mandykal ADN, RN

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All Content by mandykal

  1. wow, surprisingly, this is the question i'm asking. i got my whole family in sacramento, bay area, and my parents laying low in modesto, ca. so, my intentions is moving to pleasanton, ca. in less than...
  2. mandykal

    My first resident passed away last night

    **hugs lexi** there is one thing about the first one, memories never seem to seize. i worked in ltc for about 8 years. over 50 people pass. walked in on some. i've held many hands before they...
  3. mandykal

    DNR by Phone?

    whenever you doubt the policy, don't be afraid to question that way someone can explain it. as long as it's within state regs., facility policy, and within your scope, you are safe! you can't go...
  4. mandykal

    Meal Intakes on MAR

    if they tell you it's regulations, ask them how can you see it in black and white. bm's i can understand having it in two places, the cna flowsheet and the mar. both eyes better than one. the worst...
  5. mandykal

    Need your input!

    one word "budget!" if it were inexpensive, everyone would have one. insurances have policies for eligible requirements ie., stage 3 as you stated above. those beds can go up to $10,000.00 i've seen...
  6. mandykal

    Fungal infection

    sometimes those vinyl mattress can be a pain in the butt! frequent position ie., side to side when in bed. verses on her bottom. open to air helps. how about stools? constantly loose? any tx to...
  7. mandykal

    Accucheck procedure

    I would do what cape cod recommends. I would also follow the rules when being observed. It's always good to practice good habits first, then do what most people do, create their own habits. I'm not at...
  8. mandykal

    The Patient I Failed

    i just had to read this one more
  9. mandykal

    Hourly Rate For LPNS

    I know this thread is old....... Connecticut 2000-2005 CNA $11.00 --$15.00/hr ( I was making 15.00hr) 2005 Grad Lpn $15.00hr (massachusetts) 2006 LPN $26.00/hr, now 2008 $27.39/hr LTC fulltime...
  10. mandykal

    The Patient I Failed

    This is a story that belongs into the "chicken soup for the soul." I once took report from a nurse who told me when she informed the Doc on the clients age (95), The Doc told her "I stop thinking...
  11. mandykal

    tb postitive?

    www.youtube.com is a wonderful tool. ex.
  12. Don't feel "dumb" as you stated. You will be put on the spot all the time as a nurse. Remember that saying "It's not what you say," but rather "how you say it." I have 3 per diem jobs. Places I'm...
  13. i just wanted to add my last post for those doing research. i received an email and i think it's worth the info: a word of caution rev 8-21-07 there are tutorial firms, test preparation services, and...
  14. mandykal

    resp therapy vs RN

    now that this post is since 2004, i wonder what route did the original poster take rn or
  15. thanks cali'07, you summed it up for those who are researching. as for potential nursing students, i hope that when they utilize any search engine on the net that they find this
  16. thanks for the reply. i'm not signing anything. if only life be easier said than done right! all these educational college network, rue...etc.... i guess it sounds like they want a piece of the pie...
  17. Hummee... interesting information. I had no clue what RUE is...my wife gave me the phone and I spoke with a representative, I'm still waiting for information by email. Initial cost for enrollment:...
  18. mandykal

    Venofer infusion complications

    Thanks for the response.....Yes, smaller GA cath is definitely safer as preventive
  19. mandykal

    DNR bracelet with DNR written on it. HIPAA???

    All these color coded stuff going around. I like what we did. One color, white. client's name, room # and DR. ...reason for that is that code status may change and what if someone forgets to update...
  20. mandykal

    Redness around colostomy site

    why would he only let you see it for a few seconds??? maybe he's changing it constantly it may be irritating the skin. Is the colostomy a single appliance or is the wafer separated from the colostomy...
  21. mandykal

    Is this typical for an LTC facility?

    humme..... sounds like drama to me..... Typical? maybe in staffing problems...and maybe yes in regards to how some staff members interact with eachother from supervisors down, depending on your...
  22. mandykal

    solumedrol

    what are the odds of infiltrating solumedrol 250cc/hr which was the total volume, in a 20GA mid line going into a basilic vein??? Midline was good for the first 45 minutes, then........can a line like...
  23. mandykal

    Hematoma caused by phlebotomist

    Good comment Venuschick....I, too was browsing on this old post....... Sometimes before I get stick I just tell the phleb. a hint: "I give a million shots but somehow, I can't seem to grasp taking...
  24. mandykal

    LPN in Hospice/Home Care

    In CT. I don't know if Hospice hires LPN as I've asked a few and they've said RN..... I like it when LPN's are given the opportunity to do more, it gives me hope that we're still needed. Connecticut...
  25. mandykal

    Excelsior Exams?

    Wow, 6 months! What if you fail, how many times can you repeat CPNE?? Thanks again for your