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Med-surg, ortho, tele, float
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JoanKayRNBSN has 7 years experience and specializes in Med-surg, ortho, tele, float.

Second Career RN

JoanKayRNBSN's Latest Activity

  1. JoanKayRNBSN

    Fall assessment in home health

    If this has already been addressed - please forgive me! Is a fall risk assessment a standard part of your initial assessment in home health? I want to add one, and I’ve been told it’s not needed. If yes - is there one geared towards home health? How often do you do it?
  2. You are right - it is not safe, but I have seen it happen.
  3. JoanKayRNBSN

    confused about insulin

    Is the insulin given based on the amount of carbs eaten per meal? The hospitals where our students go has started to switch to this type of dosing. Add to this room service and host/hostesses who do not understand carb counting - and you have a perfect storm of inaccurate insulin dosing. When it works, it works well, but there are many stumbling blocks to make it even more difficult to explain to students.
  4. JoanKayRNBSN

    Overweight Students

    All students come to nursing with challenges to providing patient care. It may be that they have learning disabilities, mobility issues, or other things that might make nursing care difficult. I had no problem showing a student who was missing several fingers from her dominant hand how to adapt the equipment to be able to insert a catheter using sterile technique, and adapting other skills for all students is just part of what I do. I would also like to say that as a floor nurse I have worked with many nurses who are obese, but when I think about them I think first of their pharm knowledge, or ability to work with difficult families, or who they are as people. Regarding smoking students - I do tell that they cannot smoke in their uniforms or prior to clinical. I ask that they be respectful of the patients in their care.