leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    New and not so new nurses..

    how did she respond? (i'm hoping she was classy enough to apologize...)
  2. leslie :-D

    Nurse charting stuff she did not do.

    aw peetz, i do feel badly for you.:hug: reporting someone is tough for an experienced nurse, nevermind a new one. incident report re unchanged bandage; submit to don, copy for yourself. as xtxrn...
  3. leslie :-D

    New and not so new nurses..

    leslie:twocents: eta: colored words, my
  4. leslie :-D

    interviewing after assaulted by patient

    esme, as usual, your responses are incredibly helpful. (((op))), i'm sorry. i am too, linking you to mna (mass nurses assoc) from their health/safety page. please note the toll free number at the...
  5. leslie :-D

    Vent about psych admit of 12 yo boy

    i watched that show, too, and it/info/kids were all awesome. thank goodness for loving, concerned foster parents.
  6. leslie :-D

    infection and normal WBC

    a great read. Cellulitis Workup i'm linking the lab/workup page only because it mentions those with lymphedema, necessitating diff considerations....
  7. you're very gracious grntea, and thank you. i'll tell a story that i've never shared before...and it's a difficult one to share. my mil died in 9/10. my fil, who was placed in a ltc facility (), was...
  8. leslie :-D

    infection and normal WBC

    i think she said all the diffs wnl. i too, was wondering if pt was septic OR taking steroids... which will also suppress immune response.
  9. leslie :-D

    Comfort care

    we need more info. "unsupported" in what way? do families want ongoing treatment? do they want to limit/withhold pain meds? i'm not understanding exactly what you need help with. often, a terminal dx...
  10. leslie :-D

    Nurse charting stuff she did not do.

    believe me, i understand your frustration in dealing with substandard nsg. what i don't understand, and correct me if i'm wrong... is why are you taking it as your burden? you stated the DON is...
  11. grntea, i was a hospice nurse for over 12 yrs, and am fully aware of the regs, lit, protocols. i understand pts are recertified all the time. and the majority of my experience, has been positive. but...
  12. leslie :-D

    Vent about psych admit of 12 yo boy

    oh, get off your high horse! (:lol2:) sorry...had to throw in some sort of animal joke. seriously, i admire your passion, but the condescenscion needs to go.
  13. that's the very problem with this criteria. it can be twisted to suit another's agenda. for examples, inability to maintain sufficient caloric/fluid intake, results in notable wt loss. if you lose x...
  14. often, pall and hospice care overlap. lots of full codes on palliative care, not so much in hospice. lots of gray areas to contend with... even with dnr's, people. advanced directives are often not...
  15. i hope you're right, that we're missing some critical and relevant info re pt being on hospice. there have been times that i have absolutely disagreed with family members re poc. sometimes it really...
  16. leslie :-D

    Vent about psych admit of 12 yo boy

    this is my question, too. when one of my sons was around 15, he got a butcher knife from the kitchen and threatened to kill himself, if we (mom/dad) went through with our punishment to him. i froze in...
  17. let's not blame the nurse, either. she's a darned actor...with j&j directing. they need to hear what's wrong with it, by those who are offended. like i said, it certainly didn't seem like the pt...
  18. bingo, mazy. death indeed, remains a major taboo in our society. it's unfortunate so few want to have serious discussions about our mortality. i often think of the millions who'd be better served by...
  19. leslie :-D

    Fever and dying

    (((denise))), so, so sorry about your dad. to try and address some of your concerns... fever isn't 'painful' per se, but the hypermetabolic state it puts our bodies in, is uncomfortable...even...
  20. leslie :-D

    Yes to nursing renewal termination

    that (the bolded) is patently untrue. if you give report to another nurse and nurse takes report, that is NOT pt abandonment. you have been grossly misinformed. i wish you well, chicks. nursing can...
  21. personally and professionally, i don't close windows anyway. if able, i always leave them open...even in my own house. it gets rid of nasty germs, and nothing like fresh air...but that's me. also, am...
  22. thank you dr. wyatt, for validating my experiences with some hospices. peoples lives have been taken prematurely, all in the name of $$$. inappropriate candidates are taken for hospice services all...
  23. in the absence of an active dying phase and its accompanying s/s, the nurse is probably right in her assessment. (unless of course, berta jumps out the window...hence the hint that the window be...
  24. based only on the info you have given, my knee-jerk reaction is that you don't want to know my thoughts. perhaps there are comorbids we're not aware of, that'd make him more hospice appropriate... but...
  25. leslie :-D

    It's not always about you - a mini rant

    i 'think' op is saying that one doesn't always have to relay their personal experiences. it's very feasible to advise w/o (frequently/always) anecdotal experiences.