Jay-Jay RN

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All Content by Jay-Jay

  1. Jay-Jay

    Question For Cardiac Nurses

    Jay-Jay posted a topic in Cardiac

    My husband had an appt. with his cardiologist today. She found he was in atrial flutter with a heart rate of about 150. He's on TWO beta blockers, so the meds just aren't doing their job. She did a...
  2. Jay-Jay

    Wound Care Standards in Nursing Homes

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Lydia, you would not BELIEVE the number of doctors out there who still LOVE Betadine packing! We have two very excellent plastic surgeons at a local hospital, who do a very large percentage of the...
  3. Jay-Jay

    Treatment of DVT's

    Jay-Jay replied to askater11's topic in General Nursing

    We use Fragmin, which is low molecular weight heparin to manage DVT's in the community. I think that is probably the drug Silverdragon is referring to. The patients are on coumadin, too, then the...
  4. Jay-Jay

    Wound Care Standards in Nursing Homes

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Barb, I honestly don't know. I think it was because he couldn't reposition himself in the wheelchair to ease the pressure, due to his cognitive decline, and what may have been a small stroke. Also,...
  5. Jay-Jay

    Keystone Cops Student Nurses

    Jay-Jay replied to suzy253's topic in General Nursing

    Heck, that's nothing! I once managed to dump a 300 lb. patient on the floor while making an occupied bed! To add insult to injury, I also gave her an ice water shower once she was safely back in...
  6. Jay-Jay

    Cat Burgler

    Jay-Jay replied to FranEMTnurse's topic in General Nursing

    Frances, that pic was posted elsewhere on this site, way back when, and I had a copy of it in my files. I just KNEW it was the same one, but I couldn't get it to post, and couldn't find a link for it...
  7. Jay-Jay

    Cat Burgler

    Jay-Jay replied to FranEMTnurse's topic in General Nursing

    Let's see if this will
  8. Jay-Jay

    Update on post surgical wound

    Jay-Jay replied to angelbear's topic in General Nursing

    I laughed when I read the first line of your post. Very rarely have I met a surgeon who could do a decent job of dressing a wound!! They just do the cutting, the nurses are supposed to take over...
  9. Jay-Jay

    Question For Cardiac Nurses

    Jay-Jay replied to Jay-Jay's topic in Cardiac

    My husband asked me to research amiodarone for him, and what I found scared the daylights out of him. Would you want to take a drug that has a 50% rate of side effects? Also, his opthamologist said,...
  10. Jay-Jay

    Question For Cardiac Nurses

    Jay-Jay posted a topic in General Nursing

    My husband had an appt. with his cardiologist today. She found he was in atrial flutter with a heart rate of about 150. He's on TWO beta blockers, so the meds just aren't doing their job. She did a...
  11. Jay-Jay

    Question For Cardiac Nurses

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Thank you for the info, everyone. Much appreciated! And Moonshadeau...wow! What a terrific website! My husband does go from a-flutter to a-fib. The flutter is new, the a-fib is not. It's been...
  12. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Karen, I have a similar story to tell. I had an elderly gent, who was working right up until the time his Ca. progressed to the point where he had to quit. He was well up in his 70's but loved his...
  13. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay posted a topic in General Nursing

    After browsing the site for awhile, I feel I've calmed down enough to post about this rationally! I was asked to see a patient tonight who has terminal Ca. It was a first visit for me...though this...
  14. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    I contacted Janssen-Ortho today, and got the following response re. using half a patch: An alternative to cutting membrane-controlled transdermal patches such as Duragesic has been described by Lee...
  15. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Update on this patient: I saw her on Sunday, and she is now awake and alert, though very weak. The pain is under control, and she is able to talk with family, who were gathered by her bedside. She...
  16. Jay-Jay

    Anyone know anything about wound care please help

    Jay-Jay replied to angelbear's topic in General Nursing

    HELLOOOOO????!!! PAGING THE HOMECARE TEAM!!?? PAGING YOUR DOCTOR'S BRAIN....which MUST have been AWOL to not think of ordering home nursing for you! UNBELIEVABLE!!! {{{{{{{HUGS}}}}}}} to you,...
  17. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Good for you, Pvcc! It's not an easy lesson to learn. I used to teach school, and OH! so rarely did I see a student doing anything but parroting back what they'd learned from the book or class notes!...
  18. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    karen: Yup! See my original post: I was asked to see a patient tonight who has terminal Ca. It was a first visit for me...though this lady had been on service for awhile, I'd never seen her before. I...
  19. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    I haven't seen her since Thursday night, but I asked the nurse who saw her last night to give me report. Her pulse and BP are still stable, but the respiratory rate remains low (11 over 4...
  20. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Pappy: WOW!!! MOST impressed by your post, but also saddened beyond words by the end of it. Don't worry, you indeed have my prayers for what you and your nephew are suffering. Ande excuse me for...
  21. Jay-Jay

    Soooo Upset at Palliative Care Doc!

    Jay-Jay replied to Jay-Jay's topic in General Nursing

    Thanks, Mike, Tweety! If the haldol had been PRN, none of this would have happened. I double-checked to make sure...nope, no PRN about it. Now, would YOU or any nurse who valued their license, give...
  22. Jay-Jay

    flu shot

    Jay-Jay replied to adrienurse's topic in General Nursing

    I never seem to get the flu, but I get a very nasty reaction to the shot, like a mild case of the 'flu. I had it two years ago, on a Friday. Sunday I shivered all the way through church, came home...
  23. Jay-Jay

    Weeping leg ulcers

    Jay-Jay replied to adrienurse's topic in General Nursing

    Hools, the lady I was talking about had the skin mostly intact, with maybe just one or two small open areas. The leakage was coming RIGHT THROUGH the intact skin! There was no one focal point for...
  24. Jay-Jay

    Weeping leg ulcers

    Jay-Jay replied to adrienurse's topic in General Nursing

    Adriene, last time I had a patient like this, our WORN said to elevate the legs and put washable pads or towels under them, and change them when they got wet. If the leakage is really bad, a dressing...
  25. Jay-Jay

    Luella Bobbitt

    Jay-Jay replied to Zee_RN's topic in Nursing Humor

    Okay, I gotta share this! I swear, this is a true story, every word.. Had a patient awhile ago with a gaping wound in his scrotum. It was a real challenge keeping a dressing on this wound, and...