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amoLucia

amoLucia

LTC
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amoLucia specializes in LTC.

amoLucia specializes in Long Term Care (LTC)

amoLucia's Latest Activity

  1. amoLucia

    Catheterisation

    Being left handed or right handed should guide you into the use of which hand is your dominant one. GO WITH WHATEVER IS DOMINANT. Also, position yourself on the correct side of the bed that makes YOU feel most adept.
  2. amoLucia

    We should do Cadaver Labs!

    Most interesting things - the SIZE of the liver!!! Biggest internal organ. Seemed like it just filled up her abdominal cavity. And the tar & nicotine residue in the lungs of that youngish female smoker. Clumps that looked like black sticky gummy tar!!! Just major NASTY!!! Made a significant impression on me as I had started smoking again while going nuts for nsg school. Quit for good just after I graduated. Was about 1973 or so. So again to OP - go for it!
  3. You'll likely find that they are offering a position that staffs four eight-hour shifts per week (4 times 8 = 32 hrs weekly, then times that by 2 [2 times 32 = 64] for a 2 week biweekly pay-period, equaling the 64 hours). Within that weekly 32 hours will be a requirement to do weekends and holidays. A 72 hr pay-period would be 4 days one week, and 5 days the second week (nine shifts times eight hours equals the 72 hrs). I have a feeling that they're so specific because they're leaving room for overtime which would finish out a 40 hour work period BEFORE there would be time & half OVERTIME pay paid out. A sneaky way that HR/payroll gets around the rule for "time & half for 80 hours WORKED". You'd get paid for all the hours you would work, but the last 8 or 16 hours would be at STRAIGHT TIME.
  4. amoLucia

    The one thing in nursing/medical that makes you shudder?

    YES! I thought I was the only one who disliked blood hanging. Like it's fake or phoney! Always seemed to be more slippery or slimey than REAL blood. Personally, I HATED maggots in a wound. The wiggly, squiggly wormy things. I am getting the creeps just as I'm typing this post!
  5. amoLucia

    Purewick Catheters- Risk for Infection?

    Just recently hospitalized. The staff showed me one of those devices. NO WAY FOR ME!!!!! Hooked to wall suction above my head! YUCK! Confines one to bedrest to be effective! Needs to be changed every 8 to 12 hours.
  6. amoLucia

    First time writing a care plan... help?

    Please don't underestimate PAIN even in elderly pts. She is post-op and pain could be contributing to the confusion (as well as UTI and constipation). Any new meds?
  7. amoLucia

    Preplanning

    Think - what problems will that pt experience post-operatively? That will usually guide your care plan. And remember, it's the PT's problem. Not yours or what someone else thinks it should be.
  8. amoLucia

    Capstone at LTC Facility?

    Personally, I think you most prob can find enough acute care type issues with LTC/NH residents in most facilities. Wide variety of diagnoses and disabilities, physical, psych, social, etc. Veteran issues, too.
  9. amoLucia

    Weighted Blankets

    FYI - there may be a problem with laundering those blankets!! Spot clean only! I was casually looking at the ads when I read about the laundering directions. So that might be an issue, esp in a NH. Everything gets sent down to the laundry, esp if your Mom has any incontinence problems.
  10. amoLucia

    Manager wants me to force prn pain meds

    To OP - I suspect that your family history with addiction may have somewhat skewed your perspective re society's opioid dilemma with accurate individual pts' pain management. I recognize that you're a newbie to the nsg profession. Sometimes it just takes time to develop that fine sense that experienced practitioners acquire of knowing the fine line between assessment & when to intervene. You're getting there. Let me say that I do understand your hesitancy/reluctance to want to foster drug dependence. And you are addressing pain mgt in a judicious manner. Your manager may just be overly desirous of improving pain management. Maybe there was some earlier pt PG complaint re not enough pain med, hence your mgr's aggressive focus. Who knows?!? The PPs all offer different and accurate answers to your issue. I'm glad to see that CMS and HCAPS are FINALLY catching up to remedy a problem that they most certainly exacerbated. I was just discharged from a hospital last week - I'll let y'all know if I receive an approp survey.
  11. amoLucia

    Teaching Health, asking for a friend ;-|

    Teachers aren't expected to wear double hats, so why should you/friend? See previous post by PP Jen. If covered by a union, there might be some leverage.
  12. amoLucia

    Bad day, Bad year

    As a reader here - (((HUGS))) to you. And TY Old Dude for the Serenity Prayer, my fav. Welcome back.
  13. amoLucia

    Teaching Health, asking for a friend ;-|

    Ahhhhh, New Jersey!!! The most OVER-regulated state in the country!
  14. amoLucia

    Suspended for touching a child's head and face

    Third possibility - maybe some other coworker or ER staff noticed the action and felt it might have been too over-the-top. Rule of thumb - if you feel uncomfortable about something, you report it. Maybe someone else just didn't understand your gesture.
  15. amoLucia

    Are Braids Professional?

    Just a comment - I travel by whch. A young man with neat, attractive, reasonable length Dreds assisted me. But his braids were whacking me my face. Never told him, but I thought it was funny, altho others might consider it not so. Just tie them up or secured in the back and you'll be fine. It is an ethnic hairstyle which is acceptable. But you don't want any undue negativity. Good luck.
  16. amoLucia

    Aesthetic Nurse

    Good luck on your practice. And it was a RAW roast we practiced on. I just thought it was great of her to use her own freezer roast to then throw out. (Again, thinking of her cost back then!) But I have good injection technique because of that roast!!!
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