annabanana2

annabanana2

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All Content by annabanana2

  1. Flavored formula for feeding tubes

    Ensure comes in butter pecan flavour. I had a palliative gentleman who looooooved to mix it with his coffee. I've also seen the "veggie" flavour formula that mercurysmom mentioned (Compleat) when I...
  2. New to methadone nursing

    I'm Canadian so maybe we do it differently than you guys. Our folks who are on methadone get a script from a physician and go pick up their methadone every day from whatever pharmacy it is that they...
  3. New to methadone nursing

    I work with approximately a zillion clients who are on methadone. I find it hard to believe you would rather a 30-year-old guy with a raging heroin addiction buy his drugs, six or seven times a day,...
  4. Does everybody want to be a NP?

    For me, this has definitely been the case. I've noticed that when I was a student, as well as a brand-new baby nurse, I felt that the NPs I had worked with, as well as others with more advanced...
  5. Domestic Violence: Rebuilding

    I have not lived through anything even 1% as harrowing as the story described - I've never had a partner physically hurt me and I've never feared for my life as a result of my partner's violence. I...
  6. 5-year-old chooses heaven over hospital

    The truth is, "hospital or heaven" isn't really the option. "Heaven" is happening either way. The choice is between "going to heaven" from home, or from the hospital. In this case, the little girl is...
  7. How long is your commute?

    I walk to and from work, it's about 25-30 minutes depending on if I power-walk or stroll. I'm in home health and our area is exceptionally dense, so I walk to and from all of my visits as well. The...
  8. Getting over a med error, what now?

    This isn't always the case with every school. When I was in school (only a few years ago) we had one clinical instructor for six or seven students, often spread out over two or maybe even three units....
  9. So did I! Now under most circumstances I can type 100+ WPM. It's come in real handy. Before instant messengers I had learned to type with those silly computer games - specifically the one with Mario...
  10. A good shift, or a bad shift? It's not up to you.

    I work with a wonderful team at my current job and we are helping each other out constantly, every day. My favourite memory of excellent teamwork, however, was from when I was a student. I had...
  11. New nurse errors/feeling down

    The truth is there's absolutely no way to know for sure if you did miss something or didn't; or if you somehow infected the wound. We will never know. So why beat yourself up about it? All that'll do...
  12. Odd interactions

    And somehow I (a person who can do all their own ADLs and everything) am still single.
  13. Odd interactions

    Saw a guy in the ambulatory clinic with a recently drained abscess to his hand. Given that 99.9% of our clients get their abscesses by using IV drugs I started to chat with him about where he gets his...
  14. GA Teen Contracted HIV from a hair weave? Really?!?!

    Actually symptoms within 2 weeks is perfectly appropriate. Acute HIV infection occurs within 2-4 weeks from exposure and feels like a really awful flu. Lots of good info from a reliable source here if...
  15. GA Teen Contracted HIV from a hair weave? Really?!?!

    Agreed, especially considering whoever she contracted it from needs treatment too, for their own health and the health of anyone else they're
  16. GA Teen Contracted HIV from a hair weave? Really?!?!

    It's still incredibly difficult and rare to contract HIV via oral sex. One of the ID physicians I have worked with has said the risk is "theoretical." I think the most likely scenario is a) she has...
  17. Question from a clinical instructor

    I honestly think the most useful thing would be to read up on various wound care products - whichever ones happen to be on the hospital's formulary. If you don't know what the products are for or what...
  18. Help! MS Contain vs Roxanol reaction

    It's so interesting to see how you folks in the US do things. Up here in the great white north (in my area at least) there's no such thing as being "declared palliative" or "hospice certified." Home...
  19. Universal Precautions

    I work in the community and for 2 or 3 weeks out of the year we do a "flu blitz" with a team going around doing nothing but administering flu vaccine all day long. I've given hundreds of flu vaccines...
  20. PICC dressing will not adhere

    Our protocol for "unhappy" skin under PICC dressings in the community: 1. Ensure your cleanser has had enough time to dry. Typically we're told to give 90 seconds per swab. If things aren't going...
  21. when THAT family "fires" you

    I have been grateful before when a patient has passed. No shame. I obviously didn't make that known at work, but definitely went home and was quietly
  22. Checking O2, suction

    As a student I was taught, at the beginning of every shift, to do a safety check on all of my patients, including turning on the suction and O2 briefly to make sure they're working; making sure the...
  23. 9/5 What I learned this week.....

    I am so so so glad for my coworkers. Our coordinator (like a permanent charge nurse) is off on vacation and his replacement has been sick, and thus, I was second in line to the throne. On top of all...
  24. Pt diverting pain meds, managers aware, nothing is done!

    Surely there is no market for soiled drugs? Oh man. I wish. I have clients that will swallow their methadone at the pharmacy (which is a liquid, by the way, and witnessed ingestion) then go back out...
  25. Best MD note

    We had a home health palliative care client referred to us, expected to decline very quickly, only diagnosis listed was "the chronic crumble." Just a very old man going south very fast and who is not...