heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Being paid out of pocket?

    What would you report them for and to whom? Hiring a nurse is not
  2. heron

    Are nurses commissioners of oaths?

    I think they are the equivalent of a notary public in the
  3. heron

    coworkers constantly checking your charting

    On the other hand, I have a co-worker who lets me know if I've forgotten to chart a med or write down a cbg and I do the same for her. Mutual back-up not
  4. heron

    Unruly CNAs

    That went well
  5. heron

    Aspiration drama!

    In my view, explaining very clearly in language the spouse understands what is going on when his wife starts coughing and choking is about the best you can do. Obsession with feeding is a very common...
  6. heron

    CNAs writing up nurses??

    OK, I gotcha. When reports are made with distorted facts and malicious intent, then there is a problem, regardless of the licensure/certification of the reporter. I have nothing to add to the advice...
  7. heron

    CNAs writing up nurses??

    On an abstract level, I don't see why CNAs shouldn't write up - or otherwise report - nurses. They may not be able to spot anything but the most obvious clinical issues, but that doesn't mean they...
  8. heron

    New grad as a unit manager

    What argument are you talking about? Have you even read the
  9. heron

    New grad as a unit manager

    QED..
  10. heron

    New grad as a unit manager

    You obviously have never worked nights/weekends in a teaching
  11. heron

    New grad as a unit manager

    You may not need to be a master nurse to be a competent manager (and nobody claimed it was necessary) but you do need to have a realistic grasp of what really goes on at the bedside. As a beginner,...
  12. heron

    New grad as a unit manager

    Well - I think my post addressed that question. Management experience will help move you up in management. It is not nursing
  13. heron

    New grad as a unit manager

    Here's the thing, OP: management and nursing are two different skill sets. As an experienced manager, it's not a surprise that those above you in the management hierarchy are pleased with your work....
  14. heron

    My coworker was high and got away with it

    So where is it stated that Jon showed any s/s of being high on the
  15. heron

    My coworker was high and got away with it

    You're assuming a lot of "facts" not in
  16. heron

    My coworker was high and got away with it

    So, if I happen to see a sc photo of you hoisting a brew last night, it's ok to officially accuse you of being drunk on the job
  17. heron

    My coworker was high and got away with it

    But that's the point ... the OP knew nothing of the kind. The only thing she actually knew was that Jon was indulging in some internet boasting. If you are naive enough to believe everything you see...
  18. heron

    Allnurses needs nurses

    Nope - just dodged over to the blue side to continue my wicked
  19. heron

    Allnurses needs nurses

    Me, too. I'm
  20. heron

    Tips for delirium behavior management

    I think the pt would definitely benefit from a re-vamp of his meds. If he's still on oxycodone as an inpt, then it's time to rotate. There's a reason that "oxy" is called hillbilly heroin ... it...
  21. heron

    Tips for delirium behavior management

    OP, none of the above answer your initial question. Frankly, I can't think of anything that you aren't already doing: reducing stimulation as much as possible. If it was me, I'd also consider mitts to...
  22. heron

    Tips for delirium behavior management

    Ditch the benzos, they are probably aggravating, if not causing, the delirium. On my AIDS unit we frequently encountered delirium. The psychiatrist always immediately d/c all benzos and treated with...
  23. heron

    I hate that everyone knows I speak Spanish !

    Not only should bilingual workers be paid a differential, but facilities should pay for certification. I work in ltc and my bilingual coworkers are my rock in dealing with residents who are getting...
  24. It's good for intractable nausea, too, when conventional treatment isn't
  25. heron

    Support Planned Parenthood Today!

    It's an important distinction, which is why I differentiate "pro-life" from "forced pregnancy". I find these discussions about Planned Parenthood really problematic because of the deep hypocrisy over...