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lkushen

lkushen

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lkushen's Latest Activity

  1. lkushen

    Zoloft for children?

    Nursetobhopefully, sounds like you are living in my house. My daughter is 11 with similar problems, except for the grades. You did not indicate at what age her symptoms reared their head. Also, is anyone else in the family experiencing similar issues (sometimes have a genetic influence). we started when she was 5 with the pediatrician, who was willing to send me out the door that day with Ritalin. I said no, I wanted a psychological evaluation, which we did. We also saw a pediatric neurologist, psychologist, behavioral counselor, and now have moved up to a child psychiatrist. She has undergone bloodwork, CT scans of the brain, and EEGs. She lies, steals, hourds, is obsessive, cannot make and keep friends, is aggressive, however is smart as all get out (but no common sense - aaahhhh!). She binged and purged when she was 8, wrote about suicide when she was 10, and recently stole from Wal-Mart. We also have the school counselor and community police officer working with her. Of course, she is now on a mixture of polypharmacy. She has had multiple diagnoses, including ADHD and Aspergers syndrome as the current consensus. However in the past they have included depression, obsessive compulsive disorder, and oppositional defiant disorder. We have tried Zoloft in the past, as well as Luvox, both SSRI class meds - with horrible effects, not to say that is what will happen if your daughter tries them. The psychiatrist has just concluded that this classification of meds makes my daughter worse with her symptoms. She is numb to any and all forms of punishment. We've tried it all - and then some according to the psychiatrist. Push for the referrals you want, or change physicians! In nursing, it is our responsibility to be our patient advocates, and in this case - the patient is our children. Educate yourself by getting your hands on as much materials as possible. Be prepared for road blocks from the "uneducated," especially your family members. Never stop searching for answers. Good luck. Lynn
  2. lkushen

    new pic

    They're not getting anywhere fast, must be another mode of transportation!
  3. For me, sleep while the kids are in school. I use earplugs, blinds and curtains on the window, a ceiling fan, voice mail with the phone turned off but the cell phone on so the school can call with any emergencies (I don't give my cell phone out except to the school and family - and they know they might be waking me!), eye blinders sometimes (you know those funny masks), benedryl at times, and my husband installed a switch on the doorbell so I can turn the ringer off (funny to watch someone ring and ring when they see a car in the driveway, yet I never hear it!) I've learned on my nights off not to even bother trying to sleep if I can't, all I do is toss and turn. I feel I am an insomniac by nature, so nights has always worked for me, despite my sleeping difficulties during the day. However, only one more night shift to go - then after years of service on nights, I am moving to days. Should be interesting.
  4. lkushen

    How is code blue announced at your facility?

    We have a tone that is audible to diffentiate the overhead page, for any type of code - disaster, fire, bomb, tornado, dr. stat, missing infant/ child. We use code blue for adult, green for peds, and pink for neonate. Also, we have a code purple for an acute MI rolling into the ER. Can't wait until they start calling a code gray or code white for CVA!
  5. lkushen

    funny names for nurses

    OK, here's mine, We've had a patient named Harry Dick (no joke) Used to have a Dr. Dakters Used to have a Dr. Gaddipatti (overhead operators made it sound like gotta potty) And the finale, my last name is Kushen (sounds like cushion) and we once had a supervisor who started calling me pin (my first name is Lynn), therefore I'm Pin Kushen to my coworkers. My daughters hate it when I mention that I considered naming them Whoopi!:)
  6. lkushen

    pain scales????where can i purchase??

    Our hospital too uses these scales. We recently did a large inservicing of the hospital regarding pain management as it is something JCAHO is really looking into. Anyway, our hospital has many of these in different forms, and I usually see drug names on them. Contact drug companies and see what kind of support you can get from them. You know how they always have "freebies." Hope this helps.
  7. lkushen

    "Send my girl down here now"...(Please.....)

    OK, I fully agree with the emotions and anger you experienced. However, the question that comes to mind is this: Is this man always like this or just today, maybe there was an ulterior motive to getting the nurse to the bedside before you rightfully let him have it. Maybe this patient was not coping well with the thought of undergoing a cardiac catherization. Just a thought. I will admit though that I have been in similar situations by abusive and demanding patients before and it just makes you want to SCREAM!!!
  8. lkushen

    a nurse's poem-I'm Sorry In Advance

    Ditto to everyone's response. Bravo, Linda!
  9. lkushen

    Charge Nurse-ing

    How about charge, precepting 2 new nurses, and having my own patient load! All for the bargain price of...you got it, nothing extra! Our unit calls charge "shift coordinator" for which I lovingly call it sh*t coordinator. Being in charge is not so bad if you are working with a good crew. On the other hand, if your not, it can be a nightmare. The other factor has to do with your current patient acuity and staffing issues, as well as the supervisor (some are better than others).
  10. lkushen

    Good nursing tricks

    Same in Ohio, only MDs and CRNAs use topical and SC agents to numb prior to initiating IV therapy. If the patient is a tough stick and "ouchy" to the max, get an order for anesthesia to start the line for patient satisfaction. Once you've developed proficiency at IVs, most ADULT patients are quite tolerant.
  11. lkushen

    What Freaks You Out?

