CompleteUnknown

CompleteUnknown

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  1. a better way to collect u/c sample from foley catheter?

    If the catheters used in your facility don't have an aspiration port (ours don't either), just clamp the catheter for 20 or 30 minutes, then wipe over the join with an alcohol wipe, disconnect and...
  2. low HOB better for urine flow?

    Hmmmm too. In that situation, I would think it's probably more the change in position than anything. Any urine that's there should already be in the bladder so it's more likely that the catheter...
  3. "Pull-up" high-absorbency overnight diaper for adult male?

    I haven't actually seen these but I just found Abri-Flex Extra pull-ups at Sanicare that hold just over 2 litres - can you get those where you are? (I'm not in the US). Maybe you could add a really...
  4. Pts paying for night nursery care??

    This in NOT directed at you Purple Scrubs, because you asked and you really want to know, but I really hate the idea that new mothers should look after their baby all night because 'there won't be...
  5. You're very welcome SoulSpirit, I hope it helps.
  6. "Pull-up" high-absorbency overnight diaper for adult male?

    There are several incontinence aids on the market that will indeed keep a person's skin in good condition despite being worn all night. The most absorbent one that is used where I work holds 2.5...
  7. most troubling trend in healthcare

    totally agree with you ocrn. i've never understood the opposition to 'pillow fluffing'. i pick up my pillows and give them a bit of shake or plump up and smooth out the creases in the pillow slip...
  8. "We never did it that way" "We always did it that way"

    Another thing that I often do is to make a chart or graph of how things are going and put it up in the staff room so that everyone can see where we're at. Say this month only half the weights were...
  9. "We never did it that way" "We always did it that way"

    I would give them some input into the changes. Have a meeting where you talk about the issues eg weights not getting done, monthly BPs being missed, etc and ask for their input on how to address some...
  10. How can you neglect a patient and live with yourself?

    As a nurse who works in a nursing home, I'm very sorry to hear about your patient OP, it sounds dreadful. I think we would all agree with you that there's excuse for neglecting a patient. But, if you...
  11. Iv site labeling, instant removal for no date

    Isn't this so true about so many things in nursing? And increasingly so with every year that
  12. This sounds so much like someone I used to work with it's almost giving me nightmares. You're absolutely right - it's not that they're acting above their scope, it's actually the opposite, they won't...
  13. Overuse of antipsychotics in nursing homes

    This thread has been on my mind a bit lately. I'm one of the biggest proponents of trying everything possible before considering the possibility of anti-psychotics for people with dementia and extreme...
  14. Interesting medical books from a patient's/family's perspective

    i would love to read a stroke of insight - i saw a 20 minute video of jill bolte taylor speaking about what happened the morning of her cva and i've never forgotten it, amazing stuff. i must look for...
  15. Falsely accused of abuse

    I know that facilities are required to follow certain courses of action when abuse is suspected and I absolutely understand and support the idea that vulnerable residents must be protected. It just...
  16. Do you work in long term care? If I didn't know any better I'd think you were describing a person I used to work with! If it's long term care I might be able to offer a couple of
  17. My TCU CPR policy

    I don't think I'm explaining myself properly. Our policy means that if we find someone who is obviously dead, we are not required to do CPR. If there is a witnessed arrest, we do CPR according to the...
  18. My TCU CPR policy

    I can't answer your question about your licence because I'm not in the US but your policy says CPR will not be performed on a resident who is dead, as determined by the absence of all of the signs...
  19. pt with MRSA in sputum ambulating in hallway with no mask

    Not sure what you're after.... what does your own facility policy say about this situation? I honestly think you're worrying too much about this -your elderly mother is more at risk from the resident...
  20. Overuse of antipsychotics in nursing homes

    Sometimes it really is a staffing issue (either not enough staff or staff who simply don't know (and don't care to learn) how to work with residents with severe behavioural issues), but sometimes no...
  21. Comfort care measures.

    You didn't do anything wrong at all! Sometimes oxygen doesn't do much to relieve the air hunger in these situations but it's definitely a comfort measure and if the resident wasn't distressed by the...
  22. pt with MRSA in sputum ambulating in hallway with no mask

    Is the resident infected or colonised? As others have said, many people, including many facility staff, are colonised. If colonised, there's no need for a mask or for exclusion from the dining room or...
  23. Evidence-Based Practice...your thoughts

    The more I think about this, the more I think it's unfortunate your school is suggesting that there is a 'move' towards EBP - as if the concept is something new. It seems to be suggesting that it's...
  24. The Nursing Profession

    Wow.... Gitano and Boston, very powerful stories. You've REALLY moved me, and inspired me too. Thank you
  25. Evidence-Based Practice...your thoughts

    I'm a bit inclined to agree with Altra. EBP has always been around, just not called that and perhaps the studies hadn't been done as rigorously or 'correctly' as would be insisted upon today....