ClearBlueOctoberSky

ClearBlueOctoberSky

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All Content by ClearBlueOctoberSky

  1. Safe sleep aid for alzhiemer/dementia residents

    ClearBlueOctoberSky replied to beatrice1's topic in Geriatric, LTC

    In my facility, we do "sleep studies" on anyone being prescribed a sleep aid. If they get at least 8 hours in 24 hours, no go. You need to advocate for your resident. Try other things to keep her...

  2. accu-check strips

    ClearBlueOctoberSky replied to gonzo1's topic in Cardiac

    You have anywhere from 5 to 10 seconds to apply the blood. If you haven't applied blood yet and the meter turns off, I take the strip out and reinsert it. Could that be what she is confused about?...

  3. Need advice: Frequent falls of non compliant homebound pt with dementia

    ClearBlueOctoberSky replied to autumnlea's topic in Patient Safety Issues

    Google safehip hip protectors. Another question would be is if she is falling within 5 feet of her wheelchair, or whichever transfer surface she is getting up from, have you checked orthostatic vital...

  4. Need advice: Frequent falls of non compliant homebound pt with dementia

    ClearBlueOctoberSky replied to autumnlea's topic in Patient Safety Issues

    Just because she is trying to get out of the chair, it doesn't mean she is agitated. Again, what is making her want to get up? Alzheimer's patients wander. It can be comforting to them of it could...

  5. Need advice: Frequent falls of non compliant homebound pt with dementia

    ClearBlueOctoberSky replied to autumnlea's topic in Patient Safety Issues

    It is inappropriate to use Ativan, Seroquel or any other drug to keep this LOL from getting out of her chair. They MIGHT be appropriate for aggressive behavior, and WILL increase her falling. You...

  6. Hearts and Entertainment | Life of a Nurse

    ClearBlueOctoberSky replied to VivaLasViejas's topic in General Nursing

    I work Tuesday through Saturday. I LOVE my

  7. I blew it......

    ClearBlueOctoberSky replied to VivaLasViejas's topic in Nurses Recovery

    Hugs,

  8. Curious about how to handle this situation..

    ClearBlueOctoberSky replied to MilliePieRN's topic in General Nursing

    The OP identifies herself as a student nurse. While this didn't happen in a "professional" setting, it would behoove her to realize that this could indeed be a HIPAA violation. The child and...

  9. Curious about how to handle this situation..

    ClearBlueOctoberSky replied to MilliePieRN's topic in General Nursing

    What you did, looking to see if you knew the child, or the child's mother, would actually be a HIPAA violation. Even though it seemed like you had good enough intentions, it really is none of your...

  10. behavioral interventions in patients with dementia

    ClearBlueOctoberSky replied to SuperSamRN's topic in General Nursing

    Try the Alzheimer's Association website for ideas. When it comes down to it though, behaviors in the dementia population are usually driven by the basics. Cold, thirsty, pain, hunger, toileting...

  11. DOH investigation

    ClearBlueOctoberSky replied to toomany's topic in LTC: Directors, Assistant

    At least in Colorado, if it is a complaint survey, they have I think ten days to open the survey from the time they receive the complaint. They have to tell you what the complaint is, but they may...

  12. When assessment skills go wrong

    ClearBlueOctoberSky replied to CheesePotato's topic in Nursing Humor

    Thanks, CP. It hasn't been a happy

  13. OMG! *I* cannot pronounce death but a paramedic can????

    ClearBlueOctoberSky replied to nervousnurse's topic in Geriatric, LTC

    Whether or not the Paramedic can call a code on scene varies vastly in what their protocols state. Not only does it vary state to state, it varies district to district. To an even finer point, it...

  14. OMG! *I* cannot pronounce death but a paramedic can????

    ClearBlueOctoberSky replied to nervousnurse's topic in Geriatric, LTC

    It will truly be the easiest intubation,

  15. OMG! *I* cannot pronounce death but a paramedic can????

    ClearBlueOctoberSky replied to nervousnurse's topic in Geriatric, LTC

    This is truly

  16. One in a million

    ClearBlueOctoberSky replied to JeanettePNP's topic in General Nursing

    Ehlers Danlos runs in my family. Luckily, it's only the Type

  17. Question on swallowing precautions

    ClearBlueOctoberSky replied to Glycerine82's topic in Patient Education

    What are HIS wishes? There are many things to consider when opting for artificial nutrition, which is what a feeding tube is. You don't know what is in his Advanced Directives or what conversations...

  18. pls help me solve this... thank you!

    ClearBlueOctoberSky replied to exsassy's topic in Nursing Student Assistance

    I'm not gonna help here but say that when I had these types of questions in school, part two would be critical and ethical thinking in regards to the answer you came up with, I.e is it appropriate and...

  19. Fundamental ATI question

    ClearBlueOctoberSky replied to RLtinker's topic in Nursing Student Assistance

    The key to remember about ATI and NCLEX is that they are looking for the BEST answer. In your question, what they are looking for is "Which lab value is the (best) indicator of infection?" The...

  20. Fundamental ATI question

    ClearBlueOctoberSky replied to RLtinker's topic in Nursing Student Assistance

    Grr, my phone won't allow me to edit... Anyway, when you talk about low neutrophil count, neutropenia, you need to investigate WHY there are no neutrophils. It is usually from bone marrow failure to...

  21. Fundamental ATI question

    ClearBlueOctoberSky replied to RLtinker's topic in Nursing Student Assistance

    Remember, the WBC just refers to overall white blood cell count. When you are looking at infection, remember that it is the NNEUTROPHILS main job to fight infection. You need to remember which job...

  22. Fundamental ATI question

    ClearBlueOctoberSky replied to RLtinker's topic in Nursing Student Assistance

    You look at the Neutrophil count. WBC can be low with a raging infection. All the WBC shows, is the count in the blood. It will be low if the body is using more WBC's at the site of infection than...

  23. Silly random nursing thoughts, one sentence, NO JUDGMENTAL FOLKS ALLOWED

    ClearBlueOctoberSky replied to wooh's topic in Nursing Humor

    Health surveyors have no soul to begin with. They are like the Dementors in Harry

  24. At what point do you send to the hospital?

    ClearBlueOctoberSky replied to jamd11's topic in Geriatric, LTC

    In that case, I might follow up with my DON. I wouldn't do it in an accusatory tone. I would just want clarification and to know the rationale of why was the patient treated the way they were. You...

  25. How was your day?

    ClearBlueOctoberSky replied to notmanydaysoff's topic in LPN, LVN Corner

    Yeah for being for