ariessanne

Dear fellow nurses, I was offered to work in our dementia unit? Should I accept it? I currently work 2nd shift in a different unit in the same nursing home/rehab. Our residents includes short & long term care, so we always have new admits and discharges. There are days that I almost give up because of so much paperwork: doctor's order/lab works to process, new admission, fall/skin events, etc. I have 27 residents, 11 of them are diabetic that need 2x accucheck during my shift. Almost all of them has 1600 & 2000 meds. We chart for everything ex: resident who moved to different room; from multivitamins to multivitamins & minerals, etc will be in 72h charting. I'm sure our Dementia unit will have similar procedures and it has less number of residents, but will it be wise to accept it or am I giving myself more work? Thank you

I do administer bronchodilators first, both Albuterol and Bronava are bronchodilators, then corticosteroid (Pulmicort). I'm just curious to know which one between albuterol and bronava should be given first as I can't find any information about this, even in the package inserts. Albuterol is a short acting beta agonist inhaler while Brovana is a long-acting beta agonists (LABAs). Both are on BID, but albuterol is also on prn order. In our facility, I asked one of the nurses if I can administer Albuterol and Ipratropium together and she said "yes" as long as both are in doctor's order. My intention for asking this is I want to do the right thing. If mixing it will not cause any negative effect or not wrong then why not? it will save me few minutes rather than giving it separately. But like I said, I'm not just after "saving time", because safety comes first.

Hi. If you received an order to administer different nebulizer: albuterol, brovana, pulmicort to a patient, in what order you will administer it? Would you mix albuterol and ipratropium together or administer it separately?