leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    Doctor texting order turned into a nightmare

    leslie :-D replied to Scotthudson1966's topic in General Nursing

    what does your p&p say about receiving orders? if it does allow texting, i would encourage DON to re-eval policy.
  2. leslie :-D

    Witnessed unsterile procedure and feeling terrible about it

    leslie :-D replied to cblake4293's topic in General Nursing

    i haven't peeked at your profile lila...are you a new nurse? while i do share your ideals of camaraderie, nsg is more often than not, a very back-biting business. and it is the nurses who truly want...
  3. leslie :-D

    Witnessed unsterile procedure and feeling terrible about it

    leslie :-D replied to cblake4293's topic in General Nursing

    of course you should speak to the person first. and if that works out, end of issue. but if it doesn't, then it needs to go up the chain.
  4. leslie :-D

    Witnessed unsterile procedure and feeling terrible about it

    leslie :-D replied to cblake4293's topic in General Nursing

    for the life of me i will never understand nurses loyalty to ea other, more so than their loyalty to the pt. it's just not right. no one wants to get anyone in trouble. but when your concerns (re...
  5. leslie :-D

    Roxanol/Ativan cocktail

    leslie :-D replied to ajitamamasita's topic in Hospice, Palliative

    ativan is tricky with elderly, as it often has paradoxical reaction. still, and if indicated, i like giving opioid and anxiolytic. anxiety (which many have at eol) exacerbates pain and vice-versa....
  6. leslie :-D

    management of bone ca pain

    leslie :-D replied to aging1's topic in Hospice, Palliative

    i agree that steroids are preferable if appetite is nil. other than that, i find antiinflammatories to be effective... and yes, methadone is the opioid of choice with bone and nerve pain. you just...
  7. leslie :-D

    Death with Dignity in Hospice Setting

    leslie :-D replied to cuhome's topic in Hospice, Palliative

    you are in a tough predicament because if you work for a privately owned company, they can dictate what you can or cannot do/say... even when it violates pt rights. that said, while i am a proponent...
  8. leslie :-D

    fungating facial wound

    leslie :-D replied to NC29mom's topic in Hospice, Palliative

    isn't adaptic basically a vaseline-type guaze? i have worked on many fungating wounds and no matter what product is used, it remains incredibly painful. i have found that working as quickly as humanly...
  9. leslie :-D

    Intranasal Fentanyl

    leslie :-D replied to nkochrn's topic in Patient Medications

    sublingual is great IF the pt isn't dehydrated... which in many cases, they are. just something to consider when perusing routes of administration.
  10. leslie :-D

    Opinion, how would you have handled this?

    leslie :-D replied to beeker's topic in Patient, Colleague Relations

    your instincts are right on target, and their (cn and primary nurse) behavior was unprofessional and quite frankly, appalling. i agree with those who encourage you to fight for yourself, and do not be...
  11. leslie :-D

    Witnessed unsterile procedure and feeling terrible about it

    leslie :-D replied to cblake4293's topic in General Nursing

    it may not be a big deal with this patient. but then again, it may be. do you want to take that chance? if not this pt, another pt will be affected by nursing's (and all hcws involved in pt care)...
  12. leslie :-D

    Witnessed unsterile procedure and feeling terrible about it

    leslie :-D replied to cblake4293's topic in General Nursing

    really guys? really??? stay out of it??? sure why not. we nurses needn't be accountable to anyone but ourselves, right? let's look the other way, even if the pt becomes septic because we chose not to...
  13. leslie :-D

    After Nursing: Is There Life Out There?

    leslie :-D replied to VivaLasViejas's topic in General Nursing

    wow viva, that is almost unheard of in nursing...mgmt being supportive of an employee. that says much about your boss AND you personally and professionally. the universal law of attraction pretty much...
  14. leslie :-D

    How to resolve a "Letter of Admonition"??

    leslie :-D replied to RaedeenHeadrick's topic in Licensure: Criminal History

    i agree about consulting with a nurse attorney... and to get insurance if you haven't done so. i wish i knew what you did, as i don't know how to respond to you otherwise. i never knew we had to...
  15. leslie :-D

    Moms who work 16 hour weekend shifts

    leslie :-D replied to WldChrry's topic in General Nursing

    i worked the baylor position - (2) 12 hr shifts and got paid for 36 hrs... with ft benefits. however, i have done 16 hr shifts...they're pretty brutal and don't know if i could do 2 consecutively. i...
  16. leslie :-D

    Intranasal Fentanyl

    leslie :-D replied to nkochrn's topic in Patient Medications

    first of all, please accept my condolences on the loss of your dad. time will be an invaluable ally in your healing. yes, i've used fentanyl intranasal a few times and it works very well. there are...
  17. leslie :-D

    Can i still be a nurse if i am too emotional?

    leslie :-D replied to Moko5327benedict16's topic in General Nursing

    oh my gosh... of course you would get upset reading such news on fb!! just last week i found out my father had died, reading it on fb (by his wife)!! my siblings and i were horrified that such news...
  18. leslie :-D

    Can i still be a nurse if i am too emotional?

    leslie :-D replied to Moko5327benedict16's topic in General Nursing

    moko, i agree that we need more info. are you a nurse or considering becoming a nurse? are you crying a lot because you're depressed or extra sensitive? yes, you can be "emotional" and be a good...
  19. leslie :-D

    I got fired today, how will that affect my chances?

    leslie :-D replied to Nurseadam's topic in General Nursing

    it's pretty much going to depend on the interviewer's nature. some would laugh at you and your gf/bf being caught in a tryst... while others may take it much more seriously than it actually is. i'd...
  20. leslie :-D

    I got fired today, how will that affect my chances?

    leslie :-D replied to Nurseadam's topic in General Nursing

    if a prospective employer asks why you were terminated, yes, admit you violated policy. if they want more specifics, i suggest you refer to your 'playmate' as your girlfriend/boyfriend. you don't want...
  21. leslie :-D

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    leslie :-D replied to tnbutterfly - Mary's topic in General Nursing

    Congrats on being such a survivor, tele. I don't think the 'storytellers' "Want" cancer per se... But it is undoubtedly the disease that evokes a powerful, attentive, and supportive response...
  22. leslie :-D

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    leslie :-D replied to tnbutterfly - Mary's topic in General Nursing

    bolding by me. i see "munchausen by internet" as a mental illness that deserves the same consideration as all the others. maybe this girl was "sinister" but not everyone that does this, is an...
  23. leslie :-D

    Manager wrote defaming remark on IR that also goes to county

    leslie :-D replied to soregonnurse's topic in General Nursing

    is there any way that you can add a comment/response to the mgr's remark? for example, "i don't understand what you are asking, since i have already stated that i am following up on noc nurse's...
  24. leslie :-D

    nursing after a near death experience

    leslie :-D replied to dancingostrich's topic in Nursing Career

    many people that have had an nde (near death experience) have come back to report an incredibly positive, life-changing experience. i'm thinking this wasn't the case for you? that you were traumatized...
  25. leslie :-D

    Pain Medication addicts

    leslie :-D replied to rgvnurse85's topic in Patient Medications

    the most evident, glaring problem i see, is evidenced by the title where the op outright calls the clock-watchers "addicts". even more unfortunate is i know she is not alone in her thoughts. it's too,...