teeroze201069

The patient that is 7 days post-op ( to be discharged in the AM), walking independently down the hall, talking on their cell phones and passing me by talking about "My Dilaudid is due, can you bring it? I'm at a 10/10 pain level." Or the patient who ...

I work on a med/Surg Neuro and Trauma Unit on Noc shift. It was a Friday night. I received report on a patient at the start of my shift from a Day nurse who had received care of the patient just a couple of hours before the end of Day shift d/t the o...

Need some advice and peace of mind, if possible. I just received a call from the Nurse Supervisor of a unit I had floated to last Thursday regarding an MS Contin that I had returned to the Pyxus that night. I had the return witnessed by another RN an...

Sorry so late to update. The narcotic was found in another medication pod when pharmacy did a recount. I did receive a write up for mishandling a narcotic which I agreed with. I am thankful for the support from everyone. I am striving daily to provid...

I am fairly new in the home health arena. I have a trach pt. who I oriented with an lvn on. The POC says "change trach tube every 30 days". I noticed it had been a couple of months (almost 3) since it had been changed and asked the lvn why not. He re...

Worked ltc with rehab unit for 3 yrs. Hoping to get into med/surg. While the types of patients are similar the number of patients differs greatly. Med/Surg here is generally max 6:1 patient to nurse ratio. The ltc I worked at was 33:1 with as many as...

Thank you all for your replies. I agree with all of your conclusions and had made some of those myself. I am very proud of my pt. for the progress made. Really motivated to get better and I pray for steady progress so remains motivated. Again thanx...

Here in So. Cal just about every non-acute nursing job I have looked into applying to says "1-3 years acute care experience required" or "strongly preferred". How does one get around this if a person cannot get or keep an acute care position?

I have not read all of the comments so please forgive me if someone already suggested this. CA Board of Registered Nursing has a "verify license" optoption on their web page. If it is available in FL, simply enter her name and county she works in. I...

The good news is that the trach has since been replaced once since then with no comps. The trach is now capped and a bronchoscopy is scheduled to determine if the ER caused trauma before permanent removal is considered. Pt. has been capped 7 days now...

I had asked the PCG (mom) the same question and was told she was in the process of making an appointment. After reviewing the nurse notes, I discovered that the trach had last been changed 11/2014. I started this case as my first in home health in la...

I am an RN Supervisor in a LTC facility. I was suspended today for 3 days d/t a resident making a false allegation of abuse against me. The resident claims that I was "rough" with her while repositioning her in bed. I find it troubling that I am bein...

Thanx so much to everyone for your support and advice. I guess this is as good a time as any to go back for my BSN. Would like to specialize in wound care. Wish me luck and happy holidays to you all. God bless.

Update: So I was brought back in today and told I was cleared of all allegations. I was fired anyway d/t sub-standard work performance. Turns out that the day before my suspension, an m.d. had come in, wrote a bunch of orders and left. The lvn that ...

Thank you everyone for the feedback. I did apply for and am recieving unemployment. Also, I still have my CNA textbook and it does say that a CNA can perform a skin check and report findings. My ex-employer also had a place on the ADL flowsheets for ...

I have been a certified nurse's assistant for 22 yrs. For the last 9 yrs., I worked in the same place. I still maintain my CNA. During that time my employer has always been very good about keeping us aides up to date on inservices, particularly skin ...

That is an excellent answer. It is imperative that healthcare workers understand that people are individuals while at the same time can be part of a group inside a group etc. Understanding a patients' cultural and ethnic background is important but n...

I work in Joshua Tree, CA. I would really love to see ratios for both nurse's AND aides. At the SNF/TCU/SA facility I work at, there is one RN for up to 96 SNF/TCU residents. Averages 88-90 at all times. There is also 1 RN for up 25 sub-acute patient...

A nice person gave me "Davis's Notes" for Med-Surg, a handheld clinical companion. According to Davis, TKO rate is: 5 ml/hr. for a 10 gtt/ml set 6 ml/hr. for a 12 gtt/ml set 8 ml/hr. for a 15 gtt/ml set 10 ml/hr. for 20 gtt/ml set 30 ml/hr. for a 60 ...