nightmare

nightmare RN

Nursing Home ,Dementia Care,Neurology.

Scottish trained RGN now retired.

Member

All Content by nightmare

  1. Need INPUT!!

    nightmare replied to Sherriblu's topic in Home Health

    If this lady is dehydrated that can sometimes cause a stoma to prolapse

  2. Patient responsibilities; would you admit this pt?

    nightmare replied to wonderbee's topic in Home Health

    Reading your post and the way the man "forgot" things makes me think he has possible Korsikoft's (sp!)syndrome.Chiefly caused by alcoholism ,sufferers confabulate , in other words they remember bits...

  3. Give me some attention!

    nightmare replied to marjoriemac's topic in Geriatric, LTC

    This guy sounds just plain nasty but I suppose the Psychs would say he is frustrated, frightened etc etc etc!! Off topic slightly but I have been watching some programmes about super morbidly obese...

  4. Nutrition Help!!!

    nightmare replied to IfGodSaysYes's topic in General Nursing

    This site will help you with carb counting. http://www.carbohydrate-counter.org/ This one is US based. http://www.nal.usda.gov/fnic/foodcomp/Data/HG72/hg72_2002.pdf just Google in nutrient value of...

  5. Dream job

    nightmare replied to oreo75's topic in International Nursing

    So therefore you need to be very gen'd up on infection control and treatment of MRSA also understanding of the isolation that the patients may feel because they are MRSA positive and any new research...

  6. Dream job

    nightmare replied to oreo75's topic in International Nursing

    What kind of ward is

  7. Give me some attention!

    nightmare replied to marjoriemac's topic in Geriatric, LTC

    Sounds like she desperately needs attention,someone to say they care etc.Has she been Psych evaluated? Sometimes these "needy" people are just terrified of what is in front of them and constantly seek...

  8. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    nightmare replied to FireStarterRN's topic in General Nursing

    What it comes down to is another piece of paper to cover their butts(am I allowed that word?) with!They don't trust us to do our job so we have to prove it by signing a piece of paper.Of course no one...

  9. what would you do??

    nightmare replied to Sammijo1122's topic in Geriatric, LTC

    Sammi, if you have been vaccinated for pneumonia that is you covered for life,well it is here anyway.Go to your doctor and have blood tests

  10. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    nightmare replied to FireStarterRN's topic in General Nursing

    We do hourly and sometimes half-hourly rounds.The carers have to sign off check sheets.We have a computerised call system so every time we enter a room we have to "Bleep" the reset.This registers on...

  11. what would you do??

    nightmare replied to Sammijo1122's topic in Geriatric, LTC

    So isn't it "psychologically detramental " to you having to wonder if your going to get a severe infection everytime he bites?!!! I'm all for care of the patient but care of the health of the staff...

  12. what would you do??

    nightmare replied to Sammijo1122's topic in Geriatric, LTC

    Well those will help protect you.Do the nurses and more experienced carers not have a stratagy for dealing with him? If his behavior is due to the brain damage,in other words he can't help it, do they...

  13. what would you do??

    nightmare replied to Sammijo1122's topic in Geriatric, LTC

    I think you need more than two of you when dealing with this young man.Human bites can be very dangerous, I hope all your immunisations are up to date.If he is kicking and biting because of cerebral...

  14. Happy Birthday Silverdragon102

    nightmare replied to letina's topic in International Nursing

    OK so I'm a bit late(working nights) Hope you had a great

  15. inside the mind of a nurse.....

    nightmare replied to ERRN92's topic in General Nursing

    Find yourself assessing people in shops and the street,wondering how long it will be before they become a

  16. To Orient or Not to Orient?

    nightmare replied to sassysteph7's topic in Geriatric, LTC

    I agree...Reality orientation just doesn't work in most cases.Speak to her family,did she care for her mother?Was there something she did every evening?Find out a bit of the history and maybe it will...

  17. Give me some attention!

    nightmare replied to marjoriemac's topic in Geriatric, LTC

    Well this may work and it may not but we had a similar resident.The Dep.Matron read the riot act on her about her behavior and it did actually work! However if this lady has Picks or Lewy Body...

  18. The elderly and community assistance...

    nightmare replied to nyapa's topic in International Nursing

    I think the Social Service help depends also on which part of the country your MIL is in as

  19. Non-verbal communication board

    nightmare replied to mcknis's topic in General Nursing

    This may help.

  20. a nurse's medicine cabinet

    nightmare replied to NurseNature's topic in General Nursing

    Paracetamol,Nurofen,Gaviscon,Forflu,Cavonia(cough mixture)tastes terrible ,but works well!Dettol or Savlon for cleaning cuts etc.Elastoplast dressings,Mepore dressings,Deep heat for aches and...

  21. Should I Apply for this Job?

    nightmare replied to SuesquatchRN's topic in General Nursing

    Go for it,Sue, what can it hurt?? Sounds right up your

  22. Infection control

    nightmare replied to angelaQAICnurse's topic in Geriatric, LTC

    Our night shift has an equipment cleaning schedule, each night a different piece of equipment is cleaned,wheelchairs one night,hoists another etc etc. Works well for

  23. Happy New Year

    nightmare replied to XB9S's topic in International Nursing

    Hope 2008 is great !and that you get all that you wish for.:clpty::guitman::anpom::smiley_aa( you can tell I like

  24. I feel isolated and left out

    nightmare replied to inshallamiami's topic in General Nursing

    We have the same problem with eastern European workers coming here.In our N/H they have to speak English but I have heard of several N/H's where there are so many that they speak their own language...

  25. Large med pass at 6 am!!!!!!

    nightmare replied to NurseCard's topic in General Nursing

    :yeahthat: Many meds should not be given on an empty stomach e.g. aspirin ,and who's going to get it in the neck if they have a gastric bleed........you are for giving it!I don't see the point ,time...