mjmcca

I am currently assigned as a 1:1 school nurse to a general Ed high school advanced freshmen. I have to frequently take him out of classes to administer treatments and medications. He misses large blocks of class time. What is my responsibility to his educational needs? I try and do whatever he needs done as efficiently as possible but even so I have to set up for the treatments and clean up afterwards which add time to whatever I doing. This in turn means longer time doubt of classes.His mother also keeps having the doctor add to his treatments which means more time out of instructional time. It makes no diffence to me if we spend the whole day in the health office but he is missing out on his education.

I agree. I took out some stitches my father in law had just because he was visiting the country from Morocco and we didn't want to incur another huge bill for their removal (the first bill being when they were placed) . Personally, I wouldn't do it for anyone other than family.

I used to wear paper isolation gowns push my thumb through so when I put the double gloves on my wrists weren't exposed. I always changed before going home including my shoes. I think I only had my undies and socks stay they same.

I remember this time I had gotten report in a pt who was newly transferred from the ICU. HD pt. cant remember all the particulars it was a long time ago. Nothing noteworthy was given in the report. during my shift come to fine a handprint shape hematoma dead center of the pts chest. When I got a chance to speak to the pt and review the chart, the patient had been in a Dialysis center had a cardiac arrest was revived and sent to the hospital. Was in the ICU as a CPR "save".

We taught our Pts to lean all the way forward and cut open the wires.

Your employer wouldn't make these changes unless staffing was not evenly spaced out. You cant have 7 people on one day and 3 the next. We had a small unit only 8-9 nurses with a maximum of 4 staff needed each shift but we almost never had enough people to put 4 on. My manager would not accept a schedule unless it was evenly balanced, meaning there could not be 4 people on one night and one person on the next 2 people the following ect. Our worksheet would be posted for everyone to see and change and if no one changed it it would be done for them so staffing was balanced. We would try to accommodate requests but if every day off was a request then it would be like none of them were a request. The only exception was Christmas and New Years. If we had 8 people on shift 4 had to be on each holiday even if it left other days that week unevenly staffed. I came back to work after a lengthy medical leave after a bout with pneumonia. I didn't care what days I worked. I had one request to be off to go to a pulmonologist's appointment. Guess what day I had to work, but I honestly think that was just spite on the part of the person who was fixing the schedule at that time.

OH and squeezing it through your teeth? Is it possible to suck it around your back teeth ? Did they discharge you with a catheter tip syringe? We would modify ours with a piece of flexible suction tubing so you could feed through it. We would take the suction tubing and put it on the end of the catheter tip syringe and then cut it at 1-2 inches on an angle. draw up whatever you are going to eat and them place the syringe in the mouth towards the back and them push the liquid in as slowly or as quickly as you can tolerate.

Apple sauce or other sauced fruits, yogurt, smoothies, shakes, puddings, try the stuff in the baby food aisle though many types wont taste all that good. Cream of wheat, farina, cream of rice, oatmeal you can water all of these down with milk until it is a consistency you can tolerate. Soups are good too but only of they are smooth or creamy rather than chunky. You can put a chunkier soup in a blender to get it to what you can tolerate. You can vary the mashed potatoes with adding stuff to them like flavorings or mash both regular and sweet potatoes together. ( used to work on oral maxilary facial surgery unit and had Post op pts with wired jaws) Sorry this happened, hope you feel better soon.

Don't you mean NYU Langone? While it is across the street from Bellevue and probably shares some of the medical staff, NYU is a private hospital while Bellevue is a city one.

Not sure if that is the case but it is/ was true at Kings County Hospital when I did clinicals there 20 some years ago. They have had renovations since then so I think the wards might be gone. If you think that Bellevue is Huge then Kings County would be massive. It is a campus with different buildings. They are both NYC HHC hospitals. Immediately after 9/11 there were huge tents set up outside to do the work of identifying the remains of the WTC victims. The NYC ME is stationed out of Bellevue. The tent is still there http://mobile.latimes.com/p.p?a=rp&postId=794906&m=b&sessionToken=&postUserId=7

Some one is probably not washing them so the policy is being clarified for all. I bet that's a cost issue somehow, wonder what would happen if a few falls were attributable to the use of drainage bags. Hmm I thought all the bags hooked through to drainage bags. Guess not. I worked in a hospital and we only got replacements when the bags were leaking , otherwise damaged or just too far gone to be used. I think wasteful practices like this are why so many institutions are closing their doors.

I dont understand why you think this is ridiculous. Where I used to work we didn't have any fancy stuff to clean the bags so we rinsed with tap water and soap until clear. We only used leg bags to train people who would be using them at discharge or with people who came to the hospital with them. In the later case if they were ambulatory and alert we let them do whatever care was their regime at home.

Yeah but at this point in time I am not sure it would be worth it. I would have to pay the licensing fees and there are CEUs that differ from the ones I have taken. The cost adds up. By the time everything would be said and done it would be after flu season was over.

No, it's in New Hampshire, but it sounds like they are all the same.

I can refuse any events I do not want to participate in, so I have been refusing them. They employ other health care professionals CNAs, LPNs, MAs ect. I worked with an MA who goes to other states and administers flu shots. I had thought that they had to be certified by state too but she said no. If I agreed to go to another state I would increase my hours and revenue. The first time I said that I could not go out of state the person who responded to my email said that I could do fingersticks, however I have gone on 2 jobs within NYS so far and they have only been to give flu shots. On the job board I do not see any way of differentiating a solely flu shot event from one that has other types of health screening. I worry about accepting a job in CT getting there expecting to do Fingersticks or BPs and actually having to do injections.