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cjkekoa

cjkekoa

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  1. cjkekoa

    J-tube. RN/LVN

    pt is nonverbal with profound intellectual disability and has gone to see a cardiologist who stated to "ignore slow pulses" what he actually wrote in his progress notes. Has had episodes of HR in the 30's, lethargy, and not easily aroused from being asleep when hr is low. Cause is unknown. I just wanted to know if there was more that I can do to advocate for the pt. EKG was normal
  2. cjkekoa

    J-tube. RN/LVN

    duplicate
  3. cjkekoa

    J-tube. RN/LVN

    Thank you everyone for your input. It's all been very helpful. Resident has g-tube with gastric drainage bag connected which is measured q shift. I train by all policies and procedures just to clarify. She had also read all the p&p. I am very grateful for all the input and appreciate the kind words.
  4. cjkekoa

    J-tube. RN/LVN

    Hi all, I am an Lead LVN in a facility and I am the one who has to train all new nurses. RN and LVN alike. I have a new grad RN and we have some disagreements on a few things. I could definitely be wrong so I wanted to clarify. For J-tube I had informed her that we do not check placement, aspirate, or put air in the j-tube. She said she checks placement by putting air. For bradycardia, would a pacemaker be beneficial? She has informed me that they are only for people who's hearts stop beating. I try my best to help anyone new and let them know to ask me any questions if they are unsure, and help them do things accordingly to protocol if I see it is being done incorrectly, sometimes I feel that because I am an LVN they refuse to listen to what I have to say. I have been with this company for over 5 years as a lead. I understand in the medical field, we are constantly learning new things or new ways of doing things. I just want to be sure I'm training the nurses correctly, if I am incorrect I would want to make sure things are being done the right way. Thanks in advance for any advice.
  5. cjkekoa

    abdominal distention

    my patient is on gt feeding and has increased abdominal distention, his gt is in place and no residual noted. His abdomen is very hard. what can I do to decrease distention ? when i checked residual i had air come out of the gtube after i closed it and opened it to recheck to make sure. i do not want to start his gt feeding until his distention has decreased. his vital signs are WNL
  6. cjkekoa

    gtube re insertion

    is gtube re insertion a sterile procedure ? i.e. emergency situations to put the new gtube with aseptic technique ?
  7. cjkekoa

    correct wording ?

    he is nonverbal and unable to make needs known. But during cleaning he did not seem to be in any pain or discomfort
  8. cjkekoa

    correct wording ?

    no drainage or swelling noted.
  9. cjkekoa

    correct wording ?

    I noted my patient to have a small open area on the left side of his scrotum. It was not there yesterday on my shift. What correct wording could I use to describe it and tell md. It is not an abrasion or laceration.
  10. cjkekoa

    charting advice

    Thanks so much.
  11. cjkekoa

    charting advice

    I am an LVN, and still learning how to chart well. My resident just has a small scratch on the right side of his neck close to his tracheostomy or near his adam's apple. How could I chart this ? there is no drainage, looks superficial. the shift before me did not endorse this and I noted it during trach care.
  12. cjkekoa

    charting advice

    I am an LVN, and still learning how to chart well. My resident just has a small scratch on the right side of his neck close to his tracheostomy or near his adam's apple. How could I chart this ? there is no drainage, looks superficial. the shift before me did not endorse this and I noted it during trach care.
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