payang0722

payang0722

Geriatric

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All Content by payang0722

  1. COPD- 98% O2 sat?

    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 5.30 pm that she can't breath. Checked O2 sat...i...
  2. 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 advance.
  3. 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 dying.
  4. Allergic to Morphine Sulfate but on Hospice Care

    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 it.
  5. Thanking an MD

    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 pm.
  6. Thanking your favorite Doctor

    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 pm.
  7. Love me some Esme12

    After 3 days of joining this site, i also found the same...I privately messaged Esme12 & thank her. Wonderful, wonderful comments, advice, insights & knowledge she gives. My warm hugs to you Esme12 !!!
  8. 4 people with UTI

    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 me?
  9. 4 people with UTI

    thank you.
  10. Stethoscope, scissor, highlighters of different colors and lots of pens!
  11. 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 pause and think that they had been on that point ...
  12. thank you everyone
  13. 911-ing a resident out, requires an order?

    I like this thread....
  14. 911-ing a resident out, requires an order?

    Unresponsive + Full Code? No second thought...911 then will call MD for the order.
  15. What do you do on the drive to work?

    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 here.
  16. What do you do on the drive to work?

    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 since i might be so slow looking at the beautiful vine...
  17. 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 brand new nurse and I need some advice to how I w...
  18. How to survive state survey?

    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 you.
  19. How to survive state survey?

    Thank you everyone.
  20. 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 INR.
  21. Because some a.m. shift did not report it right away to the doctor.
  22. Just wondering, do you have to wait till the 23rd. patient before asking a question on pt.#4?
  23. Do you ask questions in the middle of shift report?

    Thanks everyone!
  24. Speedy med pass

    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 here to gather support from the wonderful nurses, an...
  25. Contact Isolation

    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 room. Everything that you used inside the room should ...