mrsamjones

I am a DON in an Adult Medical Day Care. I know each state has different regulations for the AMDC. I am driven bonkers by the regulation in the state I am in that requires a care plan for each diagnosis that the patient has, whether it be an active d...

This will be a bit long so forgive me now. I am a new home health RN. I was hired by a company to do client assessments and create a care plan. That turned into administering meds. No big deal, right? I've done medication administration countless tim...

Educating patient on ambulation with her walker. It's a hospital rolling walker with springs in the front. She looks at me and says, " I got hydraulics now!"

Third day of three straight 12s and your director only gave you two days off from the last week to the start of this week: "We only have 18 patients Census is low, you're right sized."

Patient on medsurg floor recovering from an I & D of a perirecral abscess. I am the overnight shift and doing my chart reviews. Reading the doctor's note for previous. Come across "Patient's a** normal" in his note. Fall out of my chair laughing....

Hi all! I will be changing my shift work from 7p-7a to 11p-7a. My question is, anyone that works this shift, when do you do your assessment? My thoughts were, if I am given a timely report (perfect world nursing) I would attempt to do my initial asse...

I work on a MSP unit and we typical have at least 6 if not seven patient. I very much rely on my CNAs for VSS normally during the 12 shift. Maybe doing 8 hours, I will have the opportunity to do them myself and assess the patients. Thanks for the re...

I guess I should have clarified, we typical do a bedside report on our patients in which I am able to do a quick once over. You can typical tell if the patient is stable at this point. That is why I felt comfortable writing that in a note; however, y...

Looking for words of encouragement or advice about returning to work after having my beautiful baby girl. I am very anxious about going back to work after having been on light duty (secretary work and discharge phone calls. No patient care) for seve...

Bahaha! Love this!

Hey guys, its that time again....nursing care plan for clinical are due I have put together two care plans and would appreciate a critique or suggestions of what I could do better. The two I have put together are for a 91 yo Male recently diagnosed ...

I know it is a really long post but I appreciate the time you are taking out to critique it! Thanks!

For a while I was placing a science board on the table and this would be my family's cue that I was unavailable. That did not work for more than a few weeks I have since started planning my sleep schedule so that I go to bed early so that I can wake...

One of the mantraes of nursing school is: "Follow your hospital's policy!". This is certainly true of laboratory values and diagnostic tests. Most of the time your nursing program will give you the normal ranges for the laboratory values and diagnost...

My nursing school requires us to do a client profile on 2 people in our clinicals. I am doing one on a pt. with a DVT and a hx of kidney transplant. I know the obvious labs to include are platelet, PTT, INR, BUN, Creatinine, and the major electrolyte...

They didn't do one strangely enough. I suppose the patient's admission of being immobile for nine days was enough for them to do a doppler of the leg. Honestly the site of the DVT is hard to dismiss as being anything but a DVT

This profile is on a real person so I was concerned about what would be appropriate and inappropriate to post up on here. I think I have everything together though. Thanks for the advice!

My first orientation I almost had an anxiety attack because I was beyond exhilarated to be starting nursing classes and not just the pre-reqs lol. I can't wait to do this years orientation to get back in contact with my classmates from last semester....

Now it makes sense why everything they say sounds alien!