Jump to content
onthemark

onthemark

Member Member
  • Joined:
  • Last Visited:
  • 91

    Content

  • 0

    Articles

  • 4,941

    Visitors

  • 0

    Followers

  • 0

    Points

onthemark has 1+ years experience.

onthemark's Latest Activity

  1. onthemark

    Medication On Time

    I'm interested to know if anyone here uses the MOT program, and what you think of it. My nursing home is considering it. My basic concern is that it interferes with the nurse's responsibility for giving the right meds because even though the pills can be checked, they were basically prepared by someone at the pharmacy. Does anyone here use it this program, and what do you think?
  2. onthemark

    gentleness wanted for the elderly

    Thank you, Sour Lemon. There's not much time to give this patient Tylenol ahead of time but I will certainly try. I appreciate your thoughtfulness and response.
  3. onthemark

    gentleness wanted for the elderly

    I realize our aides are under pressure to complete their duties but it upsets me to see them hurrying so much with the very fragile patients. I have one very fragile patient who's made it to 100 years old, and it tears at my heart to hear her screaming "Stop it! You're hurting me" when they bathe and dress her. I don't know why they need to roll her to her side so fast or put her arms in her sleeves so quickly. When I intercede, I speak to her nicely and move her slowly, and she cooperates just fine.....but I know the aides aren't really happy when I do this. They say I don't really understand because I don't do this type of care all the time like they do. What do you think? Should I stay out of it and let the aides do their work as they want? Basically, they have never really hurt anyone so maybe I'm making too big a deal of this. I'd love to have your input.
  4. onthemark

    silver nitrate sticks & silvadene creme

    Thank you both so much. You've answered my question. I've been using the sticks to cauterize the raised, bloody parts of a wound, and simple Bacitracin for the rest of the wound.
  5. onthemark

    silver nitrate sticks & silvadene creme

    Can someone please tell me what the difference is between silver nitrate sticks and silvadene creme? How interchangeable are they?
  6. onthemark

    give fluids to lower blood pressure?

    Thanks so much, akulalawkRN and KatieMI! I really appreciate your both taking the time to explain.
  7. onthemark

    give fluids to lower blood pressure?

    Thanks so much, KatieMI! This all makes sense.
  8. onthemark

    give fluids to lower blood pressure?

    I work at a LTC facility. Last night a patient said she had a headache, felt a little nauseous, and thought if she took another Lasix, her bp would come down and she'd feel better. Her bp was 163/80. The nurse I was working with asked the patient if she had had a lot to drink during the day, and when the patient answered that she had only had coffee and tea at breakfast and lunch the nurse said that she definitely shouldn't have a Lasix because she was already low on fluids, and that what she needed was to drink fluids. During the next hour, the patient drank a ginger ale and glass of juice. After the hour, the patient reported feeling MUCH better and her blood pressure had come down to 145/67. What was going on here? I realize she was dehydrated but I thought that increased fluids would make her bp go higher. Would someone please explain?
  9. onthemark

    getting unwanted advice from non-nursing staff

    Thank you, Ruby Vee. I'm glad you liked it.
  10. onthemark

    getting unwanted advice from non-nursing staff

    No Stars in My Eyes, I really like your post. I think it's great that housekeeping is comfortable "sharing" information without "owning" it. I would guess that YOUR attitude towards the housekeeping staff has a lot to do with that open communication which benefits all. MsLindaW, I was very rattled by the PT for the rest of that day when she had been so offensive, and that's what led me to post about it on this site. I needed to deal with it and was hoping to get ideas and support from this community, and that's exactly what happened. It wasn't until I woke up the next morning that it hit me that I wanted to confront the PT personally because in many ways I really do like her and I wanted to straighten out our differences without reporting her or making things worse. I then jotted down a few points I wanted to make and how I was going to present them to her. After planning what I'd say, I was able to come to our meeting prepared and fairly calm because I was certain I was right (from all of the comments here) and because I was prepared with what I was going to say. If I'd tried to confront her on the day she offended me, I probably would have blown up at her It has always been hard for me to deal with conflict but I do believe things get worked out better in a direct confrontation rather than holding a grudge or complaining about it to others.
  11. onthemark

    getting unwanted advice from non-nursing staff

    Thank you so much JustBeachyNurse! You just made my day :)
  12. onthemark

    getting unwanted advice from non-nursing staff

    Thank you all for your comments. You bolstered my confidence in confronting her today. (I've never reported anyone and don't want to if I not necessary. My rule has been to confront the person directly the first time; if it happens again, I tell them that if it happens a third time, I'll realize my warnings aren't working and will report them. So far, no one has reached that 3rd time.) Anyway, after asking for a moment to talk, the PT and I found a private spot and I told her that I had always liked working with her but that I was surprised -- and actually offended -- by the way she kept trying to oversee everything my orientee and I were doing yesterday with that particular patient. She acted quite surprised and said she hadn't meant to offend me. She said the reason she kept questioning us was because the day before she had tried to alert the nurse caring for the patient then, but had felt that that nurse had not taken her seriously and had not extended appropriate care to the patient. I told her that I did not know about the previous day or the nurse on duty then, but that I still didn't think it was appropriate for her keep questioning us and even wanting to give the patient the tylenol. She kept apologizing and saying she realized it hadn't been necessary to doubt my care. I told her that not only was her behavior demeaning to my orientee and me, but that I felt she was encouraging the patient to lose confidence in us particularly when she'd said, "but I care about this patient so much." She said she only said it because she DOES care about the patient and she thought it would make the patient feel better but she understood now how it made my orientee and me look in comparison, and she was very sorry. She said she'd try very hard not to behave this way in the future. I accepted her apology and will hope that she really will think in the future about her behavior affects others. As I said above, if it happens a 2nd time, I'll tell her the next time I'll be reporting her, but I have a feeling it's not going to happen again. Again, thank you all for your input and support!
  13. onthemark

    getting unwanted advice from non-nursing staff

    That's what I thought, klone. Kind of unbelievable!
  14. I work in a LTC facility and today I was orienting a new nurse. The physical therapist was with one of our patients and called for us to come see the patient as she thought she was feverish. I took the temperature and the patient did have a fever of almost 101. We gave her tylenol, had the doctor see her, had her resting comfortably in bed, and planned to give her tylenol again in 4-6 hours. We thought we were handling the patient all right but the PT was continually asking about her and telling us she should have more tylenol. When we said we were getting the tylenol to give her, the PT took the bottle and said that SHE would give it to her! My orientee spoke up and said no, she (not the PT) would give it to her. Then the PT said that she wasn't doing it fast enough, to which I then spoke up and said "we're the nurses." The PT then said, "I know, but I care about this patient so much" ... as if we didn't! I appreciate other staff being concerned for the welfare of our patients, and I appreciate input from other staff when it is constructive, but I felt the PT was going too far today. Not only was she undermining my orientee and me, but I felt she was also getting the patient to lose confidence in us. Do any of you have any ideas about this? Has a non-nursing staff tried to tell you how to do your job, and how did you handle it?
  15. onthemark

    Paycheck Question

    I've just read these latest comments. I don't think I can use the 5 hours because I work 7-3 -- an 8 hour shift -- and wouldn't have anyone to cover for me if I left after only 3 hours.
  16. onthemark

    Paycheck Question

    morte, I agree with you but from reading these posts, it seems like it's pretty common for facilities to get away with this sort of practice. Because it's so prevalent, it must be legal and there's nothing I can do
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.