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Tammy90

Tammy90

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Tammy90's Latest Activity

  1. Tammy90

    Punny nursing names

    Hey guys! Thought I could use your creativity cause I dont have any! Haha But I joined roller derby and I need a name So I was thinking something nurse related. I work in LTC. Any suggestions for a punny name? I'm staff educator. I do blood work also. Anything related to those? Something with prick? Since I poke people. Or vampire? I'm not sure. I want something quirky. Haha Thanks guys!
  2. Tammy90

    Bed rails protocol/algorithm?

    Do you mind sharing the assessment? Do you have anything about when one is using an air mattress?
  3. Tammy90

    Bed rails protocol/algorithm?

    Do you mind sharing the restraint assessment form? Just to gain a sense of what we could do/use for our facility?
  4. Tammy90

    Bed rails protocol/algorithm?

    We rarely use full side rails. We will keep the upper rails up more for re-positioning in bed. Specifically, we only use full bed rails for those on air mattresses since the rails need to be up or they will fall out of bed. We also have a few residents that request bed rails up because they are mentally capable to make that decision and do so for security. Otherwise, we try not to use full bed rails, especially if they have severe dementia. We normally put a bed alarm at the end of the bed and place a fall mat. What does your side rail assessment and consent form look like if you dont mind me asking? Maybe that is more along the lines of what we need?
  5. Tammy90

    Bed rails protocol/algorithm?

    (double post) Hello all! I was just wondering if anyone would be willing to share their facilities bed rail algorithm. I work at a private LTC facility. We typically follow our provicials guidelines and regulations but we don't specially have a bed rail algorithm. We also don't have access to look at protocols or anything. I have googled and have only found really complex algorithms that don't seem to for our facility.* Ex.Redirect Notice I was hoping to find an algorithm that would include if one was to be on an air mattress. Any help would be greatly appreciated! Thank you!
  6. Tammy90

    Bed rails protocol/algorithm?

    Hello all! I was just wondering if anyone would be willing to share their facilities bed rail algorithm. I work at a private LTC facility. We typically follow our provicials guidelines and regulations but we don't specially have a bed rail algorithm. We also don't have access to look at protocols or anything. I have googled and have only found really complex algorithms that don't seem to for our facility. Ex.https://www.google.ca/url?sa=t&source=web&rct=j&url=http://www.careinspectorate.com/images/documents/2737/2016/Tool_13_bedrail_risk_assessment.pdf&ved=0ahUKEwi89eSZz73YAhVWwGMKHRLBBq4QFggdMAA&usg=AOvVaw1cqPOjaAcqQnZ0M0pYf80g I was hoping to find an algorithm that would include if one was to be on an air mattress. Any help would be greatly appreciated! Thank you!
  7. Hello everyone! I was wondering when did you guys feel confident as a nurse? I have been working in LTC for almost a year now and I just feel so stupid. I am a floor nurse and recently started my new position as the new infection control nurse and inservice coordinator so that is quite overwhelming. I find that I am asking too many questions and I feel like I can't make a decision without getting approval. I second guess my decisions all the time. I don't know how to stick to my guns and be confident in my decision. Perhaps it is my personality, but I find it hard because I am also a people pleaser (which I hate). I am realizing that I am not good at being a leader, because I am constantly worried about other cooworkers or worried I am going to hurt peoples feelings. I am also constantly thinking about what other people think with comments like "well you are the infection control nurse so you should know" or that I am a registered nurse in general and I should know everything Lately, I am feeling like I will never be good enough and confident as a nurse. Last night I bawled my eyes out ( second time this week and seems like I am always crying at least once a month about my nursing practice). I just don't feel like I am good enough to be a nurse. I compare myself to other new nurses my age at my work (who have even less experience than me) and I feel that I am just falling behind or that I lack good judgement. I am the type that needs to experience situations in order to remember or learn from something, so I find that all new experiences that happen, that I don't always make the best judgement call and I hate that. It just seems so effortless for everyone else but me and it seems like I am the only one that feels this way. At the end of the day, I am beating myself up thinking "Oh I should have done that differently, why didn't I do it that way." I love being a nurse and caring for people but its just lacking knowledge and having the pressure of being in charge to know everything gets to me or perhaps I don't have common sense or something? I don't know. Has anyone felt this overwhelmed in their career or is it just me?? Thank you for letting me rant! .
  8. Hello, I am a new nurse working at a long term care facility I have a resident who has type 2 diabetes. He is on Metformin and Gliclazide. Yesterday there was a possible flu outbreak (unconfirmed) and he was one of the resident on isolation. His only symptoms were sore coarse throat, maliase and his temp was slowly increasing. He didnt eat too much lunch and when I can on shift for the evening, he didnt eat a lot of his supper, (couple bites and drank his juice and gingerale) and shortly after he started vomiting. So metformin doesn't have a risk of causing hypoglycemia since it doesn't promote release of insulin, it only stimulates the cells to be less insulin resistance and decrease glucose production. So, if someone is eating very little, giving metformin will be okay correct? I was struggling with giving him his gliclazide as this stimulates insulin production and can cause hypoglycemia. But what I am wondering, how do I gauge when to not give someone this medication if they aren't eating too much. My reasoning for giving him his gliclazide was that he still ate something (even if it was one or two bites, and he was drinking sugary drinks.) I gave the medication before he started vomiting. Sorry if this should be basic knowledge. I am just confused. Sometimes when I go home, I start thinking about what I did during the previous shift and start second guessing myself. My mind tends to wonder thinking when I return to work the next day that something horrible will happen to my patients. Ah but that is just me. Anywho, any help would be greatly appreciated! Thank you. [h=1][/h]
  9. Tammy90

