mzsuccess

Thanks! I really appreciate you. So if the concentration was 3ml? You will give the 3ml, correct. LOL trying to figure out how to tell my instructor she’s wrong.

Thanks ! That’s what I was getting. However, not understand why my classmates are getting the 1.5ml.

This is the concentration, just giving you an example. But this is what it read. Sorry if it’s confusing.

This is the box that it comes in. Everyone is getting the 1.5mls as 0.15ml. I’m not understanding where to draw up at all.

It reads give 150mg/ml

Hey It’s for a depo shot it says to administer 150mg that’s it. 150mg equals 0.15mls right. Why would my instructor have me use this syringe? I’m sorry if I’m sounding slow. My instructor told me the 1.5ml spot is correct but I’m not understanding. I didn’t mean bevel thanks for catching ?

I know it makes me sound slow and dumb but oh well. If a med reads give 150mg that equals 0.15ml correct? How is this drawn up on a 3ml syringe? If the bevel is at 1 1/2 wouldn’t that be 1.5ml and not 0.15ml? Thanks

She has demonstrated the skill, the first week she would actually do it herself. I would chart refused. Not sure what other nurses charted. But I finally got her to let me do it because I needed to assess for irritation or infection. But I definitely will do something soon because I don’t feel like a NURSE here. She asked to come to my home the other day because she and Mom got into it. She said other nurses would let her anytime it happened. I told her to call her brother. ✌? But the reason the lines are so blurry here is because the manager constantly crosses them by buying gifts and going out for drinks.. that’s a whole other story. I was on the phone with pt doing a virtual appt and the MD was talking to her in this weird baby voice and she was exaggerating saying she had a fever. I was like no your temp is such and such... the headache.

Hey! Her Care Plan is centered around her having a Trach that she cleans and change all the time. The reason I know is because while I was doing it, she told me I was the only nurse that cleaned her Trach, the others would let her do it herself. So I’m confused, does a Trach require a skilled nurse if a PRN is able to perform tasks by her self? And she DOES have a driver license.

WOW!, You really opened my eyes I guess insurance fraud isn’t really common. I heard her say one day to her ex coworker that she gets paid to do nothing and sit on her a** all day. I was like OMG. I can’t people will actually fraud the system this way. I’m not feeding into the putty anymore. Oh! I definitely will. Her and her Mom even said she can work and get a job doing delivery and have the nurse do the deliveries for them! Fraud!

I mentioned what the pt told me because I’m pretty new to this case and wanted to know exactly why she needed skilled nursing because the agency couldn’t be specific ( red flag) my notes are pretty much recording intake and output, Trach cleaning, cleaning up, and monitoring. She’s had skilled nursing for 4 going on 5 years. I don’t even know the MD that initially signed off, from my understanding she has swelling issues and had to have a Trach to maintain a patent airway. She does EVERYTHING else. I actually feel sad for her, because she’s looking for attention and the only way you can show it to her and by giving her material things. She puts on an act in front of her family. I should have know something was up whenever she goes to the hospital her brother and sister would say she’s running to the hospital again for no reason and even her Dad thought she was faking. So now she focus on her “Trach”. Does every pt with a Trach qualify for a skilled nurse?

I’m just curious, the pt told me she was told by the MD she will need skilled nursing care and cannot he left alone. This pt also plays on this, I believe to get sympathy from her family. She’ll act as if she’s so sick and etc. So I’m not sure how she got nursing care but she can do everything on her own. I’m thinking she had it because she had a cuffed Trach and couldn’t talk but now IDK. I feel like a buddy sitting there and a maid. She acts as if walking is too much for her and everything. She’s been through a lot and IDK what’s going on physically but all her labs are normal. The Drs are saying nothing is wrong with her and talk her off some of her meds because they she’s becoming addicted.

Katie, You probably couldn’t perform those tasks and in that case I wouldn’t mind. My other pt is a Quad and she does as much as she can. I don’t mind helping her with dinner, tidying up and etc. But this pt is fully functional to do so. But acts if she can’t and doesn’t want to because we are her hands and feet. She babysits daily, the baby poops she handed me a diaper one day and then wants me to clean up behind her nieces and nephews and take poppy diapers out. Plus she wants me to buy things on my dime. I’m a single Mom I’m not buying expensive shoes and birthday cakes that I wouldn’t buy for my own child for an adult who’s 30. Heck, she’s older than I am.

You are so right. I’m going to let the agency know after this pandemic is over why has been going on. But if nurses allow it and so forth then yes it’ll continue on. And trust me a lot of them quietly walked away. I know one of her nurses from her previous agencies that she reported “spoiled” her with gifts. Let her come to her home and etc. She left and when my pt calls her she doesn’t even answer.