good as the info that is received from the reporting agencies. Pay compression is when salary does not keep with up things like cost of living indexes, or salaries...