ArtRN

Lactobacillus is usually given before meals. Med errors occur when we give something we don't know is for and don't care to double check with available pharm. resources, or when we relax and lose focus, because "we've given it so many times". PRN vs. FT has nothing to do with this.

Call MD for clarification at 3AM. Write some of the new cursing words you've never heard before down and share with us. Break the dose down on 4 parts, for each meal and night snack. Give it before the food. That's based on the drug administration guidelines. The order is written poorly, but nursing judgement is good enough to make sense out of it.

I've noticed that with patients with respiratory troubles, COPD especially, the blood return is increased and can cause blood to back up like that. Not sure what is the scientific explanation for this.

Most of my patients report the metallic taste, "like sucking on a piece of aluminum". A few said they smelled oranges =)

yes, and also people straight cath themselves in their own environment - not in a hospital full of super-bugs. because of financial part of the deal, people are forced to reuse their catheter over and over, and they still don't get uti. on the subject: depending on the protocols of the facility, cnas can be delegated to do such tasks if properly trained and based on nursing judgement (do it yourself if, say, there's an obstruction, bleeding, or prostate enlargement). here's an example of delegation rules www.msbn.state.ms.us/pdf/delegation_2009.pdf