leslie :-D

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All Content by leslie :-D

  1. i think that the 'sesame street age' is precisely when these children should be introduced to breast fdg. it is at this time that their brain is vigorously developing... and so, this rapid development...
  2. leslie :-D

    Heartbroken

    i smiled at your post. not a 'happy' smile...it was bittersweet... acknowledging your loss of a pt who touched you, both professionally and personally. sometime soon, you will find comfort in having...
  3. leslie :-D

    Religion Needed to be a Good Nurse?

    i do agree with you, that there is a clear distinction between religion and spirituality. my distinction is: - religion is a type of reverence that is learned from an external source, e.g., church,...
  4. leslie :-D

    Patient Abandonment?!?!

    first things first. here is a link that teaches you all about tpn - it was written for nurses who would like to obtain ceus. www.ceufast.com/courses/viewcourse.asp?id=180 secondly, i agree with...
  5. leslie :-D

    Pulmonary Embolism

    yes, absolutely. deep breathing, coughing, and incentive spirometers, are key elements of rehab. anyone with pulm dysfunction, needs to focus on expanding lungs and regaining volume. is there any...
  6. leslie :-D

    Long term acute care inside hospital

    how long would your orientation be? i understand your hesitation, esp where it'd involve relocating. keep in mind, the nurse recruiter is going to try and downplay anything undesirable about the...
  7. i totally agree with you. it'd be a dangerous presumption to think that all for-profits provide substandard care. just like it'd be dangerous to presume all hospices are out to kill their pts, and...
  8. leslie :-D

    pt safety question, please help

    op, i do believe you, as incredulous as it sounds. (and that dr. is one stupid man.) NO- this is not ok at all. hospice never medicates "until death". and it is never ok to do so. seriously, i would...
  9. i fully believe that...especially that this was divine intervention, and it happens more often than we're aware of. i also would like you to read and reread esme's post. i totally share her beliefs,...
  10. in peds, i wouldn't dare consider this w/o a dr's order... and a parent present for the procedure, if possible. even in ltc, you 'should' have a dr's order but it's one of those flexible policies that...
  11. i understand how emotional you're feeling right now - it sounded like a very powerful and primal experience. i agree, you need to give time a chance, and let things quiet down. still, i cannot help...
  12. leslie :-D

    Patient Complaint

    sorry op, but i have to agree with esme. even with a steady gait, she came to the er with c/o back pain. i am so not judging you, as i've made same type mistakes plenty of times, w/manipulative pts....
  13. this story is a travesty for eol care and the services that hospices provide for those who are dying. i was both saddened and sickened for various reasons... mainly because this man, a victim and...
  14. leslie :-D

    Injury on the Job

    or, have your lawyer request this. i know, i know...we're not supposed to assume. but as soon as i saw wc, i 'assumed' you had an atty. maybe you do, maybe not. but if not, seriously...it would...
  15. leslie :-D

    Why RNs cannot say 'That's not my job'

    from my perspective, op stooped to rt's level by engaging her in petty dynamics. there are ways to stand up for oneself professionally and maturely. none of this game-playing nonsense.
  16. i love their skits. was pt dancing or seizing at the end of the skit?
  17. and that would be your nsg judgment to use. i'm sure op had her rationales in using her judgment as she did.
  18. this is what medscape (partially) states about hydromorphone. "diphenhydramine will increase the level or effect of hydromorphone by affectic hepatic enzyme CYP2D6 metabolism. Significant - Monitor...
  19. leslie :-D

    Injury on the Job

    "strongly suspect"? isn't there a definitive dx? i don't have any advice for you... but know that wc cases can take yrs to settle. if you are able to return to work with restrictions, then i would be...
  20. like a refresher course? go to your state's nursing association's website. they should have info there. good luck.
  21. leslie :-D

    diabetes question

    totally agree. not understanding why hypoglycemia would even be a concern. much bigger fish to fry here. (and absolute NOT challenging you.:cheers:)
  22. leslie :-D

    diabetes question

    thanks pepper. i know all this (re everything you've posted). i was only asking about this person op was talking about, who doesn't/won't take insulin. so all i was asking is, how can a type I...
  23. leslie :-D

    Should I ask for alternative?

    if it was me? i wouldn't dare ask for any preferential considerations... especially knowing i had made "several" and "serious" mistakes recently. i think you should consider yourself very lucky they...
  24. leslie :-D

    Why RNs cannot say 'That's not my job'

    i'm with you, bb. while i do understand op's gripes, it was unprofessional to 'go there' with the rt. rt was obviously unprofessional when s/he starting complaining, but it's always more beneficial to...
  25. leslie :-D

    diabetes question

    i'm serious when i ask, how could a type I diabetic have a hypoglycemic event, if their pancreas doesn't produce insulin? unless i am overlooking some pertinent info, i can't see why you'd worry...