mandihere

Example: Client is on a new antibiotic and her blood sugar had a reading of 22.3 so I called her doctor and her came in to see her -let's call her Jane doe - Dr. Pintcher , how are you doing today? - I'm doing well thanks, yourself? - good, Jane Doe is just in her room, - so I understand her bs was 22.3 at 0800 hrs? What was it at 1700? - it was only 11.8 it seems to be really high in the morning and go down as the day goes on. - she's on 8 units a night right? -she sure is. She has been taking her antibiotic at. 2100 hrs with her 8 units, that wouldn't effect it would it? - no. *** this is when he started talking to the patient and assessing them. - I'm putting her on a novorapid sliding scale. Keep giving her, her antibiotic but keep monitoring her bs. If it goes over 20 again fax my office and I will adjust her units. - I will chart this an pass it on to the other staff. Thanks - your welcome, I'm also here to see mr. Brown in room 201? - yes he's right over here, follow me. He's been expecting you.

4) they want to hear the truth. - any behaviour issues - any thing that is abnormal - drugs being refused - weather or not the person had any problems voiding / eating If they have a fever or what exactly has happens in the past 48 hours that would be an importance that they might not already no.

When I talk to the doctors at my work its more or less a very easy convo. You want to have a good trusting relationship with the doctors. So when I pass them it's a simple hello! " how are you doing today?" When a doctor comes in for a patient and they start writing in their charts I just ask tue doctor if there is anything new the staff should be aware of. I would also at this time inform the doctor of anything that would be importance regarding the patient. At my work I call the doctors or fax them if I notice anything unusual or have any questions regarding mediations. If I transfer a patient I would also inform the doctors.

No there is not instructions on his chart. This makes a lot of sense tho and should be written down! Thanks for the advice

O my and wonds should say wounds. Sorry I work nights and get very tired by this time in the am:)

Congrats!!

Sorry for some reason it posted before I was done: Any ways the past month this client has had these nurses to come in and change his dressings. But this is the 6th time I have had to rewrap his legs because of them falling off or him taking them off ECt. The problem is when I go to do this I have realized his legs are being wrapped in dry swabs! In the training I have I was told to always you non adherent bandages for open wounds. But every time I change his legs they don't use these. It takes a whole bottle of saline for me to get the dry bandages off because they are stuck to his open blisters! I have taken out the box of dry swabs twice and replace them with non adherent pads. I've even written on the box to please only use these an still dry ones get used. Is there a reason anyone would cover a open sore with something that is not non adherent?

Have a patient that over the past 2 months has been suffering with water blisters on his legs. We are doing everything possible to keep his legs elevated at times when needed and changing his dressings. Twice a week a company come in to care for him. They bath him and check on his health... They are registered nurses within this company so they all have much more knowledge then me for I am not a registered nurse. Now we were told by our head nurse that this company will be Comming into change his dressing so we will no longer need to unless needed.

Have a client refusing to bath. He claims it causes him pain. He has received sponge baths but has not had a shower in months. We are be told to push the fact that he needs a shower but no one has had success getting him to agree. He's a very independent man and could basically shower without any assistance. Any suggestions?

Have your tried giving it in apple sauce or yogurt?