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Question for on-line instructors...
I also am a not so new .n. My supervisor has requested that I take a Nursing Skills Review on-line. A friend of hers did it when her daughter was in nursing coming home with things that had changed. She said she really enjoyed it but can't remember where she took it. If any knows of such a on-line course I'd really appreciate hearing from you.
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Old Ladies Having Babies
tHAT'S JUST TOO WRONG. iT SOUNDS LIKE HE NEEDED SOME SELF ESTEEM. hOPEFULLY HE HAS LOTS OF MONEY AND A GOOD WILL AND CONTINGENCY PLAN! cAN'T IMMAGINE EVEN CONSIDERING THAT AT 75 ! tO EACH HIS OWN, HOPE THE KIDS THRIVE!
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A reminder to ALWAYS listen to your patients.
I had a terminal private duty pt. He would start to go then the family would call everyone in to say goodbye and by the time the supervisor would get there he'd be "ok". One night when I worked a double he said "Come on Connie ,lets go." I asked him where we were going, he said "to the other side." Couldn't seem to help him over after I told him to go ahead and wait for me there, so I woke up his pastor in the chair sleeping. He didn't have much more luck. On the way home I'd jerk awake and think , he knew something!What he was hanging on for was his dtr was pregnant with the 1st grandchild and toxcemic,I think he wanted to make sure that they were ok. She couldn't attend the funneral because she had just given birth. 2 years ago I had a near death experience according to ER and my DR. I had a 1:1,000,000 side effect of clindamycin. Pancytopenia- septic, raging UTI and a WBC od 2. They said they'd never seen such low values across the board. ER said 1/2 hr longer and I wouldn't have been there. I never felt any impending doom and was aware all of the time in ICU etc. My chemistry changed because I would stop a watch even with new batteries within a day. I got a lapel watch and put it in my blouse pocket for a seminar and it was offf 2 hrs. My DR. said with a near death experience that your core energy changes and asked if I could move things with my eyes. Yeah right I think you have to believe that you can do it before it would work. Aside from that with my luck the wrong things would be moving and no doubt out of control!! I do have to admit I would definately prefer to get my old labs back. Chol, Lipids, Blood sugar have all decided to give me a run for my oney, I've almost got them on the high side with meds & diet.
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Does this sound funny to you?
Something smells fishy to me! Back in the late 60's as a Candystriper I knew what a catheter was, and later as a CNA, before the RN. Maybe some dementia has set in and she's loosing her short term memory?
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Rude and crude RN
I worked in a small SNF unit and unfortunately the DON, a male RN, and a CNA were all just as bad. The DON once said to me in front of a male CNA (in his 20"s) something about the topical cream my Dr. who had been on the unit ordered that he might want to rub it on. We were both embarassed and I did report it to the head of HR on my exit interview. I had told her on a voice mail that I was leaving for a Home Health position which she effectively blocked. The CNA that went along with her , told the male RN that she would give him the shirt off her back and proceeded to do so. This was on 2 nd shift and even though we were small 10rooms we had 2 elevators. Imagine if someone would have come up then!! I lost all respect for her then! Report it to whoever will listen in HR!
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Nurses leaving in droves...
My dtr works on a pallitive care unit and they do the bread therapy. Says it's great.
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old skills that we do not use anymore
I could too but now those glass thermometers are sooooooo hard to read- could I be getting old ?
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old skills that we do not use anymore
We had a lady in LTC who we caught diluting her urine in the bathroom for her clinitest, guess who got to go to BGM!
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AJN Article Opinions.. "I'm No Angel"
I agree with sharann and rnmi2004 that it is probably a thing with the older generation and I accept it as a compliment as it was meant. I work with the elderly so it's a good idea not to get upset because I'm going to hear it and "you're a doll". I think it's just they way they can express themselves ( a lot of them have difficulty with word funding anyway). I'm sure they're not meaning the God/angel, a lot would be mortified if they knew that was the way it was interpreted. I suppose you could write an editorial to your local newspaper and maybe some of your targeted people might read it whrere they wouldn't read AJN. you're right there are some immages of nursing that aren't correct but we survive in spite of them, and can continue to prepetuate the reality by continuing to do our best at our jobs. Yes some will notice and some will not but they probably won't change their thinking anyway. Remember they are where you are because of some defecit whether physical or mental or they wouldn't need us, so they may be in pain etc. and not in the best thinking mode either.
