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FlufferNutter ASN, RN

peds, geriatrics, geri-psych
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FlufferNutter has 9 years experience as a ASN, RN and specializes in peds, geriatrics, geri-psych.

I currently work in pediatric home care. Before this, I worked in long term care and geriatric psych.

FlufferNutter's Latest Activity

  1. FlufferNutter

    Oral Health for pediatric CP patient

    I work with with an 8 year old child in his home. He has Cerebral Palsy, is non-verbal, and for all intents and purposes, he is non-ambulatory. He has a G-tube and a Nissen Fundoplication, but his oral health is a huge concern for me. It is near impossible to brush his teeth. And, he can't swallow, so introducing any liquid into his mouth is an aspiration risk. Dad has me brushing his teeth with plain water and a toothbrush....but half the time, my patient clamps down his lips and I can't really get a good scrub in. His teeth are caked in plaque. I can't even fathom how he is at a dentist appointment.....just getting him in and out of the tub is an Olympic event. Do any of you have any suggestions? Products/maneuvers that may be useful for this type of patient?
  2. FlufferNutter

    Are "laxative days" common?

    At all of the places I have worked, there was never a specific "day" set aside. It makes no logistical sense to have half a dozen incontinent/aide-dependent patients have BMs at the same time. Usually it was based on the 3 day rule. If no BM for 3 days, Miralax is given, 24 hours without result it would be a suppository. If that wasn't effective we would move on to enemas and or digital disimpaction. :/
  3. FlufferNutter

    Feeling VERY Incompetent

    the fact that you are worried about it speaks wonders. No nursing student graduates with the entirety of everything....I know that sounds lame. But, it's true. Best advice I can give you as a brand new nurse? You suck....you will learn more as you go.....and you already know more than you can even imagine. Have confidence in yourself....you earned it
  4. FlufferNutter

    PDN and boundaries

    exactly...what the heck is a toothette doing? My kid barely lets me get any kind of oral hygiene tool near him...
  5. FlufferNutter

    LPN Changing G-tube?

    I work with a little guy who has a gtube change order for every three months, or more frequently, if needed. Recently had to change it due to leakage in the balloon keeping it in place.....He squirms so much that it is a huge deal to do.
  6. FlufferNutter

    How do you know that hospice is right for you?

    UPDATE : Since I started the thread, I have become a licensed RN. Had several months LTC experience and was rehired at the place I was working as an aide a couple of months ago. I am appalled at my perception of what the nurses do on this unit, and wish I could erase this entire thread. I obviously had no clue what the eff I was talking about. That being said, I am so thrilled to be back. Our unit is like family and I missed them so much while I was away :/
  7. FlufferNutter

    New hire RN accused of being "mean."

    Just curious if you've ever worked as a CNA? It is a thankless job that is instrumental to us nurses to get our jobs done properly. If I hadn't worked as an aide prior to becoming an RN, I would not recognize that it takes enormous amounts of compassion and selflessness to do that job, and they get ridiculously underpaid. I also work on a psych unit, so I understand the need to be decisive and brusque sometimes.
  8. FlufferNutter

    How do you know that hospice is right for you?

    IEDave---- I was working my very first overnight shift, and I was the only aide on shift at the time. I was not made aware that his family was en route to the hospital. If I had known that, I would have made a point to talk to that family member. I know that if I were in their shoes, I would want to hear from the person that my loved one spent their last hours with. I would also have made sure that he was in a presentable condition and that his room was cleaned out. Unfortunately, I was not told that family was coming within minutes. I feel really bad about that. I wish his family didn't have to see him in that condition. It must have been so traumatizing for them to see the evidence of what he endured in his last hours. Hearing about it is one thing, but seeing it with your own eyes is something else entirely.
  9. FlufferNutter

    Cry baby CNAs

    As a CNA, I completely understand. I see the nurses on my unit doing all kinds of work. Mostly paperwork, i.e. charting, etc. The rest of the time they are passing meds, which is really time consuming. As a nursing student, this gives me some much needed perspective. I am getting into the nursing field because I want to help people. Clearly, working in a unit such as mine is NOT the place I want to be. I do not want to be a rolling pharmacy. I want to be hands-on, provide bedside care, and so on. This is the main reason I want to go into trauma, or anesthesia, or some other high-energy job. I want to be challenged every day. I don't want to become complacent.
  10. FlufferNutter

    Should I?