    Need help finding a palliation issue

    Opps sorry. yes Palliative care. I was thinking to do something like that, as that is a very interesting topic, but I feel that everyone in my class is going to do that. So I just wanted to see if there were other topics out there. I may wind up just doing that topic. Thank you =)
  10. Hello, I have an advocacy project to do and I am having troubles on what palliation to do. We need to find articles to support this issue and why there needs to be change and how we are gonna effect change. Do you guys have any ideas on what would be a good topic? I live in canada if that makes a difference my partner and I were gonna do somehting about respite care and how there is a lack of activities and how there is a lack of activities for all clients so it is hard for family to use respite services- but my teacher thinks there may not be enough information on this. anywho any help would be greatly appreciated
  11. If we give a patient all the information about a procedure that they want but they are advised to not have, like a surgery, because of their circumstance, can the patient still push for the surgery? For example, if a patient had low albumin level which made her not a candidate for surgery and anesthesia but she is if she is fully aware of everything and the risks, even if the doctors do not advise it, that patient can still decide to want to do the surgery right? even if her chances of dying are high? but only after the doctors have made a full understanding of there capacity in decision making right?
  12. Tammy90

    Nursing issues ideas?

    Perhaps it is different in Canada about the nursing shortages? Oh yeah staffing mix is getting big here. They are hiring more LPNs than RNs. That may be a possibility. Thank you for the ideas and NurseP00kie, that would be nice, but I rather not push my professors buttons. Some are very stuck in their views and I still want to get a good mark. hahahah.
  13. Tammy90

    "nursing issues" ideas

    I have to write a literature review paper in one of my classes and I just am stuck on ideas for the paper. For example, nursing shortages was one that was given by the teacher. I don't want to do that one because it seems a lot of people may do that one. I was going to do something on physician assisted suicide/euthanasia, but my teacher said its to broad and difficult regarding the ethical sides of it. I am not thinking something to do with bullying between nurses. But I am not sure. Do you guys have any interesting ideas? I don't know if it helps, but I live in Canada. Thank you for your help =)
  14. Tammy90

    Nursing issues ideas?

    I have to write a literature review paper in one of my classes and I just am stuck on ideas for the paper. For example, nursing shortages was one that was given by the teacher. I don't want to do that one because it seems a lot of people may do that one. I was going to do something on physician assisted suicide/euthanasia, but my teacher said its to broad and difficult regarding the ethical sides of it. I am not thinking something to do with bullying between nurses. But I am not sure. Do you guys have any interesting ideas? I don't know if it helps, but I live in Canada. Thank you for your help =)
  15. I have been doing my readings, but I just cant seem to grasp fully what it means? Is it just how we interact with people and how ethics plays into how decisions are made and what we do for patients and family? and how we come with our views and opinions as well as the patients and families have their views and opinions which plays into how we act and make decisions. sorry I am probably off, but I cant seem to find anything on the internet or my readings to solidify this concept for me thank you in advance!
  16. Tammy90

    Tachypnea and infection

    Hello, I am in my newborn rotation and I am just going over infection/sepsis notes What is the patho behind high resp rate and infection? why does it happen? is it because the infection increases the metabolic process which requires the body use more glucose/o2 to fight the infection so the body is trying to keep up with the increase of demand? and this is the same for adults with infections too right? sorry if its a stupid question.. thanks in advance!
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