signet

I worked in a place that did this, once. It did make pulling the cards faster. I only had to pull the 3_11 cards. Another thing they did was to have the times written on the cards in different colours. Black for days, blue for 3-11 and red for 11-7. This mades things easier and quicker, but it only works if everyone goes along with it.

I am considering going into home health health as an LPN. I previously worked in nursing homes and private duty. I bought a book called Chart Smart when I first started. It really helped me learn how to chart better. Good luck.

I am in a similar situation as you. I just read this and I was wondering if you took the job. I hope it worked out for you.

We need to keep producing ventilators and PPE until we have a vaccine and it's widely available. A country like the US should NEVER be short of basic medical supplies again. Those who do not learn from history are doomed to repeat it. Any equipment that becomes outdated can be sold or donated to third world countries at a later time, perhaps 2025. A national stockpile of medical supplies should be constantly replenished, in case some other emergency, which WILL happen sooner or later. We also need another two hospital ships like the Comfort and Mercy. This will cost a great deal of money, but it will be cheaper than playing catch up.

It seems to be the case that children and young adults (under 20) aren't getting seriously ill from Covid19. Why? If we could find out, maybe there is a way to give this protection to adults. Has anyone tried taking a blood donation from a high school age person and giving it to an older person to see if there would be any protection imparted? This seems like a simple idea that wouldn't cause harm to either person. If there's something in the blood protecting younger people that we have not yet discovered, wouldn't this be prudent? I'm talking about a standard blood donation, not convalescent plasma. Does anyone know if this has been tried?

You nurses who say that these seniors have lived too long, because they've been propped up by modern medicine. How about those vaccines and pediatrician visits you got as a child. A hundred years ago, you may have died in childhood, did medicine prop YOU up? How about the chances you're getting because of school. You can put all those initials after your name. That's because of all the people who came before you and helped pave the way. Those are the same ones who you say have outlived their usefulness and deserve to die. Adolf would be proud of you. Wait until you get a few years past your prime. Things will look different.

Someday we will be called to God's table He will judge us By the way we treated those least able Who were among us Someday we may be among the least Our compassion is what will bring us to God's holy feast MGK

The politicians aren't smart enough to figure out such a complex plan.:) I think the reason behind low testing rates is the unavailability of tests. I think when the antibody test becomes available, the number of asymptomatic people will be staggering.

Before you got sick. You were taking care of Covid19 patients. That makes you a HERO. If you were n the army. They would give you a purple heart. Stay home until you feel well enough to return to work. Find a Dr. Who will support you, not one paid by your employer. You will find a job after all this is over. There's still a nursing shortage. I was told by a wise person once,"You have to take care of yourself, before you can help others." Many nurses forget this and it leads to their downfall.

Half the number of deaths from Covid19 in the state of Pennsylvania occurred in long term care centres according to the latest statistics. This is heartbreaking. The most vulnerable segment of our population is being decimated. My heart breaks for everyone of these poor souls and the brave people who show up every day to care for them.

Bill, I had the same thoughts as you. I posted in the pulmonary nursing forum. I called friends who work in hospitals and they asked respiratory therapists about using a modern day iron lung. The response from them was that the iron lung style of negative pressure ventilator would not work with Covid19 patients. This was because of the infection and loss of elasticity in their lungs due to the disease. The polio patients lungs were otherwise healthy but they couldn't breathe due to loss of muscle contractions. They said the positive pressure ventilator is needed to keep the aveoli inflated. Negative pressure ventilators, could be used in noncovid cases to free up the positive pressure ventilators. This is the answer I got after many questions and it makes sense to me.

To all of us who are not on the front lines, maybe we are right where we are supposed to be, right where God wants us. I worked in nursing homes for five years, then I got a job in benefits administration for two and a half years. My father got sick and I left that job, a really good job, to take care of him. He was a war veteran, so the VA paid me to take care of him. It wasn't much money, but we got by. I did this for 8 years, until he passed away on January 3, of this year. During this time the arthritis in both my knees and right hip worsened. I could not stand up for an hour now, let alone a full shift. I am still grieving and I believe I am in depression. Then this virus hit! Thankfully, God led my family and I to a house in the country, with neighbours few and far between. Our old house in town would have been terrible during all this. I truly believe that God has his hand on all of us. He putting us where we are for a reason. You just have to have faith in his plan. The reason will be revealed at a later time.

