jdub6

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All Content by jdub6

  1. jdub6

    Clinical Skills to Review

    jdub6 replied to frank27's topic in Camp

    I realize this is old but another thing I would recommend with the special needs week is to find out as much as you can about the campers baseline. If they are prone to, say, coughing spells but need...
  2. jdub6

    Family refuses care

    jdub6 replied to NamasteN's topic in Long Term Acute Care

    From a hospice perspective: this is a tough one. Whether/to what extent the ankle should be fixed to maximize comfort is different for each pt. I have seen these situations in hospice before (no...
  3. jdub6

    anxiety vs. agitation; Ativan vs. Haldol

    jdub6 replied to aging1's topic in Hospice, Palliative

    Jdb_1979 asked about the regs restricting haldol administration in ltc/alf. Recently there has been HUGE media backlash against "drugging elders" with psych meds, and at least in my state they are...
  4. jdub6

    Bartender...hospice...next?

    jdub6 replied to pizzaanddisney's topic in Hospice, Palliative

    From what you said about your talent for sales and wanting hands off nursing with more emotional support needed by pt/family and less charting, hospice admissions may work well for you. You do have...
  5. jdub6

    Thinking of leaving hospice

    jdub6 replied to NurseStephy80's topic in Hospice, Palliative

    Ditto the above. That call schedule is certainly not the industry norm. Perhaps there are geographic areas without alternatives but in my area there is variety among agencies and some have minimal...
  6. jdub6

    This isn't the hospice I used to know

    jdub6 replied to jeannepaul's topic in Hospice, Palliative

    No, you are not alone. All the staff I know, new or not, are frustrated with inappropriate admissions and levels of care. Not uncommon to see pts on their second YEAR or beyond (some in the 4+ year...
  7. jdub6

    Conflict with fellow nurse regarding Dilaudid administration, please help!

    jdub6 replied to NYCRN21's topic in Pain Management

    I like the advice above of looking back to see how the pt's vitals looked with prior doses-if the bp is really his baseline and the med is q3, which I took to mean atc based on the op, then you should...
  8. jdub6

    Annoyed -just a vent

    jdub6 replied to Flare's topic in School

    I am not ranting here. I just want to thank you all for doing your job and caring about your students and this seems like a good place to do so:) When I was young, I had a school nurse who took me...
  9. jdub6

    Make the call to CPS

    jdub6 replied to zombieghoast's topic in School

    OldDude: From the OP, the prompts to call the hotline came from SW due to "being sick of the kids behavior" and there were several comments about the mother and grandmother's lack of cooperation in...
  10. jdub6

    Drug Seeker Stories

    jdub6 replied to ER-RN2's topic in Emergency

    (The above was from Nicole5128. Still can't get the quote thing to work exactly right.) Please don't mistake this for disrespect as I am enjoying the humor as much as anyone. But, abscesses are...
  11. jdub6

    Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jdub6 replied to madwife2002's topic in Dialysis, Renal, Urology

    Thank you everyone! This is something you hear a lot about but never get to experience at all unless you specialize (where I've worked we weren't even allowed to change a wet or half-off dressing on...
  12. jdub6

    3rd Grader Pooping Pants to go Home

    jdub6 replied to lifelearningrn's topic in School

    Like the post above, depending on where you live there may well be a nearby clinic, whether a primary care provider who has a niche or a fancy specialist comic. Whether jr's insurance covers this is...
  13. jdub6

    Make the call to CPS

    jdub6 replied to zombieghoast's topic in School

    Yikes that was long. I get carried away sometimes, especially as devils advocate. I forget no one will finish it. Anyway, I finished The Great American Novel, I saw your title again with the...
  14. jdub6

    Make the call to CPS

    jdub6 replied to zombieghoast's topic in School

    I will say up-front that my peds experience has been acute and not school, and most of my fair amount of experience with what is dcf (department of children and family services-supposed to sound less...
  15. jdub6

    Pregnancy Work Woes

    jdub6 replied to Barbie8808's topic in General Nursing

    In ltc this became enough of an issue that a staff meeting was held with the administrator saying that if anyone was unprepared to perform their duties(to my knowledge all staff nurse/aide/tech...
  16. jdub6

    Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jdub6 replied to madwife2002's topic in Dialysis, Renal, Urology

    I was browsing some of the other dialysis threads and now have one more question: I know dialysis pts can have serious problems/intolerance during treatment and several people have mentioned the...
  17. jdub6

    Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jdub6 replied to madwife2002's topic in Dialysis, Renal, Urology

    Thank you! And very impressive summary of the whole procedure (#1) :) I apologize for the confusing questions, again, I really know next to nothing about dialysis. Less complicated question: it is...
  18. jdub6

    Vent about toiletting patients

    jdub6 replied to SleeepyRN's topic in General Nursing

    A hospital I worked for tried to implement a policy that ALL staff must answer every call light they see....including housekeepers, maintenance, etc. The non-clinical staff attended an inservice on...
  19. jdub6

    Diabetes Mellitus

    jdub6 replied to DaveAlmendarez's topic in Nursing Student Assistance

    As a former peds nurse, I am MOST impressed that you got that thing on there well enough to stay on while he ran around and still be secure enough to collect the sample without, um, turning into a...
  20. jdub6

    I am my own worst enemy

    jdub6 replied to nursingaround1's topic in General Nursing

    I am new enough here that I wouldn't normally dive into a, um, controversial (?) Thread like this. However, as a former military kid I need to jump in and say, to give the op reasonable doubt, the...
  21. jdub6

    Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jdub6 replied to madwife2002's topic in Dialysis, Renal, Urology

    Oh good, renal/dialysis is my weak spot for sure. I have tons of questions...trying to think of what I need to know the most... 1. Can you describe the dialysis procedure, what you do when the...
  22. jdub6

    Pts handpicking assignments, and refusing nurses of opposite gender?

    jdub6 posted a topic in Patient, Colleague Relations

    I'm an old lurker, new poster around here. Although I work in s specialty I'm posting this here because I think it applies to most nursing areas. This is a partial vent and partial request for input....
  23. jdub6

    That one random nugget of information from nursing school that you've never forgotten..

    jdub6 replied to blah_blah_blah's topic in General Nursing

    I had a friend who worked in a nursing home years g decades) ago and used to have a man who called regularly all turned on and breathless asking "do you have your TED hose on?" There's someone out...
  24. jdub6

    That one random nugget of information from nursing school that you've never forgotten..

    jdub6 replied to blah_blah_blah's topic in General Nursing

    Yes, I actually was not taught this in school but in practice and have found that there are bladder spasms if like 1 liter or more is drained but those are occasional...what I've seen more frequently...
  25. jdub6

    To The Point Where I Want to Cry

    jdub6 replied to BambiBelle07's topic in Patient, Colleague Relations

    I agree with the above. I worked as an assistant in an office while in school. The one provider who worked the same days as me saw me as an inconvenience (she didn't hire me and made it clear she...