Biggirl71

Biggirl71 specializes in Med/Surg/Tele, Neuro, IMU.

Latest Activity

1. Does a pressure ulcer = incident report???

   Biggirl71 replied to optimist's topic in Geriatric, LTC

   Incident reports are important because they allow for trending of issues. So, if your patient is discovered to have something new; wound, abrasion, skin tear, etc. document it on an incident report....

2. Husband Worried

   Biggirl71 replied to kittypie's topic in Home Health

   I am a home health nurse and I work in and around Houston. I am here to tell you that I bring my husband with me on calls that are located in parts of town that I am uncomfortable in. I have arrived...

3. While you're at it...can you clean my poop too?

   Biggirl71 replied to Miller86's topic in General Nursing

   I use reverse psychology on patients over a certain age. I say to them, "Who is going to do these things for you when you are discharged home?" When they can't answer the question, I say to them,...

4. Charge Nursing in Acute Care Settings

   Biggirl71 replied to MomRN0913's topic in General Nursing

   I see the charge nurse as a resource not an extra person to do the work for all of those in her charge. The truth is, as nurses, we should be autonomous but also know when to ask questions. I would...

5. Associates vs Bachelors Degree

   Biggirl71 replied to ysin's topic in Diploma, ADN, BSN

   Everything that I am reading these days is leaning toward the BSN as entry level for RN's. Because of the wicked nursing shortage (right now ~100,000) and the expected increase (~800,000) over the...

6. Gonna get stuck?

   Biggirl71 replied to marinka18's topic in First Year After Licensure

   Who knows, you may fall in love with your new position and not want to leave. . .just a

7. No Narc count????

   Biggirl71 replied to ennylyecats's topic in General Nursing

   I would also like to add that anyone who practices above board would not have issue with counting. . .it just makes me wonder about these nurses. .

8. No Narc count????

   Biggirl71 replied to ennylyecats's topic in General Nursing

   I would stick to your guns and training on this one. Count, each and every time you take responsibility for the cart. Who cares what everyone thinks of you. The truth is, you're there to make a...

9. dealing with difficult students

   Biggirl71 replied to bsyrn's topic in Nursing Educators, Faculty

   I am speaking to you as a nurse, not an instructor. I have a vivid memory of the first few days of class where the instructors talked heavily about "accountability." That lesson has resonated with...

10. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    I work for a home health agency in The Woodlands and a LOT of the referrals we get are for one-time assessments for insurance companies. The assessments are MMSE's for claims on long-term insurance...

11. BP: how high is too high (at 2am)? i.e., when will Pt stroke out?

    Biggirl71 replied to allthesmallthings's topic in General Nursing

    The thing that jumped out at me was the hx of ETOH. Usually, the patient will tell you they have a "couple drinks" and that generally means many more! I would be concerned that the b/p is going up...

12. HELP! They are investigating my license :(

    Biggirl71 replied to abigl's topic in Nurses Recovery

    First things first. Arizona is a "right-to-work state." This means that an employer can fire you for any reason and without union protection, you are at their mercy. If there is an Accudose or...

13. Lip care for patient on oxygen

    Biggirl71 replied to MissIt's topic in Hospice, Palliative

    Correct. Water-based is the way to

14. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    OK, I am employed part-time with a Home Health Agency in Texas and I am considered the Alternate Administrator (on paper). The very little I know is as follows: 1. You can design your own forms...

15. Is it true that "right to work states are against unions?"

    Biggirl71 replied to virgo,student nurse's topic in Collective Bargaining, Union

    Texas is a right to work state and they are totally against unions. However, I am from Wilmington, Delaware and I come from a union-heavy family so I believe in the need for unions. When you are in...