xtxrn

xtxrn ASN, RN

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  1. Please don't speak for all of them :) You had a bad experience; there are a lot of nice places out there providing good
  2. Priority for DVT

    I was taught that it's important to be specific about any "monitoring" since that's what they're in the hospital for to begin with :) Instead of "monitor vital signs" it's "Vital signs q4h and...
  3. How do you retain knowledge post grad?

    Yep. I still get NCLEX review books, and I graduated/passed boards in 1985. :) And, when you work, you USE the information. It's not some assignment you have to get through to get to the next bit of...
  4. paraplegic pt. diagnoses help

    respectfully disagree re: dvts not being able to cause a stroke. not common, but possible. :) definitely agree with the pes, pressure ulcers, and pneumonia being big risks d/t immobility w/para....
  5. I still have the same questions.... :) You worded what you had fine- it just needs more information :) My suggestions are to prioritize based on the ABCs, and Maslows :) Falls & memory are not...
  6. MRSA bacteremia patho help please

    re: the pathophysiology, when i see the recurrent infections, and probable multiple antibiotics needed to treat them, it increases the risk of developing a bug that is 'juice' resistant. as goofy as...
  7. MRSA bacteremia patho help please

    Also- outcomes are what the PATIENT will do.... not you
  8. MRSA bacteremia patho help please

    What a mess!!! (not you- the patient ) Gotta spend some time reading through this- but with prioritizing, use ABCs as your initial guide
  9. Priority for DVT

    Yes- but the doctor orders them. Nursing diagnoses focus on the nursing care. Once the meds are ordered, then nursing steps in
  10. thank god someone is still teaching this. on the "first year" forum, a lot of new nurses talked about being told that the iv team would deal with it, so it's not their problem i graduated in...
  11. Hospital nursing question

    The parking lot at 2 am, near the entrance nobody uses :) Seriously, hospital nursing is not for those seeking low stress..... nursing is not for those seeking low stress.... neither are...
  12. You have NO idea how agonizing it is for families to make the decision to place someone in LTC. Your comments scream of no experience with this, OR LTCs. Most are fine facilities with much better...
  13. Yes to nursing renewal termination

    Did the place you possibly have an issue with (re: termination) tell you there was a problem? A LOT of nurses get canned- but it generally isn't a board issue unless there are problems with drug...
  14. oh for petesake!

    Six months only feels like a long time in the beginning. It's not that long :) Give yourself, and them a break, and hang in there. If they wanted to give you the boot, or thought you were a plague...
  15. Working with student nurses

    Gloves weren't used universally for inserting IVs until the 1990s. :) There are a LOT of us who are still able to breathe and potty ourselves who clearly remember not using gloves. There was a box...
  16. Is the patient the kid, or the mom? I see no connection medically between fatigue and joint pain, and being a parent. AND, on a virtual community, you can practice, and wing it- and see what the right...
  17. What are possible causes of distention? Are there any actual diagnoses ? Do you have the last BM? What sort of diet is the patient on? Is the patient ambulatory? :) Need a bit more
  18. HIV Positive Nurses

    I took care of AIDs patients back in the mid 80s, when it was first identified as a problem. We didn't even use gloves routinely then; there was a box of them at the nurses' station. Those guys...
  19. Medication Aide

    I loved having med aides in TX. The vast majority were very good at what they did (like any job there are duds- and some nurses were worse than the worst med aide). They knew what they could and...
  20. Working with student nurses

    I'll take a student any day over another news bite about the myriad of Kardashian bs on TV....... I can avoid their show- but the incessant stories about "who the hades cares?" are like grinding...
  21. Careplan at work

    Absolutely when I worked the floor, and as charge- it was expected to review them all every shift. :) (that was hospital) When I worked LTC, I ended up doing the care plans for the Medicare...
  22. Yep. My dad is 79, and runs around all over the country.
  23. addressing colleagues

    LOL... I've gotten "ma'am" here several times recently It was explained that it was a sign of respect :) I lived in Texas for 17 years, and got used to saying 'ma'am'.....just now getting to...
  24. Agree with above poster re: need more information. :) The syncope and cardiac issues need to be addressed. Do you know if she's dehydrated? Who's the caregiver that's strained? Do you know the...
  25. I always loved notes, and still have some from more than 25 years ago from