SarasLPN

I would just send a request/communication to the MD and then the DON really has no say in what is done. I work in LTC and the DON really doesn't say what we can and cannot do as far as making appts and treatments for people. We just ask the doctor and whatever he/she says goes. Maybe you can just check with them and then let her know it's "doctors orders"

My resident is still hanging in there. Thank you for the links. I am going to look into the PAINAD? I haven't heard of this. THANKS

At our facility SS starts at 200. Our medical director wants everyone on the same scale to help rule out insulin errors. However there are a few who have special orders.

Any experience with kennedy ulcers? We've got a resident recently Dx with this and I know it's pretty much part of active dying but most of the literature I find quotes impending death 8-48 hours after finding this type of ulcer. Our resident is really hanging on. What kind of pain management would best be put to use? I personally would like to see comfort measures in place but the family isn't ready to go there yet, this man is a full code bless us and him...Any help advise? Thanks!:redbeathe

At the facility where I work when you are ill and "call in" you must find your own replacement or it will count as an unexcused absence which by the way there are NO excused absences unless the facility sends you home once you have arrived and undoubtedly spread your illness. You get four unexcused absences in a three month period and any after that then you are asked to take two days of unpaid leave or at least that's what I hear happens. If you then get no absences for the next three months any and all absences are erased. I feel like as a parent of a disabled child who is frequently ill during the winter months it's crazy that they will not take a doctors note but whatever. ALL that being said IF you find your own replacement it DOES NOT count against you but if the facility has to find one for you it does~!

Wheelchair exercise is kinda fun for some. You can take a pool/beach ball and bop it around, kinda like volley ball. You could do watermellon social since it's summer time. Most residents have a food holiday for food of choice. Listen to old music, gospel singing. Our residents BINGO, and playing the WII~ THEY LOVE the Wii~if there is a large room with TV wii would be pretty cool if they don't already do that and it's pretty good ROM. Painting, coloring, making scrap notes for nurses. We had a ground called lillypad ladies who cut scrap paper into squares and wrote little notes on them for nursing to use as note pads. Very nice~!:):y

CHOA has a pretty large PICU and cardiac unit as well. I haven't worked there but had a child there for a good bit of time several times. I think the staff are excellent. I know that doesn't help much but it's an excellent place to be patient wise and seemed like a great place to work...the nurses there and my child are what inspired me to become a nurse~

Yes hun, I am afraid that there will always be someone watching what you are doing as a nurse...there are many rules that you will have to follow it looks like to me that you are not a rule follower and therefore may need to re-evaluate your choosen career....or else you will be in trouble

the goverment last time i checked could pretty much tell us as citizens of the united states what we needed to be doing at any given time. there is the constitution and all of that but when are all of those rules and regulations actually followed? if you believe in organ donation as you have clearly stated then why are you going on and on? it is pretty simple people are asked to donate different things, blood, organs old couches and cars and fridges and old clothes ....its called donating because you can decide you know choose what you want to do...if you want to donate any of these things well good if not oh well...its no big deal and the goverment i doubt gives a **** as to what you do with your old sofa...unless of course you want to throw it in at the dumpster... which is a no no....anyhow what i am trying to say is get over yourself already you have proven your point whatever it was...

it is my opinion that if you are riding your motorcycle without a helmet and not wearing your seatbelt and boasting about not wanting "big brother" in your business maybe you are going into the wrong profession. i am all for the goverment staying out of my house but as for the highways i drive my car on well they belong to the goverment...and the tax payers i guess which is us but they do have the right to say in order to protect others who want to be protected then yes you must wear a helmet and yes you must wear a seatbelt or you will be punished by law enforcement! if you ran a stop sign and someone who had the right of way hit you but no body saw it and you were hurt badly on your harley then you would sue the hell out of them! people like you are the reason that our ins is so high. wait unitl you see a man on i95 fall off of his motorcycle and get run over by a log truck and the only injury he had was a head injury and broken hand, guess why he died? brain swelling...stroke...after you become a nurse you may change your mind after you see a wreck and what can happen. as for the mandatory donation i doubt it will happen. if it did well then so be it as i said before not enough people donate. parents don't think when their children are born that they may die and when it does happen the last thing they would think of is organ donation and if someone comes in to talk to them and "talks them into it" well good i know many babies that are waiting on hearts!!! too many! there aren't enough to go around...i am sure that recovering alocholics can get livers if they can prove that are in recovery. the liver being the only organ in the body to regenerate itself they have a good chance at removing the damaged part and trying to start over so to speak. i knew a child about 13 that died after reciving a heart transplant due to enlargment of the heart as a child. she for somereason was allowed to stop taking her meds for rejection or at least her mother said she didn't know she wasn't taking them but she should have known and watched her take them. she went into heart failure and after councling was allowed back on the list to get another new heart after she basically killed the other one she got. she died while her new "new" heart was in route to the hospital...i never saw a code blue before we were in the step down in the next room it was so sad...i just can't believe no one made the child take her meds! how could they not know? anyhow enough of this book,...

What I heard was that someone was giving out "flu" shots that turned out to be not flu shots but something all together different...what I am not sure.! I can't believe what folks will do to make money...

since your organs are taken out of your body after death...who knows what really happens to them anyway! you never know. i believe in organ donation. it is important because my child may need a new heart by her early teens or before if she is not a canidate for the fontan next fall depending on her heart function which is fair as of now. i know that for an onfant to recieve a heart another parent has to lose their child and it tears me apart but i would rejoice at the same time. my baby is 2 and would have died waiting on a heart after birth so there for we choose the norwood procedure. anyhow people really need to consider how they can take their greif and turn someone elses life around give them a fresh start...and for a child give them a chance to grow up and oh at the joy for the parents! who know all too well how their child will go on living.

Medical Lab. Technologist...you can get a bach., Masters, even a Dr degree in it. I think its pretty cool I love chemistry! Anyhow thats what it is ...

i was a pt at grady in 2002. high risk ob pt. their high risk maternity drs and staff were great. although when they induced my labor the two doctors i had been seeing were nowhere to be found. i was delievered by a student i had never met. there was a team from the nicu there of about 12. they were all wonderful. when i went to the maternity dept though it was hell. the nurses kept coming in and asking me if iwanted them to bring me my baby! she was upstairs on a vent! didn't they read my chart and then they wouldn't take me up to see her and my husband was waiting on me there! i got up and went myself. then they put the wrong name on the paper for her birth cert. after i had wrote the correct one on the paper also on her medicaid card. which was a pain in the *** seeing as how we had to run all over the place to get it fixed not knowing atlanta at all. it was so complacted. the nurses just didn't seem to care about my feelings at all. i was so upset the day before i got out i had only saw my child once before they transported her to childrens healthcare for the first open heart operation and i never got to hold her all my family was over there i was so scared and the nurse told me i needed to stop crying because she had a ton of other stuff to do aside from worrying about me! i am now a nursing student considering changing my major to mlt but anyhow i wouldn't work there if they paid 100,000 a year i hate that place!

i am considering changing my major from lpn(still waiting to get into program) to mlt. i have done a lot of research and am currently taking phlembotomy its so cool what all you can learn from someones blood! anyhow i am more into the science of things anyhow i just wanted to know if there were any here that was or is an mlt do you like your job? is it rewarding?