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vampiregirl BSN, RN

Hospice

Content by vampiregirl

  1. vampiregirl

    Need some interesting ideas for a presentation

    I used to be the manager at a MR/DD group home, with most of my residents being geriatric. Since it's for a nursing class, you would probably need to modify parts of it, but I think the general concept might have some potential... my objective was to address the effects on the sensory systems as aging progresses. I've also done these at a community health fair: Eyesight- swimming goggles with the lenses scratched (very scratched) Tactile- heavy gardening gloves Hearing- cotton or earplugs I then had the particpants try to do simple ADLS- buttoning a shirt, reading a newspaper article, having a conversation, opening a pill bottle and removing 1 "pill" (m&m), etc.
  2. vampiregirl

    Need Common Phrases in Spanish

    I'm not sure if they have them specifically for nursing, but there are several wonderful "pocket" spanish guides for EMS personnel. The EMS versions would probably work fine. The one I use has lots of comprehensive assessment questions. Granted, EMS and nursing assessments are somewhat different...
  3. vampiregirl

    Venting about a new CNA...this is really, really long!

    I too agree that Daytonite's advice is excellent- obviously very clear communication (blunt!) and directions are necessary. I've worked with a couple of CNA's who have some of the behaviors/ characteristics as cotjockey's CNA. Most either seem to get their act together quickly or end up leaving... a few stay forever and try to make everyone's life miserable. Maybe having someone who isn't intimitated by her, won't put up with her antics/ attention seeking behavior and is willing to work with her will help her get her act together. I think it is very admirable of cotjockey to be putting the effort to resolving this situation. It sounds like she has the basic skills necessary to do a good job as a CNA. However, it will be her attitude that stands in her way. Good luck!
  4. vampiregirl

    nursing magazine

    I've noticed there are a variety of general nursing magazines/ journals. Which one(s) do you read regularly and what do you like about it?
  5. In Indiana we also have EMT-BA (formerly EMT-A) - Advanced Emergency Medical Technician.
  6. vampiregirl

    Latex allergy but still want to be a nurse

    Hello- I'm not a nurse yet, but I've worked as a CNA. I have a latex allergy and it's not been a big deal for me. Your employer should provide you with the necessary gloves, although they may require a doctor's note (I just had my doctor write one note and I kept the original and provided employers with a photocopy since I work at several places). Another poster mentioned knowing sources of latex in equipment you work with. Many newer items are "latex free", but some things I've encountered are older BP cuffs and some older stethoscopes. My biggest problem has been rubber bands. If you would like some links to reputable sites with allergy info, PM me.
  7. vampiregirl

    My Hands Are A Mess! Which Lotion?

    Great idea with carrying your own soap- I hadn't thought of that! I also have no problems with the alcohol gel. As for lotion, personally I like using body cream as hand lotion. I think it's thicker and not as greasy. "Alba" brand products are my favorite (and they smell yummy). I usually use a body scrub to exfoliate my hands in the evening and then apply more lotion. On occasion, I have also coated my hands with vaseline and worn old cotton socks to bed. Finding the right products can be so frustrating. There are so many high quality products available but everyone's skin responds so differently to products. I've got co-workers who use different brands with fantastic luck and then someone else tries the same product and doesn't get the same results. I guess it just takes trial and error (I know for me it did!) to find the right product.
  8. Ok- I'm sure I'm not the only one who has encountered this... I'm a nursing student with a background in EMT-A (8+ years) and as a CNA (2+) years. I work full time as a phlebotomy technician while I'm working on my nursing degree. On several occasions I have heard co-workers at my full time job giving patients medical advice outside what we have been trained on (I guess you could compare it to scope of practice). I think they are doing it with good intentions and they don't realize the full implications of what they are suggesting to people... but it isn't appropriate or safe. I'm not in a supervisory position, these are my peers. And here I'm a phlebotomy technician, not a nursing student, not an EMT, not a CNA. Any suggestions?
  9. vampiregirl

    Looking for some inspiration!!!

