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my first time seeing a dad almost pass out
i had a guy puke all over the floor the other day at work because he happened to walk in the room when i was giving his wife a flu shot!!!:uhoh21: she said that normally when he goes with her to the doctor and she is gonna get a shot, he will turn his back, stand in the corner, put his fingers in his ears and sing out loud so he does not see/hear anything. just so happened we were trying to get her flu shot out of the way while he was supposed to be going to the mens room, guess there was a line, cause he came back quickly,,,,,not my fault he did not knock before he opened the door..man it was not a pretty sight.
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Worst code blue i have ever seen.....vent.
:angryfire I work in LTC and usually work weekends, but worked this week 7-3 to help orient a new nurse....this morning, i was in the hallway and heard 'all available nurses to unit one', i left my orientee with another nurse and went to help. When I got to the room , I found a room full of housekeeping staff standing around, 2 nurses in the bathroom with the resident, and heard one say 'please check her fsbs.....then I hear, can we get the crash cart and some o2, because she is not breathing. okay i may still be new under the collar, only been a nurse for a few years, but even i know that if the person is not breathing, the fsbs is not my first priority. i was flabbergasted. then i find out that they did not call a CODE BLUE, cause they were not sure what type of code to call, and when ems came, they said that no one had told the dispatcher that the resident was not breathing, so they thought it was a routine call to transport to the er....were in no hurry to get to us....we got a pulse on the resident, but she later passed in the ER......i am sooooo frustrated. I went to the Administration and suggested a serious inservice on Codes and the protocal for them. I only wonder if we could have saved another life today if the proper steps would have been followed.
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need advice
My mother in law has a history of several medical probs...htn, NIDDM, severe apnea, anurysem in the brain that was removed, and congestive heart failure. last Weds she was admitted and had a small tumor removed from her adrenal gland...she spent 48hours post op and came home. Yesterday she went to see her general prac doc, and her o2 sat was 71% and would not get any better no matter what they tried. She had fallen on Monday, and had severe pain in her foot, so they did xrays. They also did xrays of the chest to see if she had pneumonia, due to the doc stating, i hear something in the lungs'......but for the o2 sat , she refused to let them perform an ABG, cause 'it hurts'. The doc then made her sign a refusal letter and told her he was doing it cause there is something goin on with her and if she wont let them treat her, then if she dies, the family wont be able to sue them. Now i know that it is necessary to perform needed tests and lab work, and i fully agree, but when the xrays came back several hours later, and showed that she has water in the lungs, shouldn't the doc told her to come back to the hosp, my father in law said that she is on her CPAC constantly, yet her face is ashy looking and her lips are deep purple. She is very stubborn, and hates doctors. i suggested to my father in law to make her sleep in the recliner to help keep her head elevated, and tried to talk to her, with no success, what else can i do for her/him, he is worried sick.
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Funny patient names by nurses
I had a girl that lived down the street from me a long time ago, and her mom and dad were HUGE SF 49 football fans at the time. Mom got pregnant, and they decided they would name the baby JOE MONTANA SMITH.....well the baby was a girl. so they named her JOANNA MONTANA SMITH and yep they called her 'jo' A girl i used to cheer with had daughter and named her HARLEY now i have a daughter that i spelled her name different than normal i admit, she is REBEKKA but that is not too weird. my mom and dad know a couple that have a son, and his name is (I swear) RONALD MICKEY MCDONALD.
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I Double Dawg Dare You, Do It!
okay here is mine....i am a fairly new nurse (since April) and I work in LTC. Kinda ironic that I chose that line of work due to the fact that i grew up with one grandparent and lost him way too early for my liking.... My resident was Raymond...he was 89 years old, did not talk much but loved milk and cookies...my first day on the job, at lunchtime, he grabbed me by the arm and said 'help me I think I am falling in love with you..', I laughed and said 'arent i too young for you?' he got mad and said 'gd b****'......from that day forward I would always tell him that I loved him too....he reminded me alot of my grandfather...had a lot of the same demeanors and such...I really took to him in a big way. In August Raymond developed aspriration pneumonia during the week and was sent to the hosp...when I came to work that weekend, I was very upset that he was not there....called the hosp several times a day to check on him....not until the charge nurse there told me that he was sitting up, drinking milk, singing 'How great thou art' and cussing like a sailor....did i know that he would be okay....so i thought. Seemed like every week something else would happen to him and when i would come in on the weekends, he would be in such bad shape. One saturday morning, during report, I was told that Raymond was gonna die very soon. He had been out to the hosp again the day before, and they basically had said there was nothing more they could do for him. He was refusing all meds, not eating and just was not himself. The doc called and gave me an order for liquid morphine to be started that day. I called his sister in Fla and she told me that she had just left him the day before, and that she knew it was time for ray to go home...so I prepared myself to deal with that. He struggled all day, fought like I had never seen him fight before, and seemed to just be waiting for something before he would let go and go with the lord... Finally after dinnertime, I went to him and asked what he was waiting for...he said 'betty'..his sister. So I went and got the cordless phone and called her. I put the phone to his ear and she talked to him for several minutes...she finally in the end told him it was okay for him to go and that she would see him again another day... I had to go outside...never before had I been around and heard someone tell someone else that it was okay to die....and not raymond, I was not ready for him to go. But he did...after about 45 minutes after he got off the phone...he was gone. and he looked so peaceful...no more pain, or struggling I was so happy for him. His sisters biggest fear was that he would be in his room alone when he died, she said that he had been alone a lot of his life and she did not want him to die alone, well i took care of that, i got my cna's together and told them to rotate being with him. that at no time did i want him to be alone...and they did such an awsome job......in fact when he finally went, there was 5 cna's and me with him.... I called his sister and let her know and she called and sent the funeral home to collect him. the next day i was working and looked across the room and there was his sister and her husband, they had to travel from fla to dalton ga for his funeral, but even though they knew that he was picked up by the funeral home, she came to the ltc first....she walked across the room, asked who was with him and I told her. Then we hugged each other and cried. we went together to his room and she picked out what of his property she wanted and donated the rest. that was in august, to this day she still calls every couple of weeks to talk. said that even though raymond had such a hard life when he was younger, it was good to know that people other than her took the time out of their day to care for him, to spoil him ( i used to bake him cookies) and to just love him when she could not be there. this will be our first christmas without him....bet i get a call this weekend.
