vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    Too many absences for transfer

    I've worked at places that require you be in "good standing" to transfer, but the criteria was always clearly spelled out including # of absences that were acceptable. I don't believe that I've ever...
  2. vampiregirl

    My narc count was over!

    My supervisor also suggested to me that the narc book is visible to the (oncoming) nurse who is counting the cards. It just takes me a second to verify for myself that the number the outgoing nurse...
  3. vampiregirl

    Health of Staff when working on the floor!

    Yikes! Have you checked the company policy for yourself? It may be worded so that employees don't leave cups, bottles etc of drinks laying around or "hidden" on the units. I know there is always a...
  4. vampiregirl

    Doula volunteering worth it?

    First of all, what are the training and time requirements for this program? Is it something workable for you around your family/ school schedule? If you are interested in this L&D unit, then this...
  5. I'm not sure about the legal particulars in California. I just wanted to chime in to encourage you to make sure you've adequately documented - not only that the patient refused, how many times you...
  6. vampiregirl

    dementia pt/wants out

    If all else fails and they do get out (and the weather isn't going to cause any immediate danger), someone should stay with them. Sometimes a quick (or slow) walk around outside and they can be easily...
  7. vampiregirl

    Will I be held responsible ?

    I'm guessing incident report requirements vary by facility, where I work an incident report is only used (in regards to elopement) if the resident actually left the facility. Attempts are not the same...
  8. vampiregirl

    Would you give Lantus without BG check?

    Another piece to this puzzle is if the patient takes any oral diabetes meds, especially if they've had any recent med
  9. vampiregirl

    Refusing Patients' Requests: Can it be done?

    Gee, thanks for the referrals to LTC:) I can't think of a single example when it's appropriate to ignore a call light. Even if it's someone who usually has trivial requests, the one time you ignore...
  10. vampiregirl

    drawing blood

    There are so many types of "safety" angiocaths available today... it is part of being familiar with your equipment to know when to initiate the safety feature. If there's not an insert w/ the angios,...
  11. vampiregirl

    Need help to convince parents!

    The best option for me was ADN, and I plan to return to school to obtain my BSN. However, I didn't get my RN until I was 35 because I couldn't figure out what I wanted to be when I grew up and I...
  12. vampiregirl

    Jevity from liquid to coagulation consistency

    I care for a resident who had been on a higher jevity rate, and have had some coagulation issues in the g-tube once the rate was lowered. We use the ready to hang bottles. As long as I make sure the...
  13. vampiregirl

    discontinuing pressure alarms

    I work at a facility that uses pressure alarms. We are also a restraint free facility. While the pressure alarms themselves don't prevent falls, I support using them. I find that if more emphasis is...
  14. vampiregirl

    An Interesting Conundrum......

    Canesdukegirl - I chuckled when you inquired if the op was a firefighter or paramedic... that's my background and I have some of same personality traits that the op described. I have just always...
  15. vampiregirl

    How's My Mom iPhone app

    I could see some HIPAA concerns. However, who on earth has time to update all of this info every week? Most days I struggle to complete my already long list of required paperwork in a timely manner....
  16. vampiregirl

    Interview tomorrow - Need tips!

    As a nurse who supervises CNA's, I can tell you my basic expectations are to keep my residents safe, clean and well positioned (if they can't position themselves). I also want them to be able to...
  17. vampiregirl

    Clothing protection ideas

    I'm looking for ideas for residents who drool to protect their clothing, as well as their dignity:) I'm not ok with a plain towel draped across them and constant clothing changes just aren't feasible...
  18. vampiregirl

    Georgia Regional Hospital of ATL

    When I interviewed for positions, I didn't feel comfortable bringing up salary. However, I did some research to familiarize myself with salary ranges in my area. That way if the interviewer brought up...
  19. vampiregirl

    Clothing protection ideas

    Actually the only kind of needles I'm even allowed near are medical needles and I'm not looking to be an inventor. This is just an issue that has really been bothering me lately and I picked the...
  20. vampiregirl

    Unsafe ?? Need opinions....

    We are set up a little different at the LTC where I work, but I ran into some of the same concerns as you have encountered when I first started. One thing I did was figure out who had meds that are...
  21. vampiregirl

    Do you bag your bodies naked?

    I have worked at two different very different nursing homes... at each place we always give the deceased a full bed bath and put them in a clean gown. We also put a clean chux under the body to absorb...
  22. vampiregirl

    saline nebulizer

    Do you have an physician order or is there a protocol in place for the saline nebs (such as administering humidified O2 via
  23. vampiregirl

    Missing Narc.....but for how long?

    Where I work we occasionally get a card with a sealed bubble, but no pill. We mark the front of the bubble with a sharpie and error-correct the number received in the narc book. It then must be...
  24. vampiregirl

    How far do you force meds?

    If the resident is able to verbalize why they don't want to take their pills, try asking them. Some are worried that the pills will get stuck - try having them take a drink first or offerring...
  25. vampiregirl

    No gloves ever?!?

    Ok, I'll admit that there are occasions when I should be wearing gloves according to protocol, but don't. However, in the situations that the OP described, I guarantee I'd have gloves on! On the other...