My father in law was a bipap for about 18 months, so I have a little experience with it. He had COPD, with a history of lobectomy for lung CA. He was retaining too much CO2 and would get goofy if he wasn't on the machine 8-10hrs a day. Eventually, it wouldn't work anymore and he passed away in January 2019. My point is most people who are on a bipap need it. They can't donate it without killing themselves. I did read an interesting article about how they are hacking the machines to function better for Covid19 patients. One Dr. Suggested cutting up a HEPA filter (new) for a vacuum cleaner and duct taping it to the air outlet. It's unbelievable what America has come to!

I have found an open source design for a positive pressure ventilator, that can be built in a home work shop or garage, using readily available components. The link is www.panvent.blogspot.com. There is a video that shows it works. It is a last resort, desperate measure, but isn't something better than nothing? These could be produced FAST.

I finally got an answer on this question. I'm told that the negative pressure ventilator will not work on Covid19 patients. This is because there lungs are too stiff from fluid and infection. This type of ventilator could, however, be used for people who don't have Covid19. This would be useful at a time when modern ventilators are scarce. There is an open source design positive pressure ventilator. The design is available at www.panvent.blogspot.com. This Design can be built for $200-$400 in a home work shop. There's a video that shows it works. With the current situation, something is better than nothing. I pray that some solution can be found, before too many people die. God have mercy on us!

I would like to ask a question, that has been troubling me. I keep hearing about the shortage of ventilators during this terrible time. They are trying desperately to provide more of them, but they are not easily manufactured. These are modern high tech positive pressure ventilators. Of course they need to do everything possible to acquire more of these modern ventilators. If this is not possible in a timely manner, couldn't something else serve as a bridge. What about a modern day version of the iron lung? It's been tested extensively and it's a much simpler machine. It should be easier to manufacture, especially by companies who have never done this before. They were building them back in the 1920's, surely we could do it easier with today's technology. They could be made of plexiglass, instead of iron. My question to those who work with ventilators, is would this work? Could Covid19 patients be ventilated using negative pressure devices? This would mean putting them in an airtight container with their head outside the box. Then the pressure around the body is changed causing the lungs to inflate and deflate. This seems like a reasonable option, given the dire situation. What do you think?

I belong to a Ukranian Greek orthodox Catholic church. I started going to church again last year after a 20 year hiatus. There are many things I don't know, but here are a few I've picked up on. People who are dead are referred to as "fallen asleep in our Lord.' Presumably, when Jesus comes back, he will wake them all up. The funeral service is called Parastas(This may be a Russian or Greek word). A sick person is anointed with the last rights by a priest. I did attend afuneral earlier this year for our neighbor. It was similiar to a Roamn Catholic funeral, with the exception of incense. They use so much incense, you almost walk out of church with a buzz. They also have another service fourty days after the funeral. If your interested in Greek/Russian orthodox weddings, rent the movie,"The Deer Hunter",1978. It's got Robert DeNiro and Merryl Streep. A great movie. The town they live in is very similiar to mine.

I think your size has nothing to do with the quality of nursing care you can provide. Your confidence, however may be an issue. Your post comes across almost as though you are ashamed of being a plus size women. It also seems like your apologizing for it. DON'T. God made you who you are for a reason. You sound like a BBW(Big Beautiful Woman). Google this term and you will see that not everybody buys into the main stream media crap that says you have to be a certain size. At the same time, every other commercial they show is for fast food. The whole thing is designed to take your money and keep you on a self hating roller coaster. If you are a good nurse tell them that. If you don't need benefits, because your husband gets them, tell them that. This would make you less expensive to hire. Don't tell them anything about your weight or appearance. This will show how insecure you feel and if hired they will dump on you every chance they get. You are a competent nurse with very valuable skills. You would be an asset to their facility and they are luckily you're available. I'm so sick of people being made to feel inferior because of their size. If this was done on the basis of race, religion, sex, ect..., they'd be marching on washington. It's time for the larger sized people to get the same respect as everyone else.

I once had a diabetic patient in the nursing home who had a stage 4 ulcer on his foot. He was in terrible pain and the strongest of narcotics did little to help. All methods of wound healing, including VAC and hyperbariac chamber failed to heal it. He begged his doctor to amputate his foot. When he came back from the BKA he had a smile on his face. He said this was the first time in a year, that he had no pain. He did not miss the leg at all.

When I started working in LTC in 2005. I was on orientation and partnered with an experienced nurse. The hall had about five demented residents that refused to take their meds. This nurse showed me her method for getting the meds into them. The one lady would keep her mouth shut tight. The nurse would crush all the meds in one spoonful of applesauce, then hold the residents nose. When she opened her mouth to breath in went the spoon. I know how wrong this is, but that's the way they did it. When I got out on the floor on my own I would not do this. Those residents who refused their meds didn't get them forced on them. After circling them on the MAR and documenting refused, I was told by the supervisor not to do this. According to policy if they refused more than two times in a row, the MD had to be notified. After this I would chart the meds as given. There's a lot of lying that goes on in most LTC's.