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Greatest code brown stories!
i work in a mental health/behavioral health unit of LTC, we have one patient, male who has an extremely high sex drive.....he is in his room as much as possible making love to his 'matress wife'....one night as i was doing fsbs checks,,,i went to his room....knocked on the door, opened it and started in.....as i did i saw him on his stomach, with his butt up in the air and he was 'going at it'...it was not until i told him that i needed to check his sugar, did i pay enough attention to him to notice the rock hard, long piece of poo sticking straight up out of his butt...it was pointed straight at the ceiling....i was mortified....especially when he put his hand between his legs and said 'pick a finger'...... i left the room, told him to get cleaned up, shower and then come to the ns and i would check his finger...man what a night that was.:rotfl:
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How Many sucessful VBAC's..
I had my oldest daughter by c-section in 94 after being induced for 2 days and only progressing to 9cm.....the c section was okay.:) in 98 i was convinced that a vbac was a good idea and i was a good candidate for it....so i had my second daughter that way...ended up with a 4th degree laceration...it sucked. in 2000 i had my 3rd daughter and she was a planned c section..everything went fine and i felt better after the 2nd c section than i ever did after having the other 2.
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Why did you take up nursing? What's your story?
i have wanted to be a nurse since my second daughter was born...she was really sick and spent a lot of time in the childrens hospital...just to sit there and watch the nurses, respiratory therapists and docs show so much compassion for a child that should have not made it...(she is now 7 years old and gifted) and for the fact that my dad is a severe heart patient, he has had 9 heart attacks, quad bypass, 5 stints, and an internal defribillator later his is still kicking....to have a member of your immediate family so close to death as both of these were at many different times, and to watch and learn how good it must feel to be able to give the gift of hope and recovery to a family member....i wanted to be able to say that i took part in saving someone's family. i want to give that feeling of hope and encouragement to someone like it has been given so many times to me.
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Call light question-Please help...(m)
even where i work in the mental health/behavioral health unit of a LTC, we have a lady who likes to rip the cord out of the wall and swing it at people...she should have been a cowboy the way she can swing that lasso...but we have to get it from her and plug it back in...usually after she leaves the room, everyone has to have the light......her son even tried to get me to take hers out of her room on sunday after she tried to whip him with it,,,and i told him that i could not.
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Starting LTC Tonight! In need of some encouragement and tips.
i work in LTC and am a new grad..never worked in healthcare before, but I love elderly people and of course was nervous when i started there in April. I have learned so much more about wound care and pressure ulcers than i ever did in clinicals. we have had several patients from my unit that have gone out to the hospital, without a thought of even a red spot and then they come back with 5 or 6 ulcers...pitiful i think. especially the last one, he gets himself up in his w/c turns and rolls all over the bed, but after 6 days in the hosp, he came back with 6 pressure ulcers, even on his ears where the o2 tubing had rubbed him raw. i am currently in a small ltc facility, 154 beds, but we have 54 residents on my floor, and 2 day nurses and 1 night nurse. that was a big change for me coming from clinicals and the first few weeks, i was stressing bad, but now it is not bad at all....i enjoy the majority of my residents, except for the one that keeps trying to jump the fence and escape. i work the weekend baylor position 7a-7p due to the fact that i also coach cheerleading and softball during the week, and go 4 days a week for my rn-bsn. ltc is great as long as you are in a good facility.
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What do patients say that irks you?
yeah the one about threatening a child is bad , but its really bad when you work in the behavior unit of a LTC facility, and the residents tell each other, if you dont take your medicine, she is gonna give you a shot....man that is bad.
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When you are on your period...
here is a good website you can check out too....beinggirl.com
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NCLEX testing to change in APRIL 2005
that is the way it was when i took the nclex last week. min was 85 and max was205 and it tells you on the computer that your time period includes all breaks and tutorials and stuff.
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I Passed Nclex-pn!!!!!!!!!!!!!!!!!!!
congrats to you!! i passed too!!! :balloons: :balloons: :balloons: :balloons: :rotfl:
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I Passed!!!!!!!!!!!!!!!!!!
I took the test wednesday morning and got my results a few minutes ago. we are a quick result state!!!!!!!! good luck to all that are still studying, and getting ready to test. relax and focus and all will pass.:balloons: