JamiRN

JamiRN

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All Content by JamiRN

  1. Suprapubic Cath. Irrigation

    JamiRN posted a topic in Home Health

    Can anyone tell me what policy you follow regarding cath. irrigation. I've heard mixed things. Some say change the irrigation kit daily. Some say every three days. Wash with soap and water between use...

  2. life after death

    JamiRN replied to nettie01's topic in Hospice, Palliative

    i can relate. i once had a patient of a certian religion that i have issues with. i had such a hard time personally with it. i felt for his soul. i worried about his soul. i questioned my own...

  3. Skin breakdown...not sure what to do for it

    JamiRN replied to bebop1's topic in Home Health

    When I worked in LTC, we used to irrigate pond scum bladders with Renacidin solution. 20-50cc in, clamp 20min then release. Often with the thick urine that you describe...we'd see results in just 2-3...

  4. Home Health Bag Technique

    JamiRN replied to JAPERRON's topic in Home Health

    Clean stuff on the outside... Clean to sterile stuff on the inside. Never on the floor. A clean drape if there isn't a clean area to set it on. Should be set preferrably on a chair. Once a week, take...

  5. Suprapubic Cath. Irrigation

    JamiRN replied to JamiRN's topic in Home Health

    Home Care Patient; MS. Spouse does Renacidin irrigation BID. She had been using a glass jar of the irrigant. Drawing it up via needle/syringe, disposing of the needle and then using the syringe over...

  6. Final days:AGITATION

    JamiRN posted a topic in Hospice, Palliative

    Can anyone give me any suggestions for dealing with agitation with dying patients. I have had three such patients where nothing seemed to help. One gentleman had not experienced any pain throughout...

  7. Interpreting BP..

    JamiRN posted a topic in Home Health

    Can anyone tell me what may possibly be going on with a patient of mine who's normal BP is around 110/70 110/78 but occasionally will have pain and readings go to 100/90. MD has no concern. No tests...

  8. Final days:AGITATION

    JamiRN replied to JamiRN's topic in Hospice, Palliative

    I agree 100%. Darvocet is worthless. Sometimes, with hospice patients, there is not enough time to 'change' the deep set beliefs they (families/pts) have.

  9. Interpreting BP..

    JamiRN replied to JamiRN's topic in Home Health

    Thanks for the input.I saw this patient yesterday and without any c/o pain, at rest 106/78. I guess it just seems odd to see such a little gap (10) between systolic and diastolic with pain. He is a...

  10. Final days:AGITATION

    JamiRN replied to JamiRN's topic in Hospice, Palliative

    First used DCN, then switched to oxycodone. She was reluctant to take anything for pain but did use the oxycodone, then used oxycontin bid with oxycodone for breakthrough pain. For nausea, we used...

  11. how many patients

    JamiRN replied to Karina212's topic in Home Health

    Somedays are really long. I average 5 visits a day. I have been doing home care for 6 months. My goal is to be at 6 in about 8 hours. We do all our documentation on the computer and it is MUCH LESS...

  12. Roxanol-How do you describe the effects to the family?

    JamiRN replied to JacelRN's topic in Hospice, Palliative

    I have had this conversation with a few families. It is never an easy thing to talke about. I find that it helps if 1). you make sure you have TIME to spend with the family, 2). sit down at eye level...

  13. Suggestions for Coping with Pt Death

    JamiRN replied to amj10rn's topic in General Nursing

    Wonderfully said needler. Hope people don't bash your belief in GOD. It does provide huge

  14. Laxative Abuse and the Elderly

    JamiRN replied to Cubby's topic in Geriatric, LTC

    I have also worked with an LPN in the LTC setting who firmly believes that everyone needs to poop on a daily basis. That makes me laugh. She is always dishing out the MOM if they did not go that...

  15. Job Interview-took forever!

    JamiRN replied to avahsmiles's topic in General Nursing

    I had an interview on Monday for a Home Care position. The first 20 minutes was answering multiple choice questions. "Do you like people: strongly agree, agree, neither disagree or agree, disagree,...

  16. Top 5 medicine to pass in LTC?

    JamiRN replied to SoldierMedic's topic in Geriatric, LTC

    I wonder if it varies state to state... Not much for antipsychotics here, however, we are seeing some use of "Namenda" 1. Calcium with Vitamin D 2. Zoloft 3. DSS 4. Zantac 5.

  17. Truth about Nursing diagnosis

    JamiRN replied to UTRN2005's topic in General Nursing

    As a nurse who had to write ALL the care plans for a 119bed facility....Care plans have positives and negatives. The good: when the next person comes on, they know what problems the patient has and...

  18. Stethoscope of choice

    JamiRN replied to DEH's topic in General Nursing

    Hope we get some more input here. I would like to know too. When I was in school I bought the cheapest one I could find for $11. I actually prefer it to the soft squishy earpiece

  19. Remembering to put up bed rails...

    JamiRN replied to NurseFirst's topic in General Nursing

    Very interesting....Where I live (WI) some facilities have the "ok to use" and mine, is a "NO rails up" place. We don't need a dr. order to use them but we do have to explain the risks and hazzards of...

  20. I lack charting skills

    JamiRN replied to Todd SPN's topic in General Nursing

    When charting a procedure - I always remember to include "who, what, when, where, why, and how." So, an example would be "April 2nd, 2003 @ 1100 - Pt. requested and received i po percocet tablet for...

  21. What happens if you hit bone in an inj?

    JamiRN replied to weeble's topic in General Nursing

    I can still remember hitting the bone in a frail little lady...I felt absolutely sick. I worried about it for a long time...all the what if's. What if it hurt and because she was so sick she didn't...

  22. Antiseptics & Wound Care

    JamiRN replied to lovelie_skittle's topic in Patient Safety Issues

    We are taught not to use peroxide on any wound because it affects the healthy tissues (cytotoxic). Use normal saline for cleansing most pressure ulcers. If you can irrigate the area with a 35mL...

  23. How *much* bodily fluids???

    JamiRN replied to rebeccalizzie's topic in Nursing Career

    Iv'e been in LTC as an RN for 11 years. I have had to actually clean up poo...maybe two or three times. As an RN, you do assessments, you start IV's and monitor them. You learn about the nursing...

  24. 11 years at the same spot...

    JamiRN posted a topic in Nursing Career

    I am taking a vacation (six weeks) because I have so much vacation time built up I need to use it or lose it...I have been working in long term care since the day I graduated (BSN). Same place. I have...