payang0722

payang0722

Geriatric

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All Content by payang0722

  1. COPD- 98% O2 sat?

    payang0722 posted a topic in General Nursing

    Hello everyone, How nice to have an online community like this! Anyway, I worked yesterday (my 3rd.week! I'm surviving) pm shift at the snf. We had a lady who has COPD & complained to me at around...

  2. Exact difference between comfort measures & hospice?

    payang0722 posted a topic in Hospice, Palliative

    What is the difference between Comfort Measures Only, Hospice, DNR...What is the exact difference? ( I know some, but I'll appreciate if someone can clearly explain it.) Thanks a lot in

  3. Allergic to Morphine Sulfate but on Hospice Care

    payang0722 posted a topic in Hospice, Palliative

    If a hospice patient is allergic to Morphine Sulfate, can she still receive Roxanol for her dyspnea? Should I clarify with the MD? Pt. is actively

  4. Allergic to Morphine Sulfate but on Hospice Care

    payang0722 replied to payang0722's topic in Hospice, Palliative

    i came in for the morning shift, pt Respiration 44, pulse 144, clammy, the MD ordered it anyway...pt expired 4 hours after. i went home and can't stop thinking about

  5. Thanking an MD

    payang0722 posted a topic in Patient, Colleague Relations

    Is it okay to thank & express your appreciation to your favorite MD? Very kind to patient & very approachable and always available no matter what time you call either 1 am or 1

  6. Thanking your favorite Doctor

    payang0722 posted a topic in General Nursing

    Is it okay to thank & express your appreciation to your favorite MD? Very kind to patient & very approachable and always available no matter what time you call either 1 am or 1

  7. 4 people with UTI

    payang0722 posted a topic in General Nursing

    I'm beating myself up. I've been doing my best to take care of these residents, but still I have 4 people with UTI. What's wrong with

  8. 4 people with UTI

    payang0722 replied to payang0722's topic in General Nursing

    thank

  9. what items could you not go a nursing shift without?

    payang0722 replied to Brian's topic in General Nursing

    Stethoscope, scissor, highlighters of different colors and lots of

  10. "You are a new graduate that's why you hurt your back..."

    payang0722 posted a topic in General Nursing

    Hello everyone, What is your opinion on that? I am the person who got hurt physically, but after that sentence from the boss I am emotionally stressed. I hope people who had decades of experience will...

  11. "You are a new graduate that's why you hurt your back..."

    payang0722 replied to payang0722's topic in General Nursing

    thank you

  12. 911-ing a resident out, requires an order?

    payang0722 replied to NurseLynwood's topic in Geriatric, LTC

    I like this

  13. 911-ing a resident out, requires an order?

    payang0722 replied to NurseLynwood's topic in Geriatric, LTC

    Unresponsive + Full Code? No second thought...911 then will call MD for the

  14. What do you do on the drive to work?

    payang0722 replied to whitecat5000's topic in General Nursing

    How does the plug-in essential works in the car? i haven't tried it plugging it in the lighter outlet.. i wonder...can't go outside now it's 10 pm

  15. What do you do on the drive to work?

    payang0722 replied to whitecat5000's topic in General Nursing

    I drive 25-30 minutes one way to work... am shift: drinking coffee & eating my bagel or pbj while listening to my favorite FM station.. pm shift: wondering why that darn car is tailgaiting me...

  16. how to float to other station effectively?

    payang0722 posted a topic in General Nursing

    Hello everyone, I'm still working on-call in a SNF, & they called me to work the next 3 days to take care of 23 residents that I haven't seen nor met before. And honestly, I'm scared. I'm a pretty...

  17. How to survive state survey?

    payang0722 posted a topic in General Nursing

    Hello everyone, We are expecting our state survey anytime. I'm a new nurse in a SNF and scared of the surveyor that might follow me on my med pass...Please give me some tips how to survive. Thank

  18. How to survive state survey?

    payang0722 replied to payang0722's topic in General Nursing

    Thank you

  19. Is there any new po anticoagulant that doesn't need frequent INR check?

    payang0722 posted a topic in General Nursing

    I wonder, is there any new drug that doesn't require you to check PT/INR that often? It's tough to call that MD in the middle of the night to report an abnormal

  20. Is there any new po anticoagulant that doesn't need frequent INR check?

    payang0722 replied to payang0722's topic in General Nursing

    Because some a.m. shift did not report it right away to the

  21. Do you ask questions in the middle of shift report?

    payang0722 posted a topic in Patient, Colleague Relations

    Just wondering, do you have to wait till the 23rd. patient before asking a question on

  22. Do you ask questions in the middle of shift report?

    payang0722 replied to payang0722's topic in Patient, Colleague Relations

    Thanks

  23. Speedy med pass

    payang0722 replied to sbostonRN's topic in Geriatric, LTC

    I'm a new grad too, just barely 4 months in a LTC. It takes me 3-4 hours to finish my med pass during the first few weeks. I'll start at 7 am, then finish at almost 11 am...I almost gave up. I went...

  24. Contact Isolation

    payang0722 posted a topic in General Nursing

    hello everyone, I work in a Snf, first time to have pt. on contact isolation. I am a bit confused on how it goes. I know there's a disposable bp cuff, thermometer and all the gowns etc...in that...

  25. Worst case scenario needle stick

    payang0722 replied to LaughingRN's topic in General Nursing

    OMG...Aww...I am so sorry for you. Right now, you can't sleep and having hard time focusing on anything else but that incident. Hope everything will be