mamamerlee

mamamerlee LPN

home health, dialysis, others

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All Content by mamamerlee

  1. Dopamine drips in SNF?

    If you don't have a policy for this, and some decent orders, this may not have been an appropriate admission. Where's your DON on
  2. Just hired as school nurse-scared!

    Wow - - One nurse for a district? Every school here has its own full-time RN. And so did the schools in the other 3 states where my kids went. Who gives the meds in those schools - especially prn...
  3. Urinary retention with no foley drainage(long)

    The only time I saw something like this was in a case of a very elderly woman who was eventually dx'd with a large tumor. When I straight cath'ed her, I only got a very small amt. The doc thought I...
  4. how to be perfect in a world expecting you to be perfect..

    You say 'could have been' so that indicates that the mistake was averted, or really didn't amount to much. So why are you beating yourself up so much? No one is perfect, no one will ever be perfect....
  5. Did everyone flunk their college writing courses?

    It's amazing what draws the most attention on this board!! The two hottest topics lately have been this one, and the Helen Mirren episode. Can anyone get a NURSING topic that will draw this much...
  6. Did everyone flunk their college writing courses?

    I love www.icanhascheezburger.com but that writing is from the CATS' viewpoints, and we all know that cats can't spell. It is irksome to read a plea for help, or a vent when the OP seems to be totally...
  7. Eating and bathing

    Is this somehow a take on 'don't go swimming after you've just eaten'? So many of us would be dead by
  8. White Supremacist patients

    I have a sense that he may have thought you are Jewish, and was trying to get a rise out of you. Ignoring his remarks is the best you can do. Over the years I have dealt with a variety of people that...
  9. Can't get it out of my head

    1. Be proud of what you did - you reacted in the most appropriate manner possible. 2. Of course you don't want to be called a 'hero' because you did something you were trained to do, but other people...
  10. am i making the right choice?

    TAKE THE SCHOLARSHIP. Maybe by the time you need to start school, the facility will let you work part-time or weekends. Best
  11. Long Term Care Inservices

    Many places either video the inservices, or run them multiple
  12. Patient made me feel like low life

    OK. When you have visible tats you are drawing attention to yourself. You have them in order to be noticed. So when someone makes negative remarks about them, you need to be able to take it in...
  13. Two Jobs and or passions.

    Years ago, I took part in community theatre, both on stage and as a stage manager. I have done extensive volunteer work at times, sold cosmetics, and I read voraciously. It's important to have other...
  14. What is the purpose of requiring white shoes?

    The white shoes harken back to the times when nurses - at least here in the US - wore all white. Although as students we did not wear white, we had white pantyhose and shoes, and the shoes had to be...
  15. How long until shingles crust? I wanna work!

    As noted previously, I hope they started you on an antiviral already. They will probably want to see you before they let you back on the floor. The facility has a duty to protect the patients - and...
  16. Caregiver smoking with patient on oxygen

    I am slightly confused. The caregiver smoked but the CLIENT had to be 'put in her place'? And who writes a note that the client had to be put in her place about asking the caregiver to stop...
  17. manual BP's?

    Years ago I bought an automatic wrist cuff - it has proven to be pretty accurate when used correctly. But it still takes longer than a manual BP. That said, my big issue these days is - TAH DAH -...
  18. Nurse Vs Daughter! Help Me!!!

    You absolutely must keep trying to get in touch with your Dad. Do not let this opportunity pass - you are way too young to carry the burden of 'what if' for the rest of your life. There are very few...
  19. crossing out MD orders??

    Look for the policy / procedure on taking off orders. Sometimes the printoff for the next month is done 5-10 days early, and an order may have
  20. Some Large home health agencies have a dedicated Medicaid Nurse who follows the 'Caid patients for their paperwork and recerts. The patients need to be seen on a tight schedule for their supervisory...
  21. Home health as first job?

    There is NO WAY you should do home health without a minimum of a year's experience in an acute setting. NO WAY. And I would be extremely concerned about any agency that would hire you without that...
  22. On the call light like a Jeopardy buzzer

    These patients, as you noted, are anxious, frightened individuals. They need a firm but gentle hand. As PERS stated, tell them nicely that you will be back to check on them in X amount of time, and...
  23. No one should have to tolerate that kind of behaviour. He needs to be confronted directly. The DON and the head of the medical side of the hosp need to be made aware of his inappropriate conduct....
  24. Help with Braden Scale

    Of course the clients with neuropathy will score higher, and that puts them at a higher risk. Be sure to put 'direct observation of feet & legs' as often as you feel
  25. Does her family know how sick she is?

    In this case, the doctor. Unless he specifically asked you to talk to them, this was his