    I can take the usual, vomit, mucos, sputum, urine, feces - OK, but here's a few that got me. We had a patient that arrested and had seizures secondary to hypoxia. The neurologist started IV Dilantin. Withing 2 days, this obese African American female had skin just sloughing off in thick layers. We were treating her as a burn patient with dressing changes that would take 4 nurses to do just to lift body parts and turn her. Here's the gross part. I was helping another "team" of nurses in the room, lifted her arm by the elbow and hand, and the skin on her hand slid right off and LOOKED like a glove!!! I was so glad the patient was comatose. The heeby jeebies made me drop her entire arm and run from the room. Another happened recently, had a male patient who's feet stunk so bad you could tell his hygiene was horrific. One morning, I went in to bathe him with the assistance of another RN. When she started cleaning his penis, no problem. then she pulled back the foreskin. I've never seen that much cheese - even in a female!!! Disgusting. I told her she deserved battle pay for even venturing there. She did let out one heave, but kept on cleaning. Kudos for her! My last story is about a patient from a nursing home that complained that her ear itched and she couldn't hear very well. I got out the otoscope and peered in to find maggots wriggling around in her ear!!! Ortho stuff gets me too. My husband broke his leg last summer and got some screws and plates. I'm still traumatized by the picking up of his leg and watching the bones in the ankle shift in two. Still can't touch his leg where the plates are!
  12. lkushen

    Malpractice Insurance

    Interesting topic to me. I have carried personal malpractice insurance since the day I became licensed. Today, we live in a very litigenous society, and it seems the wise thing to do. When someone feels they have been wronged by something you have done, they do not inquire ahead of time whether or not you carry your own insurance. They will go after you regardless. Having been a licensed insurance agent prior to obtaining my nursing degree, I saw the damage that can be done to individuals without adequate insurance. A court will not award based on the ability to pay. Personally, I worked too hard to obtain my license, my home, my assets for my family. Heaven forbid if I make an error in my nursing practice and it results in a malpractice suit - I would want to be insured to cover it. At least I feel that if something ever happenned and I lost my nursing license, I would still have my home, rather than being out on the street. The other side of the coin is what about when you tell your neighbor some sort of medical advice when they inquire since they know you are a nurse?... You are held to a higher level of responsibility than the lay person due to your licensure. Your employer does not cover this. Or when you spend the week as a day camp leader for a scout troop and they utilize you when someone injures themselves?...same scenario in regards to your employer. Yes, we watch who we give advice to, not just any John Doe on the street, however even that neighbor can be told something that ends up being harmful and sues our butts! Be careful...my advice is to protect yourself. We would never think of not insuring our home or autos if we could afford to. Business' would not dream of not covering their liability. Yes, some people play roulette with their lives and health regarding insurance. Don't play roulette with your license related to your assets. Just my opionion. Thanks.
  13. lkushen

    New grad seeking work in critical care!!

    I carbon copied this response from another posting - thought it might help. Don't really know if this is how others did it, but I fell into a CCU position as a new grad out of an ADN program years ago. The hospital I work at routinely hires new grads into critical care. We have a critical care educator that works in the classroom with new grads to teach them the idiosyncracies needed to know for functioning in the unit. The next step past that is experienced preceptors, and then mentoring that is carried on. Our facility puts new grads in a 16 week orientation, which can be modified shorter or longer depending on the skills of the individual, since everyone learns at a different rate. Obviosly, this then translates into a costly orientation process for the facility. Regardless of where you start as a new grad, MOST new grads are task oriented, so realize this when you get out. Nothing can replace time and experience. Most feel comfortable on the floor withing 6 to 12 months. You continue to learn new things for many years to come. Be open to change and the opportunity to learn something new. Good Luck!
  14. lkushen

    Why LPN??

    Just something I have to say. As an RN who started out the ADN route and went on for my BSN, and am starting my MSN in the fall, having worked with a variety of healthcare providers, from RNs, LPNs, nursing assistants (with whatever proper name your facilty calls them), and nurse practioners -- we are all here for one main objective - the care of the patient - in whatever setting. If you open yourself up to it, in the nursing profession, we can all learn from each other, even across the different levels of skill, education, and years of experience. Don't make it a competition. It is really individualized - you can have a really awesome LPN, and an overseeing RN that frankly can suck! I have heard more than one RN make the statement that they learned more from an experienced LPN when they started out. Personally, I appreciate the help I can get from whatever nursing professional is there for me and my patient. I work in critical care, though mostly dominated by RNs, we do utilize some LPNs and aides as well. I'd rather have them than not! Remember, in the nursing profession, we all need to mentor each other...for the sake of the patient. That's what we are here for, after all, isn't it?
  15. lkushen

    ADN to BSN

    I went on from my ADN to my BSN. It took me 4 semesters total. I opted for a part-time option, where you went one day a week and no summers. Was better for me with family. Overall calendar time was 2 years. It probably also depends on whether or not you have the prerequisistes required by the university offerring the bachelors degree. Check into several options before making your decision. By the way, the program I went to was an RN to BSN program, where they take your current work experience into consideration, and don't reteach the basics.
  16. lkushen

    two year RN degree programs

    I too am an ADN Graduate, and went right into critical care as a new grad! Our local community college provides a wonderful 2 year degree. I felt well prepared. What new nurse doesn't lack skills when first getting started! That's what preceptors and eventually mentors are for. Face it, we all have learned most of what we know on the job. It is our duty to pass on what we know to others for the benefit of the patients. I have also since attained my BSN, and have plans to begin my MSN later this year. Don't be discouraged by the LPN's words. Keep with your original plan, and find a wonderful mentor when you are done. Remember, just because you've graduated doesn't mean you are done learning. That applies to any level of degree! Good Luck!
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