serenidad2004

I've never given IM shots or shots of any kind on the side with the AVF/AVG. Isnt that what we also teach our patients? No needle sticks BPs etc on ur access arm.

I once took care of a physician... he came to our SNF after a heart surgery at a larger hospital. He was a doc I had dealt with many times before as he often admitted patients to our unit. He was one of the best patients I have ever taken care of. Tho it was awkward telling him I had to do a complete skin assessment lol Come to find out he requested to come to our SNF, actually told his CM at the other hospital "send me to xxx skilled floor. I know and trust those nurses" :-D

Theres a doc in town here his plates say "kidney"

My employer is a smoke free facility but they haven't started testing for nicotene nor do they deny employment to those that smoke. I am a smoker but am able to work through the day only having a cigarette on my unpaid lunch. I don't think my employer should have any say in what I do during my off time. I do however need a job so if they did say "quit smoking or you're out a job" then I guess I would gave no choice but to quit. Its not right in my opinion but it is what it is.

I work in a hospital unit. I do chronics the majority of the time but am on call one weekend per month (from friday at 8pm until monday at 5am.) If there is someone in acute who needs dialysis during the week myself and the other 4 nurses take turns.

What is a level 2 background check? How is it different?

I went to dialysis a year and a half ago after almost 9yrs SNF/LTC. I haven't lost any skills if anything I've gained them and have been able to draw on the experience I had. I felt like a new grad all over again, it is A LOT to learn and I have just started to get comfortable in the last 6-8 months. I wouldn't change my decision to change specialties in a million years. Good luck with whatever you decide!

No my husband doesnt get it, he is a cook. When I get home late, say shift was over at 3 but don't get off until 4. He is always like "well you were supposed to be off an hour ago you should have just left." Yeah ok... I have tried numerous times to tell him I can't "just leave" His response is invariably "that's what I do" I tell hin you leave and someone has to wait five extra minutes for they're carnitas en salsa verde.... My responsibilities are a little bit more serious. I just shake my head and laugh

Please seek help sooner rather than later. If your facility offers EAP take advantage of it. See about FMLA to take care of yourself

While I am now Catholic I attwnded Unitarian church and summer camps growing up. They definately have a broader view of religion worship and everything else that traditional churches like Catholic Methodist Lutheran etc twnd to have fairly rigid views. Attend a few services, feel it out. I honestly had never met a more accepting empowering group of people.

I was taught in LTC/SNF I could describe a wound ie: drainage amount character odor etc wound bed color periwound tissue appearance blanching and if any slough or eschar. What I couldn't do was call it a "stage X pressure ulcer" unless it had been previously staged by wound nurse or Doctor. Documenting a thorough wound assessment is VERY important. I haven't the slightest idea why you would be told to do otherwise. I would most definately premed with the roxanol if the lortab isn't effective. Not doing that when the dressing changes cause so much pain is inhumane! Please continue to advocate for your patient!

Makes me laugh... on my last unit I was routinely refered to as "whexican." I am white but my husband is from Mexico. He has been here for over 20yrs but we do speak "spanglish" at home. Nickname came about because I would absent mindedly answer coworkers in "spanglish" when I was preoccupied. Funny that it rubbed off on some coworkers and they now routinely say "que pasa" when I call up to the floor. :-D

On my previous unit we had a "staffing" nurse as well. She was supposed to do the schedule find coverage for call ins, fill any holes in the schedule, and help with admissions. Yep those things rarely happened. A hole in the schedule? Oh she "must have missed that" oh you couldn't find coverage and ended up working a 16hr shift? Not even so much as a "hey sorry I missed that thanks for covering it" Never did see her help with an admit. Her excuse "I don't know the patient" uh yeah neither do I hence the term "admit" Management was of no help. They did nothing about her not doing her job and I was once told "It doesn't matter if you don't have a sitter for your infant, you can either stay the 16hr shift or find new employment" All of the 16hr shifts took their toll on me... I left for greener pastures. As did many of the nurses I worked with.

When I was in high school I wasn't a social butterfly. I had my close friends and that was it. I was nice helpful and would go out of my way to help the person who seemed was the "odd man out" Flash forward to nursing school... I too did things backwards had my daughter at 16, graduated high school and she was 10 months old. LPN done with minimal outside contact with classmates. Went back to school for my RN and found myself surrounded by snobby rude cliques of women most being 5-10 years older than me. Most were rude and mean because I had already been a "nurse" as they would call it while doing quotes with their fingers for 3 years. The fact that I already had the basics down intimidated them. I wasn't rude or condescending when I participated in class discussions or when I offered my view on a topic. They got their 8th grade attitudes going when I would finish an exam before them or when I wouldn't share my grades. In clinicals I was refered to as a brown noser or teachers pet because I could run circles around them and was constantly seeking out new things to do. I'm sorry I had already inserted more foleys than I could count and didn't need practice with injections. So yes my instructor, who I knew on a professional level when working and she was a house supervisor, would send me to the cath lab the OR ICU or anywhere else I could get new experiences. I went to class and clinical everyday wanting to learn more and increase my knowledge base. I had a positive attitude and it showed. While they were whining about how unfair something was or how horrible an instructor was or how they were so hung over from their "study" session the night before. I managed to get A's and increase my networking with other units and managers. All while working more than full-time with 4 kids at home and one on the way. Having a friend in school is a great thing but not a necessity. Sometimes the politics and navigating the cliques is more trouble than its worth. Just my 2 cents :-D

Simple answer... ask them to refrain from drinking alcohol while in the hospital and remind them if they can't do that they will be asked to leave. If they're being loud and disruptive have security escort them out. While everyone deals with the illness or dying of a family member differently it is not appropriate. It isn't respectful of their family member other patients or the staff. I would imagine it could also be a liability for the hospital. What if one of them fell and hurt themselves?