Bird2

Bird2

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All Content by Bird2

  1. Mouth care for dying patient

    Bird2 replied to nettie01's topic in Hospice, Palliative

    There are many brands designed for the inside of the mouth and lips but we use a product from Kimberly-Clark. It is called Dental Swab/mouth

  2. Mouth care for dying patient

    Bird2 replied to nettie01's topic in Hospice, Palliative

    I will be at work in 2 hours and will reply with the name of the product we use. I'm sure you will like

  3. Skin breakdown...not sure what to do for it

    Bird2 replied to bebop1's topic in Home Health

    I need to reply to my own response since my AM coffee just kicked in and I now realize fully what I typed. When I suggessted the clothe pad I was not thinking of the inconvience for the family. So,...

  4. Skin breakdown...not sure what to do for it

    Bird2 replied to bebop1's topic in Home Health

    Blue chux will cause the moisture to sit on the skin. If she has a foley and they are only worried about proctection from BM you might consider a clothe pad or a better product that will wick the...

  5. What is on your LTC crash cart?

    Bird2 replied to Chad_KY_SRNA's topic in Geriatric, LTC

    Amazing isn't it. I have worked in LTC for 11 years and your crash cart sounds exactly like ours. Thankfully our squads are at the facility in 2-3 minutes. I will try to remember to ask why we do...

  6. HIV in LTC

    Bird2 replied to NJLPN's topic in Geriatric, LTC

    Do you have a HIPPA Compliance Officer in your building/Company that you can ask? I also would want to know but I have always been told, whether right or wrong, that Doctors do not have to document...

  7. HIV in LTC

    Bird2 replied to NJLPN's topic in Geriatric, LTC

    I believe that it would be a HIPPA violation. The staff just need to know what type of precautions are needed but not the diagnosis. Since OSHA requires Bloodborne Pathogen in-services and HIPPA is...

  8. Mouth care for dying patient

    Bird2 replied to nettie01's topic in Hospice, Palliative

    The facility I work uses a mouth/lip moisturizer. Smells like spearmint and can be safely put on the inside of the mouth. I don't remember the name but it is very inexpensive. Our local Hospice...

  9. Any nurses with plantar fasciitis?

    Bird2 replied to RedSox33RN's topic in General Nursing

    Ditto for me. Once I started wearing the Birkenstocks I only have an occasional minor flare-up that is easily managed with the ibuprofen, ice, and streches. I also stopped going bare foot in the...

  10. Do you feel like you have no "down time" on the midnight shift???

    Bird2 replied to Debbie_LPN's topic in Geriatric, LTC

    This does sound like a lot of pts. The facility I work runs 3 noc nurses for 100 pts. Your facility is possibly following State staffing minimums which often are low but legal. We can actually run...

  11. Treatments in LTC

    Bird2 replied to nurseangel78's topic in Nursing Career

    I don't want to appear rude but nurses can not give orders unless they are APN's or Practioners (sp). The Doctor has to be updated on the pts condition anyway so it would be best to at least call his...

  12. Treatments in LTC

    Bird2 replied to nurseangel78's topic in Nursing Career

    I would call the M.D.'s office to let them know that the ulcer is healed and no longer need the treatment order. Then you can write a dc

  13. Urine return???

    Bird2 replied to Debbie_LPN's topic in Geriatric, LTC

    I would not inflate the balloon without a urine return. If the cath is in the urether damage could be done when the balloon is inflated. Pts with long term foleys will at times not have urine in the...

  14. LPN to RN

    Bird2 replied to nursebigdog's topic in LPN, LVN Corner

    I did the bridge program. As long as you had been a L.P.N for one year and had all of the prereqs completed the program took only one

  15. Lpn's Supervising Rn's-long Thread

    Bird2 replied to HONEYBEAR's topic in General Nursing

    If an R.N. is in the building they need to be in charge. I have worked in LTC my entire nursing career. First as an L.P.N then I became an R.N. Never let your facility put you in a position that is...

  16. First job

    Bird2 replied to tommytrojan's topic in General Nursing

    I was fortunate to not be bullied. There always seems to be at least one poor, unhappy soul in the work place. Don't let them pull you down. Go to your new job with a positive attitude. I think...

  17. Clinical issue??

    Bird2 replied to infullbloom1's topic in Nursing Educators, Faculty

    I went thru the PN and ADN progran and always shadowed a nurse. They were always nurses in a speciality area such as MICU, Dialysis, Cardiac surgery ,etc. Although it is important to know what the...

  18. PT INR critical level, not once, not twice

    Bird2 replied to GLORIAmunchkin72's topic in General Nursing

    What is the connection between the Albumin level and the INR?

  19. PT INR critical level, not once, not twice

    Bird2 replied to GLORIAmunchkin72's topic in General Nursing

    You stated that she was on an antibiotic. Any chance she was on Diflucan? I've seen PT/INR skyrocket on

  20. Sending residents to the ER without a doctor's order.

    Bird2 replied to Blackcat99's topic in Geriatric, LTC

    You could contact your Medical Director or I've had to call families so I could chart that famliy wanted the resident sent to the

  21. What is your facility's protocol for managing UTI's?

    Bird2 replied to DG5's topic in Geriatric, LTC

    The Centers of Medicare and Medicaid just sent out the advance copy of the F315 tag. F315 now covers urinary incontinence and catherers. It is 38 pages of interpetive guidelines and does discuss...

  22. MRSA question

    Bird2 replied to elalpn's topic in Geriatric, LTC

    We follow the CDC guidelines that recommend not to perform routine cultures to test for MRO's. I work in a Long Term Care facility and we isolate the bug not the resident. Usually if the resident...