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Medical Asst vs Nurse
I'm An Rn. A Coworker Recently Graduated As A Cma. Under Her Scope Of Practice She Can Pass Meds,do Assessments,give Injections, Draw Labs,is Icd-9 Certified , Can Do Accounting. She Borrowed Several Of My Books For Her Classes And Would Come To Me At Times For Help And I Didn't Have A Clue.as A Cna She Was Invaluable To Me In Emergencies And Picking Up On Problems. She Got An Associates Degree In Applied Science. Me Too (adn). I Feel That She Can Do More Than Me In Some Instances. Like Was Said Before Everyone Has Their Place In The Healthcare System And Together We Make A Great Team!!!!!!!!
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Dementia Patients
Just go in and be yourself.You can learn so much from them if you give yourself a chance. They can be very childlike in many and endearing ways. One seminar at the Alzheimers Assoc. said to equate living with an Alz. pt. to living with an ADD child. It's so true, I could see how my kids lives parrallelled .Patience and patience and let them lead you as you follow where they are at. Don't try to reality orient them all you'll do is bat your head against the wall, they aren't going to change their minds so you had might as well give everyone a break and step into their world, as long as it is not a danger to them.You're the one who has to do the changing, meet them at where they are don't argue that their mother couldn't possibly be alive, but ask them to tell you about their mother, and reassure them that they are safe. They are the best group in the world to work with, be inventive and enjoy!
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Help with hopeless horrible nurse's aides
I agree. Aides can either make or break a unit. I have had some wonderful aides I would go to the wall for and then some that only felt they needed to do the minimum. It helps if youv've been there in their shoes and are willing to pitch in to make sure that the patient gets the best possible care. Then there are some wh will take advantage of your willingness to get the job done. (GRRRRRR) Teamwork is the best approach if you have a team to work with. It pays to try to develop teamwork. I hate it when someone thinks that someone else is going to make them work harder, why not just work together???? Your'e right about when the nurses treat the CNAs like dirt, that destroys any chance of co operation.I agree why should we make it any harder on ourselves? Remember nurses do tend to eat their own, how sad when we could be someone a new grad could look up to and be a role model. Ok offf my soap box.
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shocked at what I saw!
Holy cow! Unbelievable!! I thought back in 1985 when I did my CNA clinicals I'd seen a lot. It was bad the aides stood around talking while the residents were given breakfast in bed for some ,one was blind a tray was in front of her she didn't know where anything was and when my instructor and I walked into her room the smell of urine and feces was awful. How could you expect anyone to be able to eat under those conditions? A fter we helped those in the dining room we answered a call light that seemed to go on forever. Someone was stuck on the toilet and no one but my instructor and I bothered to check it out. The Home where I worked the DON said "does it pay to make sure that everyone has been cleaned up, room picked up bed made etc. etc. brefore they serve breakfast ?" The clinical sight was beautiful but when you walked in the door the urine smell all but gagged you! Thank heavens things have changed there since. Can you imagine what would have happened if State had come in? Boggles the mind what [eople will do out there or in some cases the lengths they'll go to to avoid doing something!!!!
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My Hands are a mess in the winter!
Walmart used to sell Udder Cream in the craft dept as well as in the lotion area. If you can't find it there try a Farm & Fleet, or any farm supply store.
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My Hands are a mess in the winter!
I agree with the crack cream & the udder balm, I just tried using theis grape butter ( from Walmart) there's other scents too. Sofar so good but winter isn't even here yet. Good luck! The socks and gloves at night really do help too.