icu/don

icu/don

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About icu/don

icu/don has 16 years experience.


Latest Activity

  1. The lactulose was almost the color of the stuff coming out of the patient in the cartoon.
  2. Had one of these moments today when one of our primary nurses called me to her room to verify an increase in a Fentanyl drip. I slowly opened the door a crack to reach the keyboard, when I realized that I was getting mooned by her patient. The prima...
  3. Do you chart lies?

    I have been waiting for a thread like this for a long time. Sounds like the OP is saying that the emperor has no clothes and quite a few are shocked and insist that they always see clothes on the emperor. Where do I start? When I worked long term c...
  4. No, California does not have nursing ratios for nursing homes. Actually the ratios got written into the law, but are not enforceable because of budgetary restraints. The binding staffing in California is hours per patient day. You take all of the ...
  5. RN Salary Survey 2013: Post here!

    Here is a link to an article that might be helpful: http://digital.olivesoftware.com/Olive/ODE/TheModestoBee/LandingPage/LandingPage.aspx?href=TURCLzIwMTMvMDgvMTQ.&pageno=MQ..&entity=QXIwMDExMg..&view=ZW50aXR5 1. Modesto, CA 2. 15 years 3...
  6. Do you have any motivational nursing quotes?

    Nothing would be done at all if one waited until one could do it so well that no one could find fault with it. Newman, CardinalJ Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with ...
  7. look at a current copy of title 22 in california. the ratios for snfs are in the law but they can't be enforced because of budget issues. it would cost the state way too much to implement because medicaid is supposed to reimburse based on cost. th...
  8. lpn as ADON?

    I think I agree with you. but... What is the purpose of the different training? Why not omit the LVN/LPN training and have one licensed nurse? The individual nurse will then develop skills based on the job requirements, their individual learning...
  9. lpn as ADON?

    I know of a ADON in California who is an LVN but acting DON. The actual DON of this facility is actually the DON of the hospital district so I don't think she (RN/DON) has any part in the actual day to day operation/oversight of the SNF. This doesn'...
  10. Pain assessments

    In my facility we (meaning DSD,DON, MDS nurse) put pain assessment on the MAR q shift for anybody on a "pain management program" (meaning everybody on routine pain medicine). If the resident does not receive routine pain medicine, pain is only speci...
  11. icu or don???

    Well, as my name implies, I am both an ICU nurse and a DON. 8 years ago I left a full time ICU position for my current DON job. I stayed on per diem at the hospital and still work there 2 shifts a month. I had about 5 years ICU experience before I ...
  12. How did you hear about allnurses.com?

    Found out about it through: http://home.earthlink.net/~codern2/. This site contains multiple interesting medical/nursing sites. Site focuses on ER nursing.
  13. Calling all ADON's and DON's in LTC

    Culture shock is right!! As my sign in implies, I work as an ICU nurse per diem and DON full time +. I happened to work in my current facility as a CNA for 5years while going to school, so in a way I knew what I was getting into. I would never be ...
  14. ICU nurses - acuity systems?

    Wow!! I guess I am pretty spoiled. Our General ICU of 35 beds is split into three units with a charge nurse for 11-12 pts. The charge nurse does not take any pts. except in an extreme crunch. Sometimes we have up to 3 nurse aides when totally full....
  15. Futile Care Theory

    I think alot of our confusion in this discussion is that we each have different definitions of "futile care." As an ICU nurse, running a full code on a patient that has already been in the unit for weeks, is on pressure control ventilation, is on C...