leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    HIPAA Violation-Jane Doe

    i would seriously consider a legal consult (a labor law/employment attorney). your questions/concerns are very legitimate and are worthy of pursuing answers via an atty. something seems highly...
  2. leslie :-D

    General questions...lots!

    we're waaaaaaaaaaiiting.:anbd:
  3. leslie :-D

    Imposing compassion?

    for the non-verbal pt, we hospice nurses need to be even more alerted for signs of pain. behavorial changes (agitation), muscles tensing anywhere on body (esp face, neck, hands), restlessness,...
  4. leslie :-D

    Fictional vital sign charting

    i'm with you, rain. i always do my own vitals...always. and do everything manually...none of those electronic devices. (well, except temps only because there aren't any mercury ones.) if i really need...
  5. politely apologize but remain firm; that you just cannot risk your license.
  6. leslie :-D

    Imposing compassion?

    i agree... but what about the patient's wishes? i too, have been in this dilemma too many times. while i have families commanding me to not administer any pain meds, i always bend over to the pt and...
  7. leslie :-D

    Maybe you all can help me think of questions....

    you may want to post this under Nsg Specialties: LTC: Directors Nsg and Assistant hopefully you'll get adequate responses there. good luck!
  8. or, why not call your own nsg malpractice ins, and speak with an attorney? keep notes of any advice, name, date, etc. IF this ever went to court, you could say you were acting on the legal advice...
  9. leslie :-D

    While you're at it...can you clean my poop too?

    yeah, really. i wouldn't want my husband cleaning up my fecal accident...no way. sex and nudity are altogether different and cannot compare to cleaning up loose stools. if my husband or i were...
  10. leslie :-D

    Medpass at mealtime a dignity issue?

    whether there's a medpass during a meal or not, i've never interrupted one's meal to give a med... unless a prn was requested, or something stat. otherwise, let them be.
  11. leslie :-D

    To the cynical nurse

    "uncaring" is not synonymous with "cynical". let's say that i've caught my kid lying...again...and again...and again. of course i'll become cynical of his ability to tell the truth...but does it make...
  12. leslie :-D

    To the cynical nurse

    wow. would you provide the website, please?
  13. leslie :-D

    When should hospice discussion begin?

    thanks, tgrosz. and while i feel eternally discouraged, i will never, ever back down from what i know as righteous. (i think God gave me and others, a big mouth for a reason.) there are a few docs out...
  14. leslie :-D

    Unsupportive 'team' members

    i would have kept personal notes... then after 3, i would have written her up, reporting the 3 incidents of insubordination. and, would have had a verbal 1:1, reminding her that she has a job to do,...
  15. leslie :-D

    When should hospice discussion begin?

    i agree, that pall care needs to be aggressively marketed and implemented...especially with pcp's, who are the main treaters in a pt's care. they should be recognizing the severity of illness and...
  16. leslie :-D

    When should hospice discussion begin?

    tewdles, i don't know exactly what part of my post you're disagreeing with. however, i do and will always, palliate my pts, to extent possible. i seriously hope i didn't give anyone the impression...
  17. leslie :-D

    When should hospice discussion begin?

    hospice is the ideal, to date...not the reality. no matter how much we discuss and attempt to inspire, i believe that hospice will not be any more utilized until our societal values accept death as...
  18. leslie :-D

    Uh, should a pharmacy tech really be allow to mix meds?

    should a nursing student be able to administer high risk meds? the answer is 'of course!'...with responsible and appropriate training and supervision... same w/pharmacy techs.
  19. leslie :-D

    What advice to give?

    i wouldn't advise them of anything. rather, i'd give them the lowdown of nursing...the rewards, the challenges, and considerations. if some are looking for easy money, i would emphasize this is...
  20. i'm not sure why you are asking here at allnurses, but would suggest you write the mona or ana website, and ask them.
  21. leslie :-D

    First job

    i believe it'd be much more helpful, if the preceptors were there because they wanted to be... making the newbie's preceptorship much more fluid. a preceptor's resent, will roll downhill. hang tough,...
  22. leslie :-D

    Extreme anxiety

    i too, have observed favorable results from compazine, on a few acutely anxious pts. that, and thorazine we use pretty often...for agitation, anxiety, nausea/vomiting. sometimes the old drugs are the...
  23. i don't think this is a matter of giving permission. if the pt can't hold it, s/he's going to void...permission or not. however it the pt has an accident, the biggie here, is to downplay the incident,...
  24. leslie :-D

    Indifferent

    i've always despised nsg being perceived as "compassionate", merciful, angelic. seriously, i resent that image and even felt inadequate because i wasn't any of those things...nor did i want to be....
  25. leslie :-D

    Is it time to leave hospice??

    i wish more folks understood this...that hospice is increasingly becoming a meat market. with such a merciful perception, very few will believe or accept the concurrent incongruity of greed. noel, i...