Tammy90

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!

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

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

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?

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!

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! .

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 coorifice 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]

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 =)

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

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?

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.

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 =)

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 =)

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!

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!

Hey guys, just wondering if you guys have found a watch that is both digital and analog? I can read analog, but I take forever, and sometimes mess up my times, but i need it for the second hand so I want one with digital so I can tell the time quicker. any suggestions please?? thanks =)

Hello all, I am in my third year and I am still uncomfortable with IVs. bleh anywho, I was just wondering, with a IVPB, lets say 50 ml of Ancef, if you have an order for it at 1200, and then at 1800, you would run it at 1200, and leave it because your primary line will automatically start when the ancef IVPB is done right? then when you come back at 1800 to hang up another ancef, you can use the same secondary line. but since that line is already primed, it is primed with the last bit of ancef from 1200 right? so are we not technically giving 50 ml of ancef to the patient? I was talking to my friend about this and she said her instructor told that you minus some mls (dont know how much exactly) from the actual dose given, but this is the first time I have ever heard of this and they have not taught us this during lab. I always thought you would only add 25ml when you are setting your rate? never subtracting. so when you mark off that med in ins/outs it would be 75ml (50ml ancef + 25ml flush from the primary line that is going into that patient)?? thank you for your help =)

Hello, I am starting my newborn and maternity rotation and I did a buddy shift and was curious about giving medications and wasn't able to ask her about it My primary nurse gave the patient mortin (400 mg) and 2 tylenol ( 650 mg). she gave both to all of her patients (both c section and vag delivery) I was just wondering why do we give both? is it because ibuprofen is an NSAID and will help the inflammation in the perineum? and acetaminophen is better for fever? but they are both for pain? Also, she gave one patient with the c section both the ibuprofen and acetaminophehn at 8, then at 830 gave oxycodone, shouldn't we have waited a little longer? OR should she have asked how much pain she was in before giving tyelnol and mortin and just gave oxycodone for her pain from the c section? she also did the same thing with some patients where she gave colace and metamucil both (PRN) and I would just think one would be enough? wouldn't it be to much if you are giving both and increase chance of diarrhea? since they both draw water into the stool? The prn meds kind of confuse me because sometimes I dont know which one would be better to give or if to give both together and such.. Meds kind of confuse me still... sorry if this is a stupid question!

Ohhhh gotcha! thank you very much!

My instructor asked me what was a contemporary health issue I saw this week in the hospital. I tried googling I found this definition "A contemporary health issue is a health concern that involves diseases referred by a society as killer diseases that are un-treatable. These diseases are considered to be the primary cause of people's death they include; cancer, heart diseases and stroke." I had a child who has diabetes type 1. Would this be the contemporary health issue? please and thank you

I have to critique a qualitative study and they said identify the concepts of the study? and also identify conceptual or theoretical frameworks if there are any. I am getting confused as to what the concepts are? my article is about collaborative decision making between parents and children with chronic illnesses. Is the concept collaborative decision making? or are concepts what the researcher has found among the interviews of the parents and children? like the themes? Cause I know quantitative doesn't have concepts, they have variables right? I am confused! please help!

HAHHA clever . I love that one! we decided on RN= Runs with needles

Hey guys, I have a group of nursing friends who are going to do the color me rad run and we want a name that reflects nursing? we have found so far some potential names like alert and oriented (thought it would be fun if we were only a group of 3- so don't know if it will work still with more than 3 people), beta blockers, life savers, the nightingles, the code runners Do you guys have any suggestions? anything ridiculous and funny! =)

Yeah, where I am from, they don't allow students to use the glucometer. Very annoying but meh. and thank you everyone who answered. I waited for my nurse to take her sugars before I gave it. But my nurse said that it isn't necessary but doesn't hurt to wait. Thanks again! I don't have much experience with diabetic people so just was a little nervous

I am in canada! what blood sugar measurements do you use??? well i have the orders and it doesnt say much. Says blood glucose monitory- POCT qid. I just wanted to know exactly how i should give metformin or if you just give it regardless? It seems like I would have to wait for my primary nurse to take her blood sugars before I give it, I just wanted to make sure.