melpn

melpn

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All Content by melpn

  1. RN as Inpatient, horrible and looong rant

    melpn replied to Haunted's topic in General Nursing

    Write a letter and as calmly as you can let them know about your awful experience in detail. Hopefully it will shake them up and get them to think about what they are doing. I can't believe they...

  2. Brainless People!

    melpn replied to mickeypat's topic in Geriatric, LTC

    The smoking on O2 is only one issue. Any compressed gas tanks are dangerous missile-like projectiles and must be secured at all times in racks or w/ chains in a secure area designed for compressed gas...

  3. Collodial silver?

    melpn replied to BRANDY LPN's topic in General Nursing

    As an antimicrobial in silver impregnated foleys and wound dressings, absolutely. Taken internally,you're playing with fire. Get a real doc who won't kill you w/ toxic levels of

  4. pacify or orientate? Alzheimers...

    melpn replied to Lfransis's topic in Geriatric, LTC

    It doesn't seem nice or fair to lie to anyone, especially a demented elderly person- we have been taught all our lives not to lie. But think of it as a "little white lie". Remember the goal is a happy...

  5. Safe Harbor/ Working Under Protest

    melpn posted a topic in General Nursing

    I re-posted this because I desperately need help with this "Safe Harbor" thing. What is it? Does it involve the BON or JCAHO? How is it done and what sort of protection does it afford you? I have also...

  6. Safe Harbor/ Working Under Protest

    melpn replied to melpn's topic in General Nursing

    Our Administrator, DON and Supervisor are made aware of the situation (in fact, they demand to be) when it occurs and are very responsive, finding staff and calling in unit mgrs. (I work nights) to...

  7. Safe Harbor/ Working Under Protest

    melpn replied to melpn's topic in General Nursing

    No, New Jersey. I guess I'll have to look up our BON and see if there is something similar. Thank you for your reply, though (and to gauge14iv,as

  8. Thank you's - memorable ones you've received?

    melpn replied to Liddle Noodnik's topic in Patient, Colleague Relations

    I had a noncompliant DM type I pt s/p hernia repair,developed a nasty hematoma at the surg site. Doc waited entirely too long to take him back to the OR and evacuate it; no infection thankfully but...

  9. Sick of working short

    melpn replied to kristi-lpn2's topic in General Nursing

    Somebody please help me out with "safe harbor"; I've no clue what it is. Does it involve the BON or JCAHO? How does one claim it and how does it benefit you? My other question is this; I have heard of...

  10. Sleeping pill at THIS time????

    melpn replied to mediatix8's topic in General Nursing

    At our rehab facility we don't give sleepers past 0100 per house policy. We've found that anything later than that interferes w/ getting 'em up for PT/OT/ST/physiatry visits. These disciplines operate...

  11. Help!! Any Advice appreciated!

    melpn replied to luvmy2angels's topic in General Nursing

    Fire his doc pronto and get one who grasps the reality of the situation and will get this poor man hospice care! Do it now; you can't afford to wait and all involved will have a much easier time...

  12. Blood Glucose of 1700!!!

    melpn replied to Brian's topic in General Nursing

    Whatever happened to calling critical results? Lab calls MD office, office calls pt. It's that

  13. Nervous Wreck- Help!!!!

    melpn replied to windchaser's topic in General Nursing

    I agree; I've seen pts. treated with 20 mg or so of Inderal and it seemed to work for them. Mention it to your doc- it's worth a try. Good luck and I wish you the best with this difficult

  14. head to toe physical assessment

    melpn replied to carla08's topic in General Nursing

    Very nice .. helps you keep things on track. Some pts will give you unnecessary detail and this alows you to keep things moving and go back to things that are worthy of a bit more discussion later....

  15. Does it have to be such a hostile environment?

    melpn replied to APP's topic in General Nursing

    This is where we come B!&@H and commiserate. It's not all bad. Nursing shortages, short staffing, and the constant knowledge that a mistake on your part can lead to a serious consequences or...

  16. How many pregnancies are too many?

    melpn replied to L&D_2b's topic in Ob/Gyn

    Well, yes the earth is over-populated, and for that reason as well as the tragic numbers of children in foster homes awaiting a loving permanent home, the kindest, most socially responsible thing to...

  17. Insulin

    melpn replied to Momto2Boys's topic in LPN, LVN Corner

    FreshRN05- Yes, give the NPH. It has a delayed onset and longer effect, so it won't bottom out her sugars now. The NPH is what will keep her sugar in line for the next half of the day; think of it as...

  18. Does anyone like working 7p-7a?

    melpn replied to RN123456789's topic in General Nursing

    Yes! I work in a ~160 bed inpatient rehab (PT,OT,ST,cardiac,vent) facility. I wouldn't touch days; meals, PT,OT,ST have to stick with their schedules to get it all done, but God forbid the patient...

  19. Posted in another forum... no response...please answer

    melpn replied to crb613's topic in General Nursing

    Always pull them to the side-one at a time if possible (it shows that you have the respect to discipline privately and expect the same- mention this) emphasize that we work as a team and repeat the...

  20. What do you think makes someone good or bad in emergencies?

    melpn replied to kstockdaleRN's topic in General Nursing

    Some people are born with it, I swear. Before I became a nurse I worked in the foodservice industries (mostly as a bartender) and I always felt I worked best under "barely controlled chaos"...

  21. What is that smell?

    melpn replied to sharann's topic in General Nursing

    Teenage boys do have the funkiest foot odor I've ever encountered; along with the raging hormones and sweat glands going on as well. But have you considered a pilonidal cyst? It may not want to be...

  22. Feeling Guilty (calling in sick)

    melpn replied to RaggedyRN's topic in General Nursing

    Stop beating yourself up over this! It's not like you called out with a hangnail (or a hangover) or because you just didn't feel like going in. Someone had to take care of those sick kids. End of...

  23. Vet tech calling herself RN

    melpn replied to Nightcrawler's topic in General Nursing

    What is wrong with being a vet tech that makes her feel she has to claim to be something else entirely? RN's are certainly not trained nor qualified to take care of animals. She should be proud of...

  24. I have never met anyone like her...

    melpn replied to ShayRN's topic in General Nursing

    Can you give a few more details about this form? I know corporate forms usually can't be duplicated w/o going through the Legal Dept., but some of the key points could help us fabricate our own. This...

  25. Nurses struggling with mental illness

    melpn replied to Severina's topic in Nurse Disabilities

    Navywife757- I was diagnosed at 40 y/o (pretty late in life but it all makes sense now). After I absorbed the shock and started meds and regular psych tx, decided to be open w/ co-workers about it. I...