DSkelton711

DSkelton711

OB/GYN/Neonatal/Office/Geriatric

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All Content by DSkelton711

  1. I feel so dumb... I got flustered - about a patient in respiratory distress

    DSkelton711 replied to LalaJJB's topic in Emergency

    I love this thread as it has been very informative. I never worked ER but in NICU (neonatal). It truly is about having proper IV access, draw labs, support breathing and getting your co-workers and...

  2. Is there a proper way to chart what a patient/resident says?

    DSkelton711 replied to black_widow192's topic in General Nursing

    I would certainly put any quotes in context as well-such as body language, pacing, shaking fists, and that MAR was checked, prior nurse spoken to and verifies patient received medications, staff has...

  3. Rejected after 8 years of working for the company

    DSkelton711 replied to oliviabel's topic in General Nursing

    Make a plan of correction for yourself so that when you have to tell why you were let go you can go into why you are better for it and what you did to make sure these things do not occur again....

  4. When residents rights overlap...

    DSkelton711 replied to GLORIAmunchkin72's topic in Geriatric, LTC

    Tough one. Even though curtains are there, the rooms are usually small and you can hear everything going on. Visitors can feel uncomfortable in that situation. Maybe you should meet as a unit and...

  5. "You look tired"

    DSkelton711 replied to nickel78's topic in Medical-Surgical

    I am tired and look it I am sure. Most people say it just out of observation not meant to hurt or irritate, I think. Take it as a hint to maybe try and take 5 minutes when you can get it, to do...

  6. Xxs scrub bottoms? Help!

    DSkelton711 replied to CRNBSN18's topic in Scrubs, Uniforms, Gear

    I remember being that little! Now I have a problem buying for my plus-size body and I am short. I like the feel of cherokee and Landau. Grey's anatomy seem thin to me. I've never seen those other...

  7. I don't want to work in a nursing home...

    DSkelton711 replied to ProudStudent's topic in General Students

    "I find it depressing, monotonous and I cannot see myself spending my career doing ADLs and nothing really "clinical"." (quote from OP) I think this is why people have responded that you may have been...

  8. Think I need profesisonal help

    DSkelton711 replied to MomRN0913's topic in Health, Stress Management

    I think you def need to start looking at your options. I, too, am having a crisis. I feel so overwhelemed all the time, to anxious to be effective. I also suffer chronic pain for which I was on...

  9. How many of you here wear ted/support hose to work?

    DSkelton711 replied to violet_violet's topic in Scrubs, Uniforms, Gear

    Wow I haven't thought of this. I am getting myself

  10. What does an RN in an assisted living facility do?

    DSkelton711 replied to treefrogprincess's topic in General Nursing

    Depends on what state you are in, plus the ALF can be different than other ALFs. I am an RN--I am essentially a DON. I have a staff of about 30. I am responsible for about 100 residents. My LPNs...

  11. Are you feeling overwhelmed with work?

    DSkelton711 replied to Joe V's topic in Nurses Rock

    Hmmm, I am not sure what to do about my stress and feelings of being over-whelmed. All I can do is all I can do. I am one person and I can't always do what I want to do in the time I want to do it....

  12. Forced to work longer than scheduled hours....

    DSkelton711 replied to PrincessO's topic in Patient Safety Issues

    As a manager when I call someone to come in I appreciate it more when someone actually answers even when it is to say "no can do". That way I know that person I don't need to bother further. Not...

  13. What you wish you knew before starting nursing school

    DSkelton711 replied to margritamix's topic in General Students

    Networking--get yourself out there by getting experience as a CNA, volunteering at blood drives and health fairs, let everyone within earshot know you are starting school so you get yourself out...

  14. Forced to work longer than scheduled hours....

    DSkelton711 replied to PrincessO's topic in Patient Safety Issues

    In my facility a supervisor or unit manager must work. I have a very good staff that covers for each other and does not call out much. I get nervous when I have to cover for someone as I do not know...

  15. Why don't people take LPNs seriously?

    DSkelton711 replied to Hellostudentnurssee's topic in LPN, LVN Corner

    There are differences from state to state on what a nurse can do be they LPN or RN. Does that mean that an LPN can't do some of the things an RN does if it were allowed? Not necessarily. There are...

  16. Is a Health and Rehab facility considered LTC?

    DSkelton711 replied to WannaBNursey's topic in Medical Assistant, CNA/MA

    Rehab is like a SNF-Skilled Nursing Facility to get people towards a state of wellness or goal and then be discharged. LTC-Long Term Care--Nursing home where residents live out their days. All are a...

  17. Why don't people take LPNs seriously?

    DSkelton711 replied to Hellostudentnurssee's topic in LPN, LVN Corner

    I work with many LPNs in my job as DON. I could not do my job without them. Many have 20-30 plus years, which is invaluable. As an ADN I feel underfire because I don't have a BSN. Seems there is...

  18. lpn as ADON?

    DSkelton711 replied to nd deb's topic in LTC: Directors, Assistant

    Just have to add my 2cents! What it boils down to is this: An LPN cannot supervise a RN in a clinical capacity. I know many LPNs with more experience than I. I ask questions. We work as a team....

  19. Admissions...who decides?

    DSkelton711 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I am RN for SCALF, ALF, and Independent Living. We have a marketing team, me and the administrator. Right now I really get the final say, but I try to work with everyone. My goal is to make sure we...

  20. ADN's being pushed out

    DSkelton711 replied to MSN Student's topic in Diploma, ADN, BSN

    Sorry did not mean to imply that anyone here belittled or otherwise. I have never been belittled (I am a pretty smart cookie so that helps!). I just want my experience counted. I have almost 30...

  21. Dangerous and Demented: What Usually Happens?

    DSkelton711 replied to Ruby Vee's topic in Geriatric, LTC

    you have been baptised by fire! sorry you are having to learn all this in rapid fashion. i would make sure that if she is still agitated or combative to ask the doc if she needs to go to a...

  22. ADN's being pushed out

    DSkelton711 replied to MSN Student's topic in Diploma, ADN, BSN

    Can only speak for myself: I am 52 years old. If I ever get to retire it would probably happen when I am 70 or older. I work 10 hour days 5 days per week, on call 24/7 (no pay). I do not work in a...

  23. Dangerous and Demented: What Usually Happens?

    DSkelton711 replied to Ruby Vee's topic in Geriatric, LTC

    I am DON of an ALF and SCALF. When someone becomes agitated or combative we first do a work-up to try and find a reason. Is she constipated? May need exam to know for sure. A UTI, pneumonia,...

  24. MDI with spacer/mask versus Nebulizer

    DSkelton711 replied to BigHeartRNtoBe's topic in Pediatric

    As an asthmatic (I also used to work peds) I will tell you from my experience. Even with a spacer, if I am wheezing and not able to take in a good breath--a MDI does not work as well as a neb. If I...

  25. What will my responsibilities Be

    DSkelton711 replied to CJ2blpn2017's topic in Geriatric, LTC

    Depends on what area you work in.There is of course the area where people go to live out their lives and eventually pass away. There is rehab--an area of skilled nursing. Assisted Living and...