Jawsona

I work at a hospital and that is NOT allowed, everything is tracked and audited. If there is no med we wait til there is one, which usually is not that long

Noooo this is not the norm. These are things that need to be reported and stopped. Do not get into these horrible habits or you will end up harming a patient or yourself. Don't be one of those nurses we see on the news or hear about in school that made a huge mistake. Make an annonymous call, if you are not comfortable calling someone within the company call/email JCAHO http://www.jointcommission.org/ on the middle right hand side you can report an organization. You should be following standard work and taking care of your patients the way you would want to see your family treated. I doubt any of those nurses would want a nurse skipping out on their mothers vitals and stealing her pills. Stick to your gut, I'm glad you recognized these bad habits. Good Luck

ok im just writing this out for my own sake b/c the simpler the better for me lol. increased INR = Increased Bleeding (longer to clot) Decrease INR = Increased Clotting

Thanks everyone. so if a patient is prescribed enoxaprin and their INR is 1.2 you would administer it b/c it is clotting faster than it should?

If a patient has an INR of 1.2 are they clotting slower or faster? i know that a normal INR is 2.0 to 3.0 but i cannot find ANYWHERE where it says what is faster or slower clotting times. My last resort was to ask someone on here, thanks!

or...Pt will not show signs of infection or worsening of skin breakdown within a month

Thank you for the input. the open area is just the epidermis so it really isnt deep at all. so could i say... open area will regain integrity of skin surfaces... I am having trouble with the outcome because I dont want it to sound like a test...

Ok i dont expect any of you to give me answers I just want to know if this sounds ok to you. 2.Diagnosis: Impaired skin integrity r/t age (elderly), limited mobility, imbalanced nutrition; less than body requirements, moisture, and hypoalbuminemia AEB 0.2 cm X 1cm macerated open area on right buttocks. Outcome: Patients open area will be healed by 7/20/11. Tests: 1. Patients open area will decrease in size by 5/20/11. Test: 2. Patients skin will remain dry for the remainder of his stay. Interventions: 1.Open area will be measured weekly. 2.Patients skin will be assessed for moisture Q2h. 3.Apply 3m barrier to affected area once daily. 4.Apply Gold Bond powder to damp area once daily.