Tenebrae BSN, RN

Mental Health, Gerontology, Palliative

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All Content by Tenebrae

  1. Tenebrae

    Work ALLOWS Patient Favoritism

    Tenebrae replied to laKrugRN's topic in Patient, Colleague Relations

    Perhaps in the US, its certainly not common place in NZ, Aus,
  2. Tenebrae

    Primary fluids and piggyback meds

    Tenebrae replied to whitneyraeRN's topic in Patient Medications

    As said above you would need to check the compatibility of the fluids. With end stage palliative patients who are on a niki pump we use sterile water as opposed to n/saline as there are some risk for...
  3. Tenebrae

    Could this be construed as "abuse"?

    Tenebrae replied to Pat_Pat RN's topic in Patient Safety Issues

    If its a requirement of the funder, I would tend to document "Mrs X, reports that she finds it very painful to have her BP taken on either arm" any time you have to do her blood pressure. somewhat a...
  4. Tenebrae

    Could this be construed as "abuse"?

    Tenebrae replied to Pat_Pat RN's topic in Patient Safety Issues

    For the non Americans here, what does it mean "for medicare
  5. Tenebrae

    Please Start!

    Tenebrae replied to Pepper The Cat's topic in Nursing Professionalism

    - Please make sure the syringe driver has adequate supplies for over the weekend when our supply room is not open - Please make sure you have the med charts up to date, even if it requires you to get...
  6. Tenebrae

    Work ALLOWS Patient Favoritism

    Tenebrae replied to laKrugRN's topic in Patient, Colleague Relations

    Our system is far from perfect however I am grateful that we get to treat people according to medical need as opposed to having to play 'kiss
  7. Tenebrae

    Why does this man's personality change instantly

    Tenebrae replied to Butterfly92xo's topic in Patient, Colleague Relations

    I'm from New Zealand. A stand assist for us would most likely be the use of a standing
  8. Tenebrae

    Why does this man's personality change instantly

    Tenebrae replied to Butterfly92xo's topic in Patient, Colleague Relations

    You ask why this mans behavior seems to change quickly? Apart from the vascular dementia and TBI, perhaps he is picking up on your attitude and responding accordingly. As others have said, please get...
  9. Tenebrae

    Why does this man's personality change instantly

    Tenebrae replied to Butterfly92xo's topic in Patient, Colleague Relations

    I'd like to think so. Have had some truly appalling issues of care provided by our support workers over the last few months, the OPs example doesnt actually seem too far out of possibilities And...
  10. Tenebrae

    Considering Occupational Therapy or Dental Medicine after failing out of nursing

    Tenebrae replied to kringkring5144's topic in General Nursing

    I think if there were issues that resulted in being dismissed from your nursing program that are unaddressed, then you can try other programs you still may not succeed. One of the posters gave a great...
  11. Tenebrae

    Pain assessments - gabapentin?????

    Tenebrae replied to martymoose's topic in Patient Medications

    Not only that by asking them about their pain all the time its inadvertantly reminding them of it and making distraction techniques somewhat
  12. Tenebrae

    condom catheters

    Tenebrae replied to 84RN's topic in General Nursing

    They are not good for people who are restless or likely to pull at it. Although the idea of a male patient who pulled out a foley catheter makes my eyes water. - Check size and ensure you have the...
  13. Tenebrae

    Trying to be readmitted

    Tenebrae replied to kringkring5144's topic in General Nursing

    My question would be (and if its too sensitive dont feel the need to disclose) why were you dismissed from the program. Did you fail a paper? Were you taken off clinical for a reason? I failed one of...
  14. Tenebrae

    Why do we hate admissions?

    Tenebrae replied to firstinfamily's topic in General Nursing

    I work in the community. Our admissions sort of get factored into our working day. Still dont like them. If its a wound, it requires informed consent, intial assessment 3 pages, time assessent 3 pages...
  15. Tenebrae

    New Grad - Need Some Advice

    Tenebrae replied to MommyNurse123's topic in Patient, Colleague Relations

    I learned from being bullied as a student, constructive criticism will always be specific. eg I would like you to work on this specific area" when criticisim comes form a different motivation, it is...
  16. Tenebrae

    Things you tell newbies

    Tenebrae replied to JBudd's topic in Patient, Colleague Relations

    Also "dont panic, it solves nothing". I've recently started doing the lead/charge nurse role on a weekend. 'And yes there are times when its utterly insane, however you can only do one thing at a...
  17. Tenebrae

    Things you tell newbies

    Tenebrae replied to JBudd's topic in Patient, Colleague Relations

    In district/community nursing (in winter or any other inclemment season) always carry a warm jacket, pair of gumboots and a dry pair of
  18. Tenebrae

    Do you ever contend with pesty ancillary staff?

    Tenebrae replied to RNdynamic's topic in Patient, Colleague Relations

    One of the worst ever experiences was as a student nurse working on a busy surgical ward for my final placement prior to sitting states (NCLEX) exam and graduating. It was one of those shifts, you...
  19. Tenebrae

    New grad in hospice = doomed?

    Tenebrae replied to aphillipi's topic in Hospice, Palliative

    I'm just entering my second year (new grad last year) in district nursing. We do alot of palliative care. Best advice I could offer, dont panic about what you dont know. Never be afraid to say to a...
  20. Tenebrae

    What is the most nightmarish medical bill you ever saw and how did it get payed?

    Tenebrae replied to Alnitak7's topic in Activism, Healthcare

    Worst bill i ever had $130 to have a guided procedure to be done under