    I'm sorry you are having a rough time. You mentioned in your post that clinicals last semester went well. Are there any nurses that mentored you last semester that you could contact for some encouragement and support? Good luck!!!
  10. vampiregirl

    To suspend or not

    Wow- what a refreshing perspective- gives me something to think about. It's so true that often times people thrive with supervision and support. And not just nurses. It seems like a lot of "tools" to identify problems or trends have drifted towards documentation to discipline in reading through threads. Can be disheartening (and scary) for a nursing student.
  11. vampiregirl

    Coworkers giving inappopriate advice to patients

    I do think that my giving a little background on myself was pertinent to my question for exactly the reason that EricEnfermo suggested. I am very conscientious of the boundries of my different jobs, not only from the perspective of protocols/ procedures/ scope of practice, but also the interactions that I have with co-workers (good ol' office politics). I have a good rapport with almost all of my co-workers, I think we work great as a team. That's why I am so conflicted when I've heard co-workers giving inappopriate advice to patients. I don't want to overstep a boundry (i.e. coming across as a know-it-all or rat) because of the great team I'm proud to be a part of. Yet, I've been in the healthcare field long enough to have seen some people who took some well-intentioned advice and it had serious consequences. Just like my co-workers have backgrounds that give them insight into things I don't even begin to understand.
  12. vampiregirl

    My bad night!!

    Doesn't sound like an enlightening experience! ...Sorry, couldn't resist. I was on an ambulance call the other night during a storm and the lights went out when we walked in the residence. For some reason EMS people have a very warped sense of humor, and it tends to come out in the darkest moments. (Ooops, sorry again.) Anyways, you do have my sincere sympathy, your experience didn't sound like a lot of fun.
  13. vampiregirl

    What color is your stethoscope tubing?

    I have a sprague that I used for several years when I first became an EMT that I had one teal tube and one magenta tube (you can order replacement tubing for spragues). Now I have a Littman with gray tubing, but I always have a stethoscope cover on. Some places don't allow them, but I think they're great. I wash mine very frequently so they're not a biohazard. They are inexpensive and lots of designs (holidays, seasonal, fun patterns). They also keep my stethoscope from irritating the back of my neck (when it's hot) and there is absolutely no question ever as to which stethoscope is mine. Plus it's a great conversation piece with patients. I have a couple dozen of these stethoscope covers. I store them in a shoe box- they don't take up much space. Probably you will want to figure out what type of stethoscope you want first, then see what your choices for colors are. Good luck!!
  14. vampiregirl

    What is with the crazy parents?? --vent--

    I agree!
  15. vampiregirl

    What is with the crazy parents?? --vent--

    Good point to remember- we don't know all the circumstances! No, this doesn't make you an uncaring parent... in fact, I think this makes you a great parent... you take care of yourself as well as your daughter. You mentioned that you know your daughter is being taken care of at school or in the hospital. That is a key point. You've temporarily transferred responsibility of care. When I posted my comment about rather dealing with parents who are challenging than parents who don't care, I guess I should have more more clear, and for that I apologize. Unfortunately, I have encountered parents who don't care or don't understand, plain and simple. It's not a judgement, it's an observation. When someone tells me that they "didn't have time" or "forgot" to pick up their childs medication to manage a chronic condition, so I'm taking care of a child who is having complications from this condition. Or they didn't follow up as directed when they are given specific things to watch for and they admit they noticed them... long before it became critical. Denial or being overwhelmed? Maybe... but when this happens repeatedly with the same patient? There are resources available, and when people chose not to take advantage of them, and the same senario occurs again and again, I find it very discouraging.
  16. vampiregirl

    Has anyone ever seen this happen??????

    Thanks for the interesting info LuvMyGamecocks!
  17. vampiregirl

    Abandoning babies at Hospitals LEGAL?!?!

    We have this in Indiana. Our county even has a written EMS protocol for abandoned infants left at Fire, EMS or police stations. Sadly though, it is ones who need this information the most that still don't know about the law.
  18. vampiregirl

    Has anyone ever seen this happen??????

