tsm007

tsm007

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All Content by tsm007

  1. Eye drops while sitting up

    tsm007 replied to tsm007's topic in General Nursing

    I can try

  2. Dying, unresponsive patient and assessing pain

    tsm007 posted a topic in Geriatric, LTC

    Ugh, I hate this first year of nursing. I really wish I had a mentor, but for now AN is it. Okay, onto my question. I was taking care of a hospice patient that was actively dying, unresponsive and had...

  3. Dying, unresponsive patient and assessing pain

    tsm007 replied to tsm007's topic in Geriatric, LTC

    That is an awesome reference. Thank

  4. Dying, unresponsive patient and assessing pain

    tsm007 replied to tsm007's topic in Geriatric, LTC

    I wasn't worried about addiction and I know that in hospice patients sometimes it's necessary to give narcotics even when it is suppressing respiration. I just am not sure besides moaning or facial...

  5. Dying, unresponsive patient and assessing pain

    tsm007 replied to tsm007's topic in Geriatric, LTC

    That's terrific advice. The outgoing nurse told me the hospice number, but I didn't realize I could call them for advice. The nurse before me had told me I should just continue giving it around the...

  6. Dying, unresponsive patient and assessing pain

    tsm007 replied to tsm007's topic in Geriatric, LTC

    I am an agency nurse so technically not an employee there. I'm by myself at night. Although there is another nurse I can call in the other building if I need to. At the time I was confident with my...

  7. Clinic staff ask pt how to find injection site?

    tsm007 replied to MinneNurse's topic in General Nursing

    I worked as a CMA before being an RN and did IM injections. Not every facility has an RN or LPN some just use CMAs exclusively. CMAs do receive training on this and she should have known how to do...

  8. Pulse ox reading poorly

    tsm007 posted a topic in General Nursing

    I work in LTC and all they use is the little pocket pulse ox sensors. I've had times where I sit there forever and can't get it to read or it gives me some ridiculous number or sometimes I get a...

  9. Pulse ox reading poorly

    tsm007 replied to tsm007's topic in General Nursing

    That could definitely be a factor as

  10. WGU Indiana HELP

    tsm007 replied to FutureRNgir's topic in Western Governors University

    No way would I have been able to rely on a bus for clinicals, maybe a cab, but I drove for everything. Besides I'm not really a big city girl, I felt safer driving. The winter can get complicated and...

  11. Pulse ox reading poorly

    tsm007 replied to tsm007's topic in General Nursing

    I found a great post on this on a firefighter/EMT forum since they use portable pulse oxs! They suggested turning the finger sideways if the patient has nail polish and they also said if they were...

  12. Pulse ox reading poorly

    tsm007 replied to tsm007's topic in General Nursing

    When I rechecked this pt after warming his hands his O2 was 94% and later in the shift to recheck it was 98% first try. This is why I am asking questions because I want to know this. We had a temp...

  13. Pulse ox reading poorly

    tsm007 replied to tsm007's topic in General Nursing

    Going to experiment and see if you can actually get this kind of oximeter to read on the ear lobes. If that works I will start using

  14. Pulse ox reading poorly

    tsm007 replied to tsm007's topic in General Nursing

    Thank you. That was helpful. You can't calibrate these. They are just the personal pulse ox's like they use at doctors' offices or that you can buy on Amazon for personal use. However, I did try...

  15. WGU Indiana HELP

    tsm007 replied to FutureRNgir's topic in Western Governors University

    There is an Elkhart/South Bend cohort. (At least there was last I knew they had just started.) I would look into that cohort. Elkhart General is a really nice hospital and has some great nurses as...

  16. WGU Pre-licensure Questions

    tsm007 replied to ryusan8989's topic in General Nursing

    I am sure the moderators will move this, but in the mean time I can try and answer your questions. This really depends heavily on the location. For my state it was not all that competitive to get...

  17. Please stop making that sound !

    tsm007 replied to WhiteStockings's topic in General Nursing

    Maybe it was. My oldest child has Tourettes and oh my he has both a coughing and a throat clearing tic that are enough to make you a little crazy. I have become very aware of tics now and find myself...

  18. (8/29) This week, I have learned......

    tsm007 replied to ixchel's topic in General Nursing

    To add to that you can go to a completely different facility and hear that same conversation with 2 completely different people. It's like they have their own little dementia

  19. New Grad in LTC

    tsm007 replied to theviolinist's topic in Geriatric, LTC

    This is me and something that bothers me now a lot with my school. We did NO paper charting either and it's killing me. Then the nurses are impatient showing you this because I think they assume this...

  20. (8/29) This week, I have learned......

    tsm007 replied to ixchel's topic in General Nursing

    I learned what an Exelon patch was for. I'm learning all kinds of Alzheimer drugs right now. I also learned what Remeron was for. I've been trying to be diligent about looking up new drugs. I also...

  21. Yet Another Pre-Employment Drug Screen Thread

    tsm007 replied to YouSmellLikeCDiff's topic in First Year After Licensure

    It depends on the drug company. Most places don't, but some do. The lab they sent me to was at the county corrections. They watched, but it's the first time I've had anyone watch since I was in the...

  22. Need advice please on giving up on nursing tomorrow

    tsm007 replied to coldsteel1's topic in General Nursing

    I agree wholeheartedly with this. New nurse here about to start job #3 and I'm petrified, BUT I will never know if I'm really not cut out for this or not unless I give it enough time to get...

  23. Have you ever worked through a agency?

    tsm007 replied to whslee01's topic in Agency Nurses

    I was scoping out the agency forum and was very happy to read this. I am a new grad and I just signed up with an agency that staffs LTCs. I AM doing 3rd shift. I am hoping this is a great place to...

  24. I need a new resume - Help!

    tsm007 replied to Nurse Beth's topic in Career Advice Column

    Great suggestions! Since I just started doing nursing home work and ultimately want to move to the hospital you gave me some ideas on things to get involved with to help build my

  25. Skin assessments documentation

    tsm007 replied to tsm007's topic in Geriatric, LTC