jdub6

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All Content by jdub6

  1. jdub6

    Breaking confidentiality?

    jdub6 replied to milesims's topic in HIPAA Challenges

    Not sure what the technicalities of Canadian law are. In the US, it is only a violation if the pt can be identified by the audience. So, since I have never divulged even what state I am in much...
  2. jdub6

    when you feel creeped out

    jdub6 replied to menot's topic in General Nursing

    Agree that in most cases you just need to put on your no nonsense face and professionally but quickly finish up and get out of the room. Typically as others said you can rotate problem pts but not...
  3. jdub6

    HELP! Masking the smell of feces!

    jdub6 replied to WhitneyRene's topic in General Students

    Good idea and nice to be sensitive to the pts feelings but keep in mind that applying chapstick in clinical areas (and sometimes even the nursing station is a clinical area) is against OSHA and...
  4. jdub6

    Coughing/Choking Patients

    jdub6 replied to jetstream13's topic in General Nursing

    I agree, you did the right thing. People freak when they see someone "choking." In hospice families would panic all the time about terminal congestion because they thought the pt was choking when in...
  5. jdub6

    A Newly Defined Type of Constipation: Opioid Induced Constipation

    jdub6 replied to Brenda F. Johnson's topic in General Nursing

    Although I agree that senna plus usually works just fine if you give enough, I have heard that most laxatives actually can cause permanent motility problems if taken chronically (not sure I've ever...
  6. jdub6

    any advice for sleeplessness with ALZ patient

    jdub6 replied to heynow1313's topic in Geriatric, LTC

    Just a note, these behaviors can be signs of frontal lobe dementia rather than alzheimers. As someone else said geriatric psych or even just a good geriatric internist can help both diagnose...
  7. jdub6

    Pain managment for the old old population with Alzheimer's and expressive aphasiia

    jdub6 replied to tpnurse95's topic in Geriatric, LTC

    I absolutely agree that nurses need to assess for pain and advocate for these pts. I find that in many cases like the one in the OP, where the family either provides or is involved in care, that...
  8. jdub6

    Excessive use of Omeprazole or Protonix

    jdub6 replied to GRAB1's topic in Geriatric, LTC

    I believe this has a lot to do with core or quality measures for hospital discharge. Numerous conditions and meds are seen as "every pt with this must be on ppi." Most md,resident and student notes I...
  9. jdub6

    Is this a hipaa violation?

    jdub6 replied to NurseRatchedTheBest's topic in HIPAA Challenges

    I may be wrong but I believe violations are determined based on what was said and not who was listening. Unless what you heard was specific enough that you could be sure it was your mother and not,...
  10. jdub6

    Missing narcotics

    jdub6 replied to karenrn111's topic in General Nursing

    Agree with others that if this facility for reason does not log their pharmacy deliveries and count both full and used cards that this should be instituted immediately. That is probably something...
  11. jdub6

    Clipping nails at nurse's station

    jdub6 replied to BillieP's topic in General Nursing

    This reminds me...We once had a tech with dreads who would take a pitcher of water to the desk and a bottle of shampoo and dip the dreads in one at a time, lather them up and rinse, then on to the...
  12. jdub6

    My father's health information

    jdub6 replied to Catcar1963's topic in General Nursing

    This thread has become very complicated. Since the OP and others have stated that the main issue is whether she has a duty, AS A NURSE, to respond, I will just give my opinion on that: It seems...
  13. jdub6

    Patient refusal to shower-neglect?

    jdub6 replied to MissxPriss's topic in Patient, Colleague Relations

    As long as the pt is truly aaox4 as you stated, and reasonable alternatives have been offered, I agree that they have the right to choose. At one facility where a number of residents had chronic...
  14. jdub6

    Hospice: True Death Sentence?

    jdub6 replied to jeastridge's topic in Hospice, Palliative

    I think this is an excellent example of why hospice admission and primary nurses are so important. Careful assessment and reassessment is vital to ensuring the pt gets the right care at the right...
  15. jdub6

    Failed state survey, RN license at risk?

    jdub6 replied to elimayrn's topic in Hospice, Palliative

    I'm no state surveyor but I would think it depends on what the problems were. I do NOT think that if an employer is prohibited by CMS that all their employees are automatically excluded as well,...
  16. jdub6

    Adderall tabs question

    jdub6 replied to Cattz's topic in School

    I second others who recommend getting an order. This is often required in ltc "may crush appropriate meds and give in food or beverage. " your local or hospital pharmacy should be able to help with a...
  17. jdub6

    Patients declining certain staff to take care of them

    jdub6 replied to dialysisnurseLC's topic in Dialysis, Renal, Urology

    I don't do dialysis bUT see this all the time. If your mgr says you did everything right, just let it go. No pt or family is going to like everyone. Personalities clash. You may look like his...
  18. jdub6

    This isn't the hospice I used to know

    jdub6 replied to jeannepaul's topic in Hospice, Palliative

    The pt described admitted for "end stage dementia" that was actually a language barrier who declined after stopping therapies that had been helping is heartbreaking and a perfect example of the harm...
  19. jdub6

    anxiety vs. agitation; Ativan vs. Haldol

    jdub6 replied to aging1's topic in Hospice, Palliative

    @CapeCodMermaid, good point and thank you-so often I am frustrated as an inpatient nurse when we get a home pt because "we have him his 0.25 of ativan q6and he is still restless!" The pt arrives,...
  20. jdub6

    LPNs in hospice?

    jdub6 replied to 4boysmama's topic in Hospice, Palliative

    Not in your state but mine is very similar in relations and our hospice uses both rns and lpns on call. At this point there is almost always an lpn working each on call shift (with an rn). The rn...
  21. jdub6

    Dedicated Psych Nurses

    jdub6 replied to LoveMyBugs's topic in Emergency

    I must admit I have no experience with this scenario, but I want to say I think it is an EXCELLENT idea to have specially trained nurses who are interested in psych deal with the psych patients....
  22. jdub6

    Volunteering with encumbered license

    jdub6 replied to dekyrn's topic in Nurses Recovery

    Out of curiosity why are you looking to volunteer as an RN? Are you not allowed paid employment? There are many places you can volunteer in a non clinical capacity that would not need to know...
  23. jdub6

    Recovery experience translatable to resume?

    jdub6 replied to zephyr9's topic in Nurses Recovery

    No no no! Never on resume. I agree that the homeless shelter experience etc could go on there, but nothing about your personal struggles. Even if the employer is recovery friendly they may worry...
  24. jdub6

    Back after multi year hiatus and in monitoring

    jdub6 replied to SororAKS's topic in Nurses Recovery

    Having completed my program (different state) I would say give as few details as possible. I personally would not submit workbook copies. Can you get people to sign off on your attendance at...
  25. jdub6

    Pregnancy Work Woes

    jdub6 replied to Barbie8808's topic in General Nursing

    To the poster who mentioned being on intermittent fmla due to hyperemesis and unable to handle one specific task at work (T-Bird78)(quote function does not work on my phone sorry!): the BIG...