One nursing home I worked at about three of the residents got there narc in pill bottles. This was due to their insurance sending them mail order. They would send a three month supply and we had to count all those pills individually. There happened to be a safe in the medroom from when the place was built. We got the DON to agree to put all the extra pills in there. We only had one bottle of each med for each resident in the med cart. This made it considerably easier. It still was a pain in the rear. We had those trays like they use in a pharmacy and we'd empty the pills into them and move them with a tongue depressor. Occassionally a pill would fall out and end up on the counter or even the floor. This was an infection control issue. They should get the cards with the blister packs of 30 pills.

I know where you're coming from. I used to work 3-11 in LTC. I made very good money but I was miserable all the time. I also had to work all the big holidays. We would celebrate in the morning before I had to work. I was offered a job with a large corporation in their benefits department. This was through a friend I met in the most unlikely place. I now have the 9to5 job and work in an office, but half the time, I'm bored out of my skull. When I was in the nursing home, I prayed for the chance to sit down for a minute. My knees and feet were giving out on me. In this job all I do is sit, wait for reports that come a week late, so I can enter numbers into a spreadsheet. When people walk by my office, I pretend I'm looking at figures. Nobody seems to care what I do. I enjoyed being on the internet for a while, but that's even getting old. Many people are probably thinking I'm crazy to complain, but you just don't know until you've tried it. Monotony can burn you out just like being overworked. Bedside nursing is hard as hell, but at least you know you're doing something worthwhile. Be careful what you wish for, you might get too much of it.

I'm currently employed by a large corporation in their benefits department. I do general office work for the most part. There are only four of us in the office. They hired me to help them translate medical jargon that sometimes comes up in the course of business. This only happens every now and then. For the most part I do filing,adress changes and enter figures into a spreadsheet. This is a far cry from my former job as a med nurse in a nursing home. If you get this type of job, be prepared to be bored. It's a great job. I'm home at five O'clock and have weekends off. It does get tedious though. I pass the time reading allnurses and several other sites I like.

The nursing proffession has suffered a great loss. I went to Nursing school with this girl. I watched her struggle through and overcome many obstacles that were put in her path. She was able to perservere where many others would have given up. She earned the title of nurse and those who had the opprotunity to be cared for her were lucky, indeed. I can't imagine all the lives that she touched in her six years as a nurse. It's a great tragedy that her career was cut short. So sad for the people she leaves behind.

rose marie fowler | [color=#034e83]visit guest book rose marie fowler, 31, of jessup, formerly of eynon, died friday as a result of injuries suffered in a motor vehicle accident. born in scranton, she was the daughter of ronald and kathie giovagnoli fowler of eynon. she was a 1998 graduate of valley view high school and a 2005 graduate of ctc, where she received a licensed practical nursing degree. she was employed as a nurse at geisinger lake scranton. she resided in eynon for most of her life and spent the last six years in jessup. she was a member of st. george/st. james episcopal church in jermyn. also a member of jessup youth sports association and the st. ubaldo society, rose was a devoted and loving mother, daughter, sister and friend. known by those closest to her as "pookie," she was very hard-working and always willing to help a friend in need. she excelled at softball and loved to play catcher. she had just finished her first set of hair bows for her baby girls. she also bowled and played pool at idle hour lanes. she was employed at the jewish home, moses taylor hospital, mountain view nursing home and geisinger lake scranton. her favorite saying was, "nurses run on dunkin' donuts." also surviving are two sons, jason and ty; three daughters, olivia, evelyn and vivienne, all of jessup; three sisters, iris calachino and husband, louis, jessup; amy fowler, brussels, belgium; and tamara santarelli; four nieces, mia and tressa calachino and cassandra and crysta smaller; a nephew, louis calachino; aunts, uncles and cousins; also her companion, ryan schalk. she was preceded in death by her paternal grandmother, rosemary fowler; maternal grandparents, william and frances giovagnoli; and an uncle and aunt, billy and marie giovagnoli; and another aunt, sharon fowler rowker mchugh. the funeral will be wednesday from the james m. margotta funeral home, 1019 main st., peckville, with services by the rev. graham cliff at 11 a.m. at st. george/st. james episcopal church, jermyn. interment, prospect hill cemetery, peckville. friends may call tuesday, from 5 to 8:30 p.m. for directions or online condolences, go to www.margottafuneral [color=#034e83]homes.com