    I want to thank all of you who have taken the time to read and respond to me. It means a lot. I will take your advice to heart. All of it was well thought-out and expressed in such a compassionate way. You have shown me new ways to think about and consider my decisions regarding this. I think I will try some other fields first, and possibly take a foray into the NICU. Just to see if it's something I can handle emotionally. If I can, I am sure I will be an asset. But if I can't, I'd rather know sooner than later.
  11. Currently, I am a nursing student. But, between experiences in a clinical setting as well as my own personal life, I feel like I want to be a hospice nurse. Does anybody have any advice for me regarding this? How does one go about becoming a certified Palliative care nurse? I currently work as a CNA, and I experienced my first death a few days ago. It was really hard for me, as people insisted on drawing blood and other diagnostic tests on a man who was DNR. For the most part, he was incoherent. But, there were a few times when he was clear as day. He didn't want to be poked and prodded anymore. He just wanted to be left alone. He knew he was dying, and he wanted to go on his own terms. I am not normally a hyper-sensitive person. ( in that way) I don't cry over lost patients. But, this guy...I did cry. Nobody was there for him, other than me. I was there when he took his last breath...and I was the one who saw the lone tear in his eye. I was the person who had to tell his nurse that I thought he was dead. I took it upon myself to perform his post-mortem care. I felt it was my responsibility to do so. I was the person who he spent the last hours of his life with. I was the last person he laid eyes on, the last person he talked to, the last person to talk to him. I had to be the one to get him cleaned up and ready. Unfortunately, as the lone CA on shift, that meant neglecting vitals on some other patients. God forbid the nurses take a couple of readings. ......... Not to mention that they told me not to bother. Somebody had to sit with this poor soul. God knows they weren't going to bother. This guy died in pain. He spent hours bleeding out. He was in so much pain. I was NOT going to leave him alone. I knew he was dying, he knew he was dying. I could not, in good conscience, leave him alone to die by himself. My heart made me sit beside him and hold his hand. My heart made me clean him up to the best of my ability. It wasn't easy. I work on a psych floor for elderly patients. Deaths are not a normal occurrence on our floor. This experience has been a profound wake up call for me. He should not have been in so much pain. No one should have been drawing blood. That man should have been allowed to die with dignity, on his own terms. I wish I could tell his kids that he was not alone when he passed. I was there with him. I was holding his hand. I know I am just a lowly CA, but I think his kids would take comfort knowing that someone was there with him when he took his last breath. That he wasn't alone. That someone who cared about him was there with him to the end. I know it's not my place to say such things.
  12. FlufferNutter

    Should I?

    I gave birth to a son 9 years ago to the day. He was a 25 weeker and didn't make it past 12 days. The nurses at MGH are more than half of the reason I am pursuing nursing. I have busted my ass to get here. I have sacrificed everything, even at the expense of my other kids. I want to be a nurse. I am going to be a nurse. I am going to be the BEST nurse that I can be.Those NICU nurses were and continue to be my greatest inspiration. I really want to work in the NICU. I know I am biased. I also know it's probably not a good idea for me. I still want to, though. I want to be there to take care of other people's precious babies. I've long ago come to terms with my own loss. I am not bitter about it. I want to help other people bring their babies home. I think that my experience/bias is a good thing in this type of situation. Do any of you have ideas for me? Where I can apply my passion without compromising patient care? I want to help people. I especially want to help moms that were in the same dark place I was after I lost my baby. To me, being a nurse is a multi-faceted job. I never want to deny the part of myself that feels empathy for my patient. I also never want to deny the part of myself that identifies with my patients. I realize that I am walking a thin line. Aren't we all?