NP2B2016

One advise for those considering BSN-DNP find the school that helps with clinical placement. I am being serious.

There was seem something else going on here. Colace doesn't warrant that you will have BM within a day or two. In the past I have administered Colace to some pts for days and no BM and even a harsher one like miralx still no BM. Sometimes it takes movements to stimulate bowel. To me this is way too harsh and that's why I never work at the LTC again. No thank you! They will throw you in the bus first before allow you to stain their reputation.

I worked at LTC briefly and hated it. I would never again work there.

Yes the Charges do take patients on my floor. They usually take less during day than night shift.

Hi all! I am a regular PRN nurse who is leaving my current job to be relocated. Here is the issue I'm trying to wrap my head around in trying to understand. As a plane PRN, I am technically doesn't required to be on the working schedule only if I wanted to but I informed my manager in advance when I took this position that I can work certain (fixed) amount of shifts per month therefore she can ago ahead schedule me on any day as long as with the fixed number. Now that I am leaving and giving sufficient notice (over a month) I am being scheduled to work extra days more that I had original agreed too. Her reasoning is because it's within my notice day although I had already fulfilled the shifts required of that month. Lots of it has to do with short staffing. Anyway, I do not want to burn bridges so I told her I can only work some of the shifts, not all of them because I have real reasoning to why I cannot work. So, is this normal? If it was you how would you deal with it? The problem is we always short staff and that makes me feel really guilty and most of the time I cannot say no. However, my manager has been so nice though and always gave me the days I needed off when I was not PRN. The thing too was that I always worked whatever the days she scheduled me to work and I only had called in sick once during my employment there. Never complaint much about scheduling as much as other staff who I always heard speaking of every time I am at work.

Could combination of medications such Xanax (2mg) and clonazepam (1-2mg? don't remember the exact dose) put the pt asleep without recover from it? Patient has both meds ordered to given at the same time along with other psych meds. The patient however has taken these meds for such a long time already so I do not think it would affect her? Remember patient has a long history of psych since the brain injury and were not given the morning doses due to surgery. Thus again I do not think it would be overdosed either since nothing were given prior except that night! PE does make sense because it's was not even 24 hrs yet since the surgery and patient has not left the bed.

I have never experienced a patient expired during my nursing career before except last night one of the colleague's patients had passed suddenly. I helped him through the process but I cannot figure it out why the patient passed. Can any more experience nurses provide some input? The pt was 68 or 75 (don't remember) who had a hip surgery ( from fall at a LTC) post-op day one with long history of mental and psych issues because the patient had a traumatic brain injury some years. Since the injury patient never been normal and always wear a protective helmet. The patient has been on numerous psych and anti-anxiety meds and was told to be extra careful because the patient known to try to commit suicide like purposefully try to choke on water or on any liquid. Anyway, patient did not have all the medications post-op but only got them last night. The vital signs were within normal range from the beginning of the shift but she died several hours later without making any noise. It appeared the patient had just passed peacefully and was a DNR. What could it be? Sepsis? MI? Combination of Medications?