DDdove

DDdove LPN

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All Content by DDdove

  1. RN - Crushing medications

    I was trained in my facility for three days and have been working now for a couple months. While reading through the threads I find that now I see I am supposed to be crushing meds separately. So do I put each med in a different cup with pudding and ...
  2. negative nurses

    I just got off work and although it was a rather stressful night with a new admit, the worst thing that happened was having to look at a third shifts nurse's face when she walks in. Every night it's the same grumpy face. I first thought it was me sh...
  3. Another low staffing - am i being a baby- new nurse post!

    When I was hired I had 16 skilled pts and the regular load of LTC. Totaled about 36 pts! Feeding tubes, IV antibiotics, treatments, caths, meds etc. 1 RN and two aides and 1 float. The other wing with another 30 some patients had 1 LPN and two aides....
  4. Normal Saline in a nebulizer?

    What so you think of breathing in vapors from a pan of steamy water?
  5. BP treatment

    I just went to ED with my sister. BP 189/118. No history of it before but the ED or the floor (oncology) never gave her anything. It has been running high every since like about 152/90. No one seems to be worried about it. Luckily we are going to her...
  6. She came on for help and you just brushed her off with "stupid".......This is a site where we can come for help and guidence.
  7. Quote..." If admin does fire him, he is just going to carry on this poor nursing care somewhere else... Im not doing any patients justice if I let that happen...." Why are you so sure he wouldn't learn from being fired or getting a warning? Maybe he ...
  8. No breaks (class action lawsuit)

    I had a DON write up a schedule to follow because I was having difficulty clocking out on time. haha the schedule took me through all twelve hours... hour by hour and guess what.....she had no lunch or breaks figured in!! But..of course we were docke...
  9. Any Registered Nurses that are state surveyors???

    I am so happy to know you are a LTC surveyor! I have questions for you:) Do you ever fine for not enough staff for a facility? I also wonder if you question how one nurse can care for (all) the patients safely in the limited time frame of one hour ...
  10. Unit Manager/RN Supervisor Responsibilities

    There are only two nurses in our facilty at a time and usually only one is an RN. With 64 patients, 19 of them skilled, we need the higher ups to help. If I am the only RN and there are three IV ATB's q4hrs running that need flushed etc on time, 4 pe...
  11. The case of the missing pens: A rant and an idea

    haha:yeah:
  12. Orienting woes!

    Try having her get a piece of paper and write down important info.(Lovenox sub-q/stomach)SL nitro/B/P) Or maybe you could do it at home to give to her so she can look at it before doing the skill. I think sometimes it is performance anxiety and if sh...
  13. Too old for school?

    I do not think many are retiring at 64 anymore:) Pensions and the like are gone and many lost their investments with the stock market or like me...I spent my retirement savings on my children's college education :) I will nurse as long as I can phys...
  14. Too old for school?

    I am a new nurse and I am 54!! Loving my first job and keeping up with the young ones :) Planning on nursing for 5 yrs and moving to DON hopefully. Good luck and enjoy!
  15. IV fluids in LTC setting?

    I just ran into my first clamped PICC in SN where as in the hospital they were without clamps and didn't need heparin. We only flush with 5 ml saline and 3 heparin. It just seems like so little of a flush.
  16. CNA'S suffer second hand smoke

    Just let them know how you feel about being around second hand smoke. I don't think it is a hostile work environment because someone wants to smoke:) YOur bound to get a communicable disease or illness from someone there before you would ever get lun...
  17. documenting

    I am confused on what to document on. I know I document PRN meds such as pain, ATB but do I document in nurses notes a nightly assessment such as "Pt sleeping throught out night with no complaints. 0600 meds passed, no compaints or needs stated." I h...
  18. Japan Disaster

    I wish I could go. So sorry for the people
  19. Fired because of Facebook???

    We were given a paper to sign for our nursing school that said we were not aloud to say anything negetive about the school, clinical place or instructors :)
  20. IV pump height safety?

    Actually I seen on a video somewhere (youtube?) where there is a reason but just can't think why.....have to try to find it again
  21. documenting

    haha :clown:funny By the way I loved your LTC texting too
  22. Made to Falsify Documentation :(

    Everyone talks about state coming and getting in trouble for false documentation. I don't think state cares because this goes on constantly and all they would have to do is investigate on sites like this. If state cared they would be up at the state ...
  23. Digoxin Care Plan help?

    Decreased cardiac output d/t possible dysrhythmias from electrolyte balance
  24. Digoxin Care Plan help?

    pt will return to therapeutic range by 03/10/2011 Teaching - pt will state causes of dig toxicity by 03/10/2011 pt will state how to recognize dig toxicity by 03/10/2011
  25. Digoxin Care Plan help?

    i found this on another thread from daytonite who was a great teacher on this forum: activity intolerance (page 3, nanda-i nursing diagnoses: definitions & classification 2007-2008) definition: insufficient physiological or psychological energ...