fluffwad

MDS coordinator, hospice, ortho/ neuro

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All Content by fluffwad

  1. Had an elderly couple, both very demented. One night he got it up and neither one could remember what this was all about. So she smeared stick deodorant all over it to take down the swelling. She rang...
  2. fluffwad

    Anyone with a diabetic cat?

    I've had diabetic cats in the past. I bought a glucometer elite for mine.....the glucometer that has the little green strips that suck up tiny amounts of blood. The ears are handy, but I found that...
  3. Had a woman who was 101. She rung her bell but then just looked at us. Eventually she said "Am I dead
  4. fluffwad

    No luck in finding Nursing job.

    That depends on what LTC you work for...........some of them do TPN, vents,
  5. fluffwad

    AAARRRRGGGGHHHHH!!! More new CMS guidelines!

    I'm going to one of those seminars later this month, and what I've already heard makes me just want to go play in traffic. Some of it ( like the determining the type of incontinence ) sounds like...
  6. fluffwad

    Anyone familar with Ohio City??

    Hmmm. I've lived in Geauga County (east side of Cleveland )for 13 years and I've never heard of Ohio City...what county is it
  7. fluffwad

    Morphine/ativan cocktail

    The difference is that morphine is not a poison like cyanide, which will cause you to die. It might cause some one to die if the dose is too large. So will water and tylenol. The patient I mentioned...
  8. fluffwad

    Morphine/ativan cocktail

    The ANA acknowledges that high doses of morphine might potentially decrease respirations enough to hasten someones death. ( but so can K+) This is not the same thing as saying morphine ( or K+)...
  9. fluffwad

    Morphine/ativan cocktail

    .5 mg of MSO4 is not a big dose.......depends on the patient's response to it...........I've given MUCH larger doses (40-100mg) than that to patients who remained alert and oriented. I've heard...
  10. fluffwad

    Discharging disheveled patients from the hospital

    This is one of my pet peeves, too. I work in LTC and we occassionally get snitty calls from some ER nurse who thinks she is just the last word about 'why did we send this patient to the ER....they are...
  11. fluffwad

    No Internet access at work

    There are programs out there that can severely restrict internet access and use. If your facilities computer geek should know how to implement this. There are also programs to track who is doing what...
  12. Every 2 years. It was
  13. fluffwad

    Sexual health and the elderly

    Also depends on how demented these people are: many years ago I had a married couple, both very very demented. One night he got it up and neither one of them could remember what this was all about. So...
  14. fluffwad

    nurses getting involved with patients

    Getting emotionally involved with a patient is not a good idea because: 1. it can cloud your judgement ( if something happens to this patient, the nurse might panic)....this is why nurses are not...
  15. fluffwad

    Waiting for the result is killing!!

    Heh..............in 1983 I had to wait 5 months. You could tell if you'd passed or failed before you opened the letter by the size envelope you
  16. fluffwad

    Taking Pictures of wounds

    We had one little problem with this........one day the nurse doing the pictures was working on a PC where the folks in the hallway had full view of the butts on the
  17. fluffwad

    Taking Pictures of wounds

    I do use Photoshop on our wound pictures to edit for size and crop off all those un-necessary rectal views! :chuckle Takes me about 2 minutes. However, if you really wanted to do it, it is possible...
  18. fluffwad

    Taking Pictures of wounds

    We use a digital camera ( poloroid film is about $1.10 a shot now)...a simple model with autofocus....bad shots are just deleted. Photo taken initially, then measured q week. The photos are printed...
  19. I got mine Saturday. Renewed online.....liked that option a
  20. fluffwad

    Do you have a Weasel at work?

  21. fluffwad

    Do you have a Weasel at work?

    Maybe I can post this in the employee
  22. Consider: Comfort Safety ( r/t impaired memory / judgement, poss. impaired balance) Assistance with ADLs ( toileting, bathing, eating, etc) if he is unable to do them If his mobility is impaired, then...
  23. fluffwad

    Do you have a Weasel at work?

    Getting close personally to someone who is your supervisor can be dangerous. Not only because of how others might see it. It can put the supervisor in a tougher than usual position if he /she has to...
  24. fluffwad

    Do you have a Weasel at work?

    Most of the weasels/ brown-nosers I've ever encountered eventually got canned when the all the stuff they weren't dealing with blew up in admin's