grannyrn65

grannyrn65

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All Content by grannyrn65

  1. Legitimate Pain or no?

    You must have been taught the same thing I was 'pain magically disappears when the broken bone is set':lol2:. Unfortunately it was a big lie, as we learn :crying2:. Have faith, the pain will resolve itself. GrannyRN65
  2. Legitimate Pain or no?

    I think your comment about the dilaudid is right on point. I was a nurse for more then forty years. And I am sick and tired of nurses appointing themselves as the final arbitrator in determining if a patient has pain or not. Everyone copes with pa...
  3. Do you all have coumadin clinics where you live?

    I live in SW Florida and my primary care physician and his group practice have ine for their patients. They get a finger stick and adjustments in dosage are made. I went for a year. Their clinic made my life simplier. GrannyRN65
  4. Was I taught the wrong thing in school?

    I am not a CDNE but I have been on insulin, for ten years, treating my Type 2. It depends on how 'brittle' the person is, as to whatever or not you give the four units. Unless the patient is extremely brittle, I would give the insulin and monitor t...
  5. Private Rooms Standard

    Private rooms are the exception rather then the rule in my community. Private rooms are limited to patients with infections or immune-suppressed. I don't view semi-private rooms as invitation to cross contamination. If someone acquires an infectio...
  6. How do you deal with a doctor who sweared on you over the phone?

    I haven't ever had a physician swear at me but I did have an attending act rudely to me, in front of my staff. I did accompany him to see his patient, then asked him into the break room. I told him that I didn't appreciate his rude behavior towards...
  7. Hospitalists?

    My Primary Care physician has admitting privileges. I knew he would be out of town over the holidays. When I was admitted, I expected one of the other partner's to see me. I was surprised when the hospitalist showed up in my room. Apparently the offi...
  8. Hospitalists?

    Last Christmas I was admitted and my entire stay was managed by a hospitalist. In general, I have no complaints about his care. And it made it simpler for the nurses to contact him when I need medication or my condition worsen. My Primary Care is a m...
  9. This past week my daughter had to go into the hospital for some female surgery. I didn't accompany her because her husband was able to and because she had been scheduled for 12:30PM. I called her, at 9AM to wish her luck, when my oldest granddaught...
  10. Tell me this doesn't happen all the time.

    To answer the question about the packing, which my daughter did ask, 'it was falling out, it would have continued to do it.' end of explanation. When I worked on a floor, I never removed a dressing, an IV or a foley, unless I had an order. The exce...
  11. Tell me this doesn't happen all the time.

    No, you are sharing your experience. And an illustration as to how one'sa words and actions can be misunderstood. GrannyRN65
  12. Tell me this doesn't happen all the time.

    I also have been a patient, as well as a staff nurse (including the one my daughter was in). I have received a wide range of care, from excellent to 'I wouldn't let them take care of my pet cockroach's broken antenna (also in the same hospital). I ...
  13. Tell me this doesn't happen all the time.

    I am not sure what you mean. If one is upset and angery about something, generally they may speak without thinking. My daughter attempts not to do this, really. The only time she made a demand was upon her discharge and for removal of the foley. ...
  14. Tell me this doesn't happen all the time.

    She was not admitted to short stay but to the surgical unit. She was not suppose to be discharged until approximately 4PM the following day. She told them to get a discharge order or she would sign out. The order was gotten from the surgeon. She ...
  15. Was This a HIPAA Violation?

    Unless this patient had given the poster permission to post what she did, the poster is in violation of HIPAA regulations. Just because a person is open about health problems, this does not mean thatt she has given blanket authorization to any healt...
  16. Stroke Patients

    Sounds like you are using your noggin. I am assuming your uncle is no longer in an acute facility. Was he transferred to a stroke rehab cebter? Or a nursing home? Have you talked with his physician, as well as the therapists working with him, for...
  17. Flu shot controversy

    I am sorry but I believe her doctor was just whistling in the wind. He was giving her a reason for symptoms he couldn't explain. And he made this worse by putting her on an antiviral when it wasn't indicated. While it is recommended for the treatm...
  18. What is the point of Medicare?

    Since 2009, every year,in November, I receive an update from the feds regarding any changes in coverage, increases or decreases. Prior to 2003 I would request publications from Medicare, regarding the same information. Yes, you do get paid a flat f...
  19. morphine,dilaudid,demerol

    Thank you for your enlightenment regarding pain management for both acute and chronic suffers. Unfortunately, it has been my experience that most of our peers will continue with their negative attitude, labeling their patients as drug seekers and add...
  20. What is the point of Medicare?

    Guess so. One would be surprised at the number of nurses who do not understand how Medicare/Medicaid functions. Or the rules governing eligibility or the amount of assets one can have. Or what the co-pays are and what governs length of stay, to na...
  21. pneumonia recovery

    I don't know. I spent more the twenty days in ICU and was discharged to a rehab unit. I was tired, very tired but rehab didn't allow me to sleep. I don't know his level of activity prior to his hospitalization. He needs encouragement to increase ...
  22. What is the point of Medicare?

    Home Health is limited to 35 hours a week. This includes everyone, aide, nurse, PT, OT. Yes, Medicare is a big drain on the younger working population. But it was a big drain on me when I was working. I've been employed since 1967 and paid FICCA ...
  23. :lol2: :lol2: :yeah::yeah: When I was in my twenties and thirties, I use to wonder why the elderly (in their sixties early seventies) insisted on tieing up resources in our ICU's. Why they just could accept they were going to die. What gave them ...
  24. Joint Commission

    It isn't the Joint Commission or the most rapid lawyer that forces you to write reams of paper work. It is you and your facility that makes all the paper work necessary. The first time I heard the phrase, 'if it isn't documented you didn't do it,' ...
  25. Joint Commission

    It isn't the JCAHO fault that nurses spend less time at the patient's bedside. But it is because of their standards and their accreditation that your facility gets Medicaid and Medicare, as well as some insurance companies, funds. And without them ...