casi ASN, RN

LTC

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All Content by casi

  1. casi

    Hypotension question

    I work in a very different setting so my response is a bit different. First thing I would do is investigate why they are low. Are they dehydrated (look at i/o's, skin turgor)? When did they last get...
  2. casi

    help w/client? Tips?

    Ask family and caregivers what she enjoys and what she used to do before she was stricken ill with dementia. Sometimes you have to adapt activites to the person with dementias ability. It maybe that...
  3. casi

    Do you bag your bodies naked?

    For me the hardest part of post-mortem care is zipping up the body bag. Its uncomfortable to zip someone I've been taking care of into a bag. It would be even harder for me to zip them in naked. I...
  4. casi

    Beta Blockers

    Depends on the patient and how they react to the drug and it depends on what it is
  5. ICU, and maybe labor and
  6. casi

    ST alarming on tele mgr but no acute MI

    Because the alarms like to alarm for stupid not real reasons sometimes. They also will occassionally not alarm for something like
  7. casi

    Narcotic Counting Book

    Talk to the pharmacy that you use. My facility gets its narc books from
  8. Most nursing students start out in nursing homes and TCU's because they are very stable patients. It was rare in nursing school that I saw patients under 65. They just aren't stuck in healthcare...
  9. casi

    New Grad - ICU or L&D

    Apply to
  10. casi

    CNA'S suffer second hand smoke

    Are Asthma attack and any other problems caused by second hand smoke workmens
  11. I would call the facility back and state "this is a form of abuse and if my grandfather doesn't get his ring back, we'll be contacting the BON and the obudsman, and whatever other agency is...
  12. casi

    Telemetry Scare

    The best part of tele is you'll never be surprised when you walk in on a dead patient, and when you do walk in on a dead patient they are still warm. Learning tele really isn't super difficult. What...
  13. I had the older nurses and the unit manager pushing to get me hired as a new grad, but the people who hang out at in the offices far away from the actual hospital units weren't willing to invest in a...
  14. That is oddly amazing. I can only imagine how much better that felt once everything was
  15. casi

    Getting to know your patients.

    I like it. It helps give the sense that you are treating an actual
  16. casi

    Why do OTC protein test strips not exist?

    I have a feeling that they don't make them because the general public wouldn't know what protein in the urine
  17. casi

    Am I expecting to much from my nurse??

    It all depends on how many patients the nurses have. If you have the unreasonable number of 12, I can only imagine that the nurses have a hard to manage load as
  18. Look at your patient, not the machines. ADVOCATE! for your patient and for
  19. casi

    I don't like dead people

    The fear of death is very common. When I was younger I saw my grandfather after had passed and the nursing home wasn't able to get his mouth or eyes closed. Sometimes the look in those eyes still...
  20. casi

    Help me understand

    Cardiologists around here are d/cing Plavix after a year and placing patients on ASA. I guess there has been a study that shows that plavix doesn't continue to be a benefit after a year? Guy could...
  21. casi

    Awesome story

    Amazing! Awesome job. These stories are just too darn
  22. I would agressively start looking for a new job. Home care, nursing homes, anything. Put in applications everywhere and get the hell away from your current
  23. casi

    Student/instructor issue?

    As a student nurse my instructor was responsible for double signing my charting. Frequently I would have an instructor that went through all my charting and make a list of things missed and make us go...
  24. The best advice I got was in my first semester from my clinical instructor. Which was, "Don't read the entire reading assignment." Use your reading assignments to supplement your lectures. If you get...
  25. Please don't chuck a hissy fit when I have to pass off three medications to be given. I had 24 patients on my shift, you only have 8. I had the shift from hell and am rather proud that I got the...