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tnguy31

tnguy31

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tnguy31's Latest Activity

  1. Hi everyone, I'll keep it short and straight to the point. I work for a post acute rehab facility. 95% of the nurses (RN and LVNs) at the facility is Filipinos. With all due and respects, i think they are great and very good at their jobs. Problem is they speak in there own language even when discussing pt care with each others. I just felt so isolated and felt like i can't blend in at all. Any suggestion or advice would be greatly appreciated.
  2. tnguy31

    Passing medication

    Hi nurses, I'm looking for advices on how to efficiently passing meds. I work for a busy post acute rehab from 11p-7a. I was the only RN on the floor ( with not much exp as this is my first job), so I do all the IVs, orders, admission (if any), and passing meds to 30-45pt. Im wondering if there is anyway to pass meds efficiently and safely. I feel that shortcut can create med errors. Any input would be greatly appreciated.
  3. tnguy31

    Gastric cancer and NGT

    The pt died last night. I feel so sad. She died peacefully, no pain. @curiousauntie: Thank you for sharing. The family is very worry about leaving the pt feel hungry, they think it's a bit cruel to her. I regretted that I didn't pursue this treatment to relieve her symptoms.
  4. tnguy31

    Skilled Notes

    Thank you Capecod, this is so helpful. exactly what im looking for.
  5. tnguy31

    Gastric cancer and NGT

    The dr. also order NPO till n/v resolve. Patient still has sense of hunger and desire to eat.
  6. tnguy31

    Gastric cancer and NGT

    @ Idis: I'm thinking about the risk of further dehydrate the patient and possibly perforate tumors in her stomach. What do you think?
  7. tnguy31

    Gastric cancer and NGT

    Hi nurses, I would love to hear your opinion on this issue. I have an 87 yrs asian female patient with gastric cancer that metastasize to other organs. She was admitted to hospice after having part of her stomach remove. She was doing good for 2 months. Recently, she nauseated and vomited 5-6 times a day, increased the frequency at night, the emesis is coffee ground in small to moderate amount. Pt is on Zofran 4mg dissolve on tongue every 6hr around the clock, reglan 10mg tid 30mins before meals. The meds has no longer effective in controlling her n/v symptoms, it reduced the severity but not very much. Family is extremely anxious, pt looks uncomfortable, visible weight loss, she has no pain, v/s: t 97.4-96.9, pulse 87-94, resp 14-16, o2 >97%, bp 98-118/56-78, BM every day 1-2 times a day. Dr.order protonix po (i forgot the dosage) and NGT intermittent suction. The patient is a very small lady that weight probably less than 80lbs. Do you think NGT is a good idea? Why or why not? The dr. insisted on NGT with pediatric size tube; the DON insisted on not too, so I decide I would ask nurses here. Thank you for your input. Also, I'm giving out the Hospice Quickflip from Corridor Group (2 of them). Have to buy as a package of 4, and realize they're all the same, so I only need one. :)) so just pm me.