unsaint77

unsaint77

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All Content by unsaint77

  1. Our facility does about five lunches a year. If they didn't do that they can afford a decent AED. AED is not the matter of profit margin. Furthermore, which way would the nursing home make more...
  2. OMG Why is that a harmless question posted can irate so many people? Did I ever say anything about isolating this pt? You don't even know about this pt's coughing spells. Please think about why...
  3. So, here is my question to those of you who think MRSA is not a big deal. Would you let your elderly parents or your babies or children sit at a dinner table with someone with mrsa in sputum with no...
  4. My point exactly, katsanchezRN. Applebees has one, yet a healthcare facility doesn't? How stupid is the management to not spend $1000 on an AED and risk their public image (when the public learns...
  5. mandatory 15 min breaks...

    Not taking breaks does not mean good work ethics. In fact it is the opposite. Did you read the comments posted here saying they are too busy to take even lunches? They are suffering therefore so...
  6. My TCU CPR policy

    How would you possibly know that the person had passed the point of no return? If no pulse present, chest compression must begin. And what do you mean by "clarify?" I typed the policy word for...
  7. My TCU CPR policy

    transitional care unit. It's for pts not sick enough for hospital but too sick to be in a nursing home or assisted living. A tcu is usually a part of a nursing home with long term care residents....
  8. My TCU CPR policy

    hhern, can you be more specific as to what you think I got wrong? Everything you said is EXACTLY what I know and what I think. Of course no pulse means no breathing and no pain response. Of course...
  9. My TCU CPR policy

    CompleteUnknown, thanks for your thought but I don't understand how you don't see this as a bad thing. If your heart stops, would you not want people to try to revive you? Your heart stop pumping...
  10. can you please tell me what the differences among these units? Please tell me if I am right in the way I understand them. I am thinking telemetry unit handles all patients with tele monitoring...
  11. My TCU CPR policy

    sapphire18, I am an RN. I am as puzzled as you are about this policy. I just started working at this nursing home with TCU. Did you read zookeeper's comment? "a few nursing homes don't do CPR,...
  12. My TCU CPR policy

    I am going to type this written policy for you here. I saved the copy just in case. "****** C.P.R policy and procedure CPR will not be performed on any resident (regardless of code status) who is...
  13. My TCU CPR policy

    woops
  14. The following is from an article from MRSA Topic » MRSA "Furthermore, asymptomatic (ie. non-infected) MRSA carriers can easily pass this bacteria on to others through direct contact or even just by...
  15. 1) Thank you for all your thoughts. 2) I would not let my elderly mother sit in the same table with that patient just because that pt "might" cough. In fact I would be upset if the facility let the...
  16. sapphire18, your experience probably was against the facility protocol, which happens everyday. As a nurse I think it is reasonable to have the pt eat meals in his room and walk in the hall way with...
  17. Thank you for replies which were pretty much as I expected. I have no problem calling MDs but I don't see why they don't just say "use your facility P&P and stop wasting my time." Next time, I...
  18. my dillema

    I am re-entering RN career after 10 years of working in construction. I finally got 2 interviews on the same day; one at a hospital's med/surg unit, the other at a nursing home's TCU. Since I want...
  19. my dillema

    Thank you so much for your comment Nascar nurse. Your comment made my decisions down to two: 1. forget about the hospital job for two to three years 2. Go to the nursing home Monday morning and...
  20. At the end of a phone interview I had for a staff nurse position at a big hospital, they scheduled my face-to-face interview two weeks from now. They gave me the name of the RN manager who will...
  21. tube feeding and gag reflex

    does your facility have a standing order regarding feeding tube and gag reflex? such as do you have to check gag reflex before feeding tube insertion? Or are you told to check gag reflex at certain...
  22. I know fibrinolytic is contraindicated for hypertension. Please help me by answering the question. If your answer is d) please explain. I just want to understand the logic not specifics (Already,...
  23. Does rtpa cause hypertension?

    I know Guttercat had been leaving some juvenile comments (although I do not know the content since all of Guttercat comments are not displayed to me since I used the "ignore" function. I love that...
  24. This is a part of a ACLS pre-class question. "A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV bolus was administered,...
  25. fibrionolytic therapy for pts on anticoagulant

    So, can you explain or point me to why the different progressions between CVA clot and MI