CompleteUnknown

CompleteUnknown

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All Content by CompleteUnknown

  1. Patient who is on his call light every 3-5 minutes ALL night long

    CompleteUnknown replied to hollyberry678's topic in General Nursing

    Patients like this are very challenging to care for, to say the least. If he lives in a group home there has to be some sort of mental or physical disability so you can't expect him to be as...

  2. use of fingerstick vs Venipuncture to test INRs

    CompleteUnknown replied to HHRN22's topic in Private Duty

    I'm not really sure what you're asking either. I'm not an expert in this but as far as I know INRs can be done by fingerstick or venous sample and are done to monitor warfarin therapy not injectables....

  3. Reapply a Fentanyl Patch?

    CompleteUnknown replied to wifeandmomoftwo's topic in Patient Medications

    Yes I realise that, although I think it's a bit harder to get at the drug in that way since they changed the formulation away from the gel type patch. We put our used patches in the sharps too. Just...

  4. INR (international normalized ratio) help!

    CompleteUnknown replied to Jawsona's topic in Nursing Student Assistance

    Sorry, should also have added that an INR of 2.0 means that the blood takes twice as long as normal to clot, an INR of 3.0 means that the blood takes 3 times as long as normal to clot, and so on. Hope...

  5. INR (international normalized ratio) help!

    CompleteUnknown replied to Jawsona's topic in Nursing Student Assistance

    A normal INR is 1.0 because it's a measurement of the patient's prothrombin time compared to the prothrombin time of a normal sample of blood. Patients on warfarin will have a target INR which is...

  6. Reapply a Fentanyl Patch?

    CompleteUnknown replied to wifeandmomoftwo's topic in Patient Medications

    It seems a bit like fiddling while Rome burns to be still talking about this, it's not really a big deal in the whole scheme of things but it's just one more example of how our jobs are being made...

  7. new RN woes in skilled nursing

    CompleteUnknown replied to nurseynursej's topic in First Year After Licensure

    Being a new nurse is very hard, being a new nurse at a place where most of the staff have been there for a long time can be even harder. What's going on that you feel you're disagreeing with them...

  8. Reapply a Fentanyl Patch?

    CompleteUnknown replied to wifeandmomoftwo's topic in Patient Medications

    Sigh. Every day there's another ridiculous rule isn't there? Sometimes I wonder why any of us are still able to face going to

  9. Reapply a Fentanyl Patch?

    CompleteUnknown replied to wifeandmomoftwo's topic in Patient Medications

    This does happen sometimes. We just dispose of the patch that fell off, put a new one on, change the date when the patch is next due to be replaced, and document the reason for the early change. Not...

  10. Do you ever people feel are trying to "pick at" things when you're in a new workplace

    CompleteUnknown replied to NurseSuzann's topic in Geriatric, LTC

    I tend to agree with Louis, Sun and snoopy. There's definitely an art to pointing out mistakes or omissions to others and unfortunately it's a skill that many people just don't have. I don't think...

  11. Discharge presentation for a 12-month old

    CompleteUnknown replied to kdon27's topic in Pediatric

    Yes, cot is the term for crib in Australia. One thing I thought of straight away, because of the fact they live in a such a tiny isolated remote community, was to wonder about the water supply, could...

  12. Organ donation: cardiac death v. brain death

    CompleteUnknown replied to canesdukegirl's topic in General Nursing

    Please forgive me for responding when I know next to nothing about this issue, but I think the part I've bolded is where the problem lies for me. The idea of having everything set up and ready to go...

  13. Is it okay for a CNA to call herself a nurse?

    CompleteUnknown replied to Mrs. SnowStormRN's topic in Patient, Colleague Relations

    I just HAD to look this up. I think it might be a heteronym. The things you can learn on

  14. Person-centered approach

    CompleteUnknown replied to b0rea1is's topic in Patient Safety Issues

    Here's another couple of links you might find interesting: http://www.health.vic.gov.au/dementia/index.htm http://www.dementiacareaustralia.com/the-spark-of-life-approach.html The most interesting...

  15. reamed out for using soft wrist restraints

    CompleteUnknown replied to newnurse012's topic in General Nursing

    Thanks for explaining Esme, it took me a while to get my head around it but that has helped me to understand what you're saying. I think you're right, there's probably a bit of a country barrier...

  16. reamed out for using soft wrist restraints

    CompleteUnknown replied to newnurse012's topic in General Nursing

    Perhaps I'm misunderstanding you both, but I don't see eliminating restraint use as a cost saving measure as it is more demanding of staff time when restraints aren't used. I also do see a...

  17. New grad know it all

    CompleteUnknown replied to Jules A's topic in General Nursing

    Something tells me you're going to do just fine greenfiremajick. I would wish you good luck but I don't think you need it, you sound like someone I would love to work

  18. New grad know it all

    CompleteUnknown replied to Jules A's topic in General Nursing

    I don't think you really have to justify why you're asking anything..... people will expect you to be asking questions. You could try something like "I've been wondering why you didn't wear gloves...

  19. Dining room vent.

    CompleteUnknown replied to Forever Sunshine's topic in Geriatric, LTC

    Ahhhhh the TV fights. Where I work some residents want it on, some want if off. Mrs Jones wants to watch the news, Mrs Brown hates the news, Mr Smith wants the volume at maximum, Joe can't stand all...

  20. reamed out for using soft wrist restraints

    CompleteUnknown replied to newnurse012's topic in General Nursing

    Yes, there are times when some form of restraint is necessary to keep a patient safe but I don't agree with the last paragraph. In my experience, it takes a lot more time, committment and thought...

  21. reamed out for using soft wrist restraints

    CompleteUnknown replied to newnurse012's topic in General Nursing

    Sounds like a very difficult and complicated situation. What was the cause of the hypoxia and was this able to be addressed? What were the sats with the mask on, and did the patient's general...

  22. State Tags

    CompleteUnknown replied to txdon's topic in LTC: Directors, Assistant

    Yes.... sorta what I'm thinking might

  23. State Tags

    CompleteUnknown replied to txdon's topic in LTC: Directors, Assistant

    Thanks for replying noc4senuf. :) I see what you're saying, perhaps our policies aren't as rigid as some as many of them leave room for nursing judgement. I'm keen to have a look at the policy manual...

  24. No boundaries with staff

    CompleteUnknown replied to shouldabeenabarista's topic in Patient, Colleague Relations

    Hi shouldabeenabarista, sounds like a horrible situation. Here's some of my thoughts, if you decide to stay. Take a deep breath! You sound so stressed that absolutely everything seems impossible. If...

  25. State Tags

    CompleteUnknown replied to txdon's topic in LTC: Directors, Assistant

    Hi there noc4senuf, can you expand on this a little? Sounds like a great idea, just wondering what sorts of things you cover in your guidelines? Have you ever been asked how you monitor deviations...