tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    i need help

    Why don't you ask
  2. tyvin

    Palliative Patients Who Are Full Codes

    "There are no mistakes, no coincidences. All events are blessings given to us to learn from" (Elizabeth Kubler-Ross). If it's a code, it's a
  3. I couldn't have said it any better. You are a true benefit to hospice nursing. The mom was living in WA and the father was raising the child. She came to visit according to other stories I've read....
  4. tyvin

    what to expect on 7p-7a geriatric psych floor

    Previous comments and your title lend me to believe that that it is a wing in a LTC facility reserved for psych and dementia and not a psych unit. Having said that my post is from a psych unit...
  5. tyvin

    Halloween Scare

    I was doing nights in a LTC facility where this young bed-ridden male required very specific meds via his g-tube at exactly 2am every night. OK; so it's dark in his room and I never turn on the lights...
  6. Using common sense; it all depends of where you
  7. PA's work under the doc's license and the doc is always available to assist and in many instances they work together in the same building. Nurse pracs work on their own and don't justify there actions...
  8. tyvin

    Trying to teach a pt about Diabetes

    I am officially confused; is she a type I or a type II? As far as sliding scale always do the sugar; as mentioned she may not need any. As far as teaching suggest she keep a journal and suggest other...
  9. tyvin

    Former co-worker reported to BON

    Either you help her or not. Sounds like she needs some understanding from someone who knew the circumstances. I have seen many nurses ganged up on and fired in that manner and it's never pretty. It...
  10. tyvin

    My day as a patient

    Same thing happened to me when I went in for my surgery. I finally asked to see the DON and I told her no one was doing foley care, offering cloths to wash up etc... Then I told her about her RN's who...
  11. tyvin

    Annoyed....Just needing to vent...

    I hear ya! When I first started working the paperwork was ginormous. It got to the point that I actually changed my signature. I had a nice signature but after writing it > 100 times a day I...
  12. https://www.ncsbn.org/158.htm
  13. tyvin

    function for half sheets in triage

    In the LTC and hospital settings they're there to ease with transfers and also helpful in pulling patients up in
  14. tyvin

    disappearing nurses notes!

    Yes this is how; and when rewriting in the progress notes indicate "late entry" and date it the day you write. Also the one post that advised to chart in the other areas (back of the MAR sheets, TAR's...
  15. tyvin

    disappearing nurses notes!

    I'm afraid to say this but now that you know..............if you cover as well. If I was feeling gutsy I would do an incident report but that could result in a bad reaction. I would talk to her and...
  16. tyvin

    Nurses with Hepatitis

    I would like to say that it wasn't until 1986 that blood could be tested for Hep C so that means anyone who was given blood during surgery previous to that date has a higher incidence of being...
  17. tyvin

    disappearing nurses notes!

    Absolutely NO! That is considered illegal as she is destroying legal documents. Once it's in the chart it should not be taken out to be destroyed. This is why we have policy of drawing one line...
  18. tyvin

    How To Draw Blood From A PICC Line

    Anyone?
  19. tyvin

    Essential equipment a luxury?!

    Where ever I've worked I have my own. It just became a royal hassle in the you know what so I got one with an adjustable cuff that can accomodate large to small adult (expensive). I also got a wrist...
  20. tyvin

    How many of you nurses do NOT have health insurance

    Hawaii is one of the states that has mandatory health insurance provided by the employer for anyone working 20 hrs or more. For the working individual the amount they pay towards their policy is...
  21. tyvin

    Being trained by CNA to do procedures

    A similar situation happened in a place I worked but it was the CNA's complaining about giving enemas and suppositories. Turns out in my state enemas and suppositories are considered medication...
  22. tyvin

    Info for senior students in the ED

    Narcan (naloxone) not listed for reversal of opioid
  23. tyvin

    MDS nursing as a new graduate????

    So do you work in
  24. tyvin

    Culture Change/Hatch Model

    http://www.qualitypartnersri.org/cfmodules/objmgr.cfm?Obj=NursingHomeQIOSC&pmid=124&mid=124&cid=124&clear=yes&bc=HATCh%20Model%20%20%20-%20%20%20Individualized%20Care&bcl=1 And...
  25. tyvin

    How to perform a Papanicolaou Test ?

    In the United States a nurse cannot unless they are a family prac. Canada's scope of practice for RN's appears to be unlike that of American nurses IMO from what I've read so far on this forum. Just...