neutrophil

neutrophil

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All Content by neutrophil

  1. Residents of LTC who abuse the staff

    It. Is a difficult part of nursing. However if one thinks of the condition of the patient and their limited abilities comparing to who they were in their productive life it is relatively easy to understand that a nurse is one that is an extension of ...
  2. When to hold bp medications

    Wonderful questions and answers. Suppose you are a registry nurse working in a snf, you don't have a clue about the patient. I don't hold diuretics especially if they are on potassium. I hold other BP meds if systolic is under 100. Put on the MAR w...
  3. How long is the orientation period in the SNF/LTC?

    Very hard to say. This is one reason why many don't hire new grads. It depends on your knowledge and experience and staffing needs.
  4. Do you bladder train before removing a Foley cath?

    I think one difference in theories is one is addressing the sphincster and the other is addressing the smooth muscle and reflex. I think both are adequate because they address both voluntary and involuntary muscles.
  5. Do you bladder train before removing a Foley cath?

    I found this question on the web and see it is three years old. I think it's a great question. A physician recently ordered to bladder train then DC, when I brought this up to the dsd he said that you have to DC then bladder train. Different from the...
  6. advice for new grad shadowing?

    In a perfect world there is perfect nursing, in am imperfect world there is priorities and common sense that comes with experience. If you are the shadow you might see both of these that are necessary but not necessarily by the book, thus the appreh...
  7. colostomy with rectal tube.

    MBARN, 100% agree, my goodness, briefs, diapers, depends, pullups, or just a simple chucks. Anyway. Overkill.
  8. Hope for New Grads in the Future

    It is very hard. I tend to agree that, this is a job that is not for everyone, so not everyone can do it. It can't be outsourced. I know about roughly 40% of the nurses have two jobs. It is because when there was a shortage they were called and t...
  9. Nurse work dillema-Advice needed

    Well, I love your planning and your ambition. I worked for a couple of years in the ICU as a tech partner/CNA, and built strong rapport with nurses and doctors. I knew the nurses and their backgrounds, I felt comfortable working with them because ...
  10. How often do pain meds cause vomitting?

    Hiccups is just the diaphragm having spasms. I don't think vicodin or fantanyl are causing that. As far as the SQ, I don't see a problem with it, if the pt has ascites then maybe the arms or the thighs might be a better place. N/V, oh my goodness,...
  11. Registry position?

    Well, I guess you are a new nurse, hehe. No problem we all start somewhere. I was a registry CNA, I learned more being in registry than anywhere else, it was also more demanding. Registries are companies that have a contract with agencies whether ...
  12. To all the Wonderful CNA's and PCT's

    Well, I posted it here before, that I told a patient when he addressed the DON, calling her "nurse." I told him in front of her, "don't you you know that CNA's are the real nurses? They are just pill pushers and bureaucrats." I am a nurse now, and s...
  13. colostomy with rectal tube.

    All I can say is wow!!!
  14. Do some patients deserve special treatment?

    This question is very good. The problem with answering this question is that, what happened to this patient is a life changing experience that could have ended his life. So from this point on, his life will never be the same. He could have died. ...
  15. Here in the San Diego area, there are some hospitals that are competing. So they want BSN's, it makes them look better. Magnet? By all means, some people say it is nurses cutting nurses throats. Magnet certification is given by "American nurses c...
  16. CNA's not completing assignment. Vent.

    Well, I am so glad that you brought this up. I was a CNA, I was proud of it and knew that my job title meant that I was an aide to the nurse. Not the other way around. I am now an LVN. Most CNA's try to do a good job. But my goodness. Turning i...
  17. Going to Nursing School at an Older Age

    That is a bunch of crap bundled up in torn apart diaper and put out there by someone high on negativity!! The experience that an older person brings to the arena is priceless. Many nurses often switch jobs, 2-5 years. So what difference does it make...
  18. How much does your hospital ceo make?

    Just today on Yahoo, it came out that in the USA, the middle class is shrinking. The poor getting poorer and the rich getting richer. They put it was posted 7/15/10, by Michael Snyder. Showed 22 statistics in detail. Sad.
  19. A nurse by any other name...

    I am a male nurse. I know it, I don't want to be called anything else. Female connotation, maybe for some still living in the 1960's. In my unit yesterday, there were three charge nurses, we were all male, and the day before. It is really cool whe...
  20. ever worked for flu shot clinic???

    Hi, I also volunteered. After my last day of school, about 4 grads, went with one of our clinical instructors and gave the flu shots. When the H1N1 was at it's peak. It was alot of fun. You learn to give shots without being afraid. The geriatric...
  21. Longterm care nightmare job

    A note on CMA's. They are not nurses. In most states, if not all. They only work in units governed by the department of social services not department of health. So not at snf's. Some dementia units and also RCFE's, (assisted living facilities)....
  22. Longterm care nightmare job

    I work in an LTC, the first thing that I believe I should say is that, these people need someone to care for them. The hard part is the bureaucracy. I don't believe that nurses should just say, "I will go with what is easier." Then just walk away....
  23. tired of the board of nursing in MD

    Well, I'm in CA, I had similar problems with the board. When you know everything is okay, you have crossed your T's dotted your I's. Everything is clear. They lag, and lag, and you can't get to them. Our governor Schwarzenegger, has a page, one are...
  24. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    Yuck well, I guess the one that comes to mind is when I was a CNA working in a tele unit. Patient had ethol dx with encephalopathy, as as many ethols do. This one had not had a bm and could not talk or anything. So a lactulose enema was ordered, T...
  25. Is it ok for the nurse to recommend OTC drugs to a patient?

    When I was a med aide. We could in no way recommend anything. I remember once, the niece of a resident brought, Tylenol pm, otc. Told me, "give it to my aunt every night." I told her that as a med tech, I needed to get a doctors order before givi...