onthemark

onthemark

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All Content by onthemark

  1. gentleness wanted for the elderly

    onthemark posted a topic in Geriatric, LTC

    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...

  2. gentleness wanted for the elderly

    onthemark replied to onthemark's topic in Geriatric, LTC

    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

  3. silver nitrate sticks & silvadene creme

    onthemark posted a topic in Burn

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

  4. silver nitrate sticks & silvadene creme

    onthemark replied to onthemark's topic in Burn

    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

  5. give fluids to lower blood pressure?

    onthemark replied to onthemark's topic in Cardiac

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

  6. give fluids to lower blood pressure?

    onthemark posted a topic in Cardiac

    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...

  7. give fluids to lower blood pressure?

    onthemark replied to onthemark's topic in Cardiac

    Thanks so much, KatieMI! This all makes

  8. probably a very basic med question.....

    onthemark posted a topic in Patient Medications

    I have patients who take gel capsules (both colace and b12) but because the patients can't swallow these, I'm asked to open them and squirt in with their crushed meds. (Why they don't get these in...

  9. getting unwanted advice from non-nursing staff

    onthemark posted a topic in Nursing Professionalism

    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...

  10. getting unwanted advice from non-nursing staff

    onthemark replied to onthemark's topic in Nursing Professionalism

    Thank you, Ruby Vee. I'm glad you liked

  11. getting unwanted advice from non-nursing staff

    onthemark replied to onthemark's topic in Nursing Professionalism

    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...

  12. getting unwanted advice from non-nursing staff

    onthemark replied to onthemark's topic in Nursing Professionalism

    Thank you so much JustBeachyNurse! You just made my day

  13. getting unwanted advice from non-nursing staff

    onthemark replied to onthemark's topic in Nursing Professionalism

    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...

  14. getting unwanted advice from non-nursing staff

    onthemark replied to onthemark's topic in Nursing Professionalism

    That's what I thought, klone. Kind of

  15. Paycheck Question

    onthemark posted a topic in General Nursing

    I have a question about how my facility determines our pay but don't know where to put it on this site. Hopefully, one of you will see this and have an answer or suggestion for me: During a 2-week...

  16. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    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

  17. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    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...

  18. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    no, dudette10, it doesn't work that way where I work. Vacation time does not carry over to the new year. I'm left with 5 hours vacation time that are lost because there's no way I can use just 5....

  19. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    krisiepoo, I'm grateful that they paid me the 5 hours overtime but I wouldn't say I came out ahead or they were doing me a favor because those 5 hours vacation time are

  20. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    Again, thank you for your comments. Although we don't have a union, every January we sign a contract stating what our pay/benefits will be for the new year. However, in reading their policy manual,...

  21. Paycheck Question

    onthemark replied to onthemark's topic in General Nursing

    Thank you all for your input. You're making me realize that my situation certainly isn't unique. I still feel these practices are unethical, though. KeIRN215 says "paid vacation time is not...

  22. Medihoney as debrider?

    onthemark posted a topic in Wound, Ostomy, Continence

    In my facility we often use Medihoney on wounds. I thought of it as being a moisture barrier and provider of good nutrients to the newly forming epithelia. However, another nurse recently referred...

  23. probably a very basic med question.....

    onthemark replied to onthemark's topic in Patient Medications

    I tried the paper clip method today for the B Complex gel cap but it was difficult to puncture and then very difficult to squeeze it out from such a small hole. I ended up resorting to the scissors....

  24. probably a very basic med question.....

    onthemark replied to onthemark's topic in Patient Medications

    The best bet seems to be MrChicagoRN's suggestion of a paper clip that can be cleaned before each use and then discarded. I'm going to try that today! Meanwhile, I'm relieved to report that the head...

  25. probably a very basic med question.....

    onthemark replied to onthemark's topic in Patient Medications

    I don't think it seems right either, libran1984. Based on all your comments above, you seem to understand what I'm going through and I want you to know that I appreciate it.