    Great job Lori- quick thinking! I've seen loose dentures partially obstruct an airway (in the mouth), but never deeper than that. A good reminder of the importance of checking ABC's in any emergency.
  19. vampiregirl

    New Policies

    Indiana has a "resident's rights and responsibilities" list and one of them includes a reference to the right to a "homelike" environment. As many previous posters have noted, some resident's prefer to get up early, and some prefer to sleep in. I even had one resident as a CNA that liked to take her shower after the 11pm news was over. I've seen a shift towards creating a more "homelike" environment in LTC. I wonder if maybe the residents of a particular unit were surveyed to see what their preferences were if things would kind of balance out. Even offering choices of times. Probably it would be impossible to grant everyone's frist choice, but often times people will gladly compromise if they are part of the decision making process. I know I've had residents who took significant encouragement to get them into the shower at one particular time of day, but would be waiting at the showerroom door if offered a shower at a different time. I sometimes used a lot of precious CNA time encouraging residents to shower. I also discovered that the more control residents have over their daily schedule, the happier they are. After all, for most of them, they controlled their own schedules for 50 years or so, then come to a strange place where they have no control over their schedule.
  20. vampiregirl

    New Policies

    Wildcard47833- may I ask where you saw the article?
  21. vampiregirl

    Hypoxic drive?

    TriageRN 34- thanks for the info. And do you mean to say that it's not just in Indiana that people treat the machine instead of treating the patient? Okay, getting back on topic, hypoxic drive theory. When I worked at a LTC facility, on several occasions I saw non-rebreathers applied to patients at 2L and 4L. In fact, the facility protocols did not allow the nurses to apply non-breathers over 6L. To me, it always seemed logical that this would increase the hypoxia. Is there something I'm not considering?
  22. vampiregirl

    Hypoxic drive?

    While we're on this subject... I'm an EMT and have seen increased attention to the use of portable units in EMS that can measure CO2 levels. The service I work for has used capnometry on intubated patients for several years now, but these new units are used to non-invasively monitor the CO2 levels. While none of our local EMS providers have them, I've read a couple of case studies on situations where they would be a great asset making appropriate treatment desicions... It seems to me that COPD patients would also benefit from this technology, yet I haven't seen or read anything about them being used in the hospital setting (I'm also a nursing student). Is anyone familiar with them being used in this setting?
  23. vampiregirl

    resource during summer

    Hello- I'm still a nursing student, but as I was surfing through the threads, I chuckled as I came across this thread. Years ago I was a camp counselor, and one summer we had an outbreak of lice (over 30 staff and campers were affected). It was quickly brought under control, but the camp nurse wanted to keep on top of things to prevent another outbreak. She didn't want to cause panic among the new campers (some campers stayed for several weeks, so for just one week), so she instituted daily checks for "ticks" for all campers. The counselors were all responsible for these checks. It worked great. I think only one or two new cases of lice were found, but they were handled quickly and quietly- no panic and no embarassment for the camper. However, several ticks were also found. I don't remember a lot about this camp nurse, but now especially as a nursing student, I can really appreciate the way she handled this situation. Thanks for letting me share a camp memory:)
  24. vampiregirl

    I have really messed up.

    I think that llg's suggestions were right on target. No matter who you are, MD, RN, CNA etc, there is always the potentional for mistakes. We are human. Owning up to a mistake can be very difficult, but it is the right thing to do. There will be consequences too, unfortunately. Keep in mind though that people may be watching you closely (oh, why is it everyone seems to know when something is done wrong, and less people know when you do something great), but this can be a turning point for you. People will gain respect for you if handle this situation well... great patient care, following all the procedures and policies, remaining professional if confronted about the situation. Good luck to you.
  25. vampiregirl

    What is with the crazy parents?? --vent--

    On the ambulance, we get parents of ill patients who can be challenging, to say the least. I had a "aha" moment one day trying to deal with a parent who was being very demanding. This mother was a nurse. As I talked to her I got the impression that she was frustrated because she was a nurse and she couldn't "fix" her baby. Also, as a nurse she knew the long term prognosis for her baby and the worst case senarios- knowledge can be a frightening thing. I try to remember this (ok, sometimes it seems like I reminding myself of this every 20 seconds when I'm dealing with a particularly challenging parents). In the medical field, sometimes we deal with emergencies on a daily basis... but usually they are someone else's emergencies, not our own. Also, I'd (usually) rather deal with demanding parents than with parents that either don't have a clue how serious things are or don't care about their child's illness or injury.
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