Ruthiegal

Ruthiegal

LTC, Disease Management, smoking Cessati

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All Content by Ruthiegal

  1. Having a hard time with less hygienic patients

    Ruthiegal replied to Manatee111's topic in General Nursing

    It can happen anywhere, sometimes people just can't manage a shower alone, and are too embarrassed to ask a family member to help. Sad. I know. but you can only do so much at the sink. It could be...

  2. Why is my pt's blood glucose so high?

    Ruthiegal replied to Bumashes's topic in General Nursing

    Is he getting fluids? If he isn't eating well, is he drinking well, or on IV fluids. Dehydration can cause a rise in blood sugar as

  3. I am a very young nurse. Will my patients be frightened?

    Ruthiegal replied to youngandnursing's topic in General Nursing

    Shouldn't be a problem unless you have a big green wart on your nose! Just kidding...go in and show em what you got and you'll do

  4. Does a doctor have to write discharge home on an order sheet

    Ruthiegal replied to ashland's topic in General Nursing

    Yes, you always need an order. Think of it this way, most everything needs an order, verbal or written, even to let the patient burp. I know it's absurd but it will help you remember to check for...

  5. Confrontation with a Visitor

    Ruthiegal replied to Jo Dirt's topic in General Nursing

    What should I do about this next time? It looked like an act of sexual assault to me (at the very best it was terribly disrespectful to the patient) and I felt like I should intervene THEN, not stand...

  6. Abandonment

    Ruthiegal replied to kamani811's topic in General Nursing

    Wow that's pretty rough talk there... She hadn't taken report, so who did she abandon? She did not accept the work load.... She was looking for advice, on how to handle these things, maybe she should...

  7. Mispronouncing a word makes you less of a nurse

    Ruthiegal replied to Unique87's topic in General Nursing

    I can't believe this kind of stuff. It doesn't make or break you if you pronounce something wrong and it doesn't make you less of a nurse. I challenge anyone to be able to pronounce some of those...

  8. Past work history in hospital background check??

    Ruthiegal replied to CeceRN's topic in General Nursing

    i have to disagree, we all hit bad spots in our lives that may leave a mark on the credit report. i've been there, done that, and now am doing fine. i didn't lose my trustworthiness, responsibility...

  9. what would u do?

    Ruthiegal replied to smartnurse1982's topic in General Nursing

    I would have done an incident report to be on the safe side, and let the Supervisor know what had happened and document well that there appeared to be no visible

  10. I HAVE HAD IT!!!!!!

    Ruthiegal replied to raidermom's topic in School

    I do telephone triage and find that often the parents are more concerned about going to work than the health of their child and how that may impact their schoolmates. I even had one mother who was...

  11. what is better study technique?

    Ruthiegal replied to mashamontago's topic in General Nursing

    Get a good night's sleep, then prime your mind before the exam. Take some time just before the test and slowly look through your notes, no cramming, just priming the thoughts in the right

  12. Nothing like a good kick in the face

    Ruthiegal replied to abbaking's topic in General Nursing

    Ouch! try having a confused little old lady no bigger than a minute grab the tender part of your upper arm on the underside and giving you a hard twisting pinch and not letting go!!!!! I had a bruise...

  13. Advice on difficult resident/vent - sorry for length!

    Ruthiegal replied to evilolive's topic in Geriatric, LTC

    Does he have pain? My dad would get that way and we would ask him if he was in pain, he said no, but if we gave him his pain medications he would calm right down. Just a thought. Sometimes even...

  14. Is non-pitting edema graded 1-4?

    Ruthiegal replied to smstar1996's topic in General Nursing

    Try this: Also I could find no reference to grading non-pitting edema. We always measured extremities to assess the degree of swelling, and the nature of the skin, taut, shiny, weeping etc. I have...

  15. Health Dialog ??

    Ruthiegal replied to loricatus's topic in Telephone Triage

    I work with their Tool the Healthwise Knowledge Base for my job as a RN-Health Coach for an insurance co. I have been using there tool for the past 7 years. I have heard they are a good company to...

  16. Do you think removing an NG tube is "killing someone"?

    Ruthiegal replied to krenee's topic in General Nursing

    I feel you are NOT killing someone. You are following either their wishes per Living Will or the family wishes after they realize their loved one is gone from them with no hope of recovery. Letting...

  17. vent--angry patients--your input

    Ruthiegal replied to RN4911's topic in Emergency

    He was cursing at you and that is inappropriate behavior. I would have said something similar such as " Your behavior and language is inappropriate, when you can calm down I will be back to help...

  18. RN stealing from my facility

    Ruthiegal replied to levelee's topic in General Nursing

    Wait, what happened to innocent until proven guilty. How do you know this nurse took your BP cuff. Did someone see her take it or see her with it? I wouldn't be too quick to pin on blame, until you...

  19. good management or complete contempt for staff...what's your thoughts please?

    Ruthiegal replied to scared'o'needles!'s topic in General Nursing

    Said NC was covering her own bottom. She didn't want to be bothered with covering shifts if someone became ill with the norovirus. Shame on

  20. Staying for Meetings after Your NIGHT SHIFT!

    Ruthiegal replied to dRkazN's topic in General Nursing

    how about scheduling the meeting a little later, allow the MN shift to go home, and set up a teleconference so they can call in for the shared info? Yes you still lose a couple of hours sleep time...

  21. Unemployment in Michigan and college

    Ruthiegal replied to MandyinMichigan's topic in General Nursing

    Have you tried Michigan's No Worker Left Behind services? You should ask about that or check into it on the Mich.gov web

  22. Are call backs HIPAA violations?

    Ruthiegal replied to pm2rn's topic in General Nursing

    Do you have to say why you are calling in the message? Can you just say this is Nurse, RN from Charity Hosp. doing a follow up, please give me a call when you can. leave phone# and extension if...

  23. Any smokers Out There?

    Ruthiegal replied to rustyshackleford's topic in General Nursing

    That's the key "never stop quitting". Also get some help, support programs, nicotine replacements, medications short term. I quit with Nicoderm patches several years ago. I also helped to...

  24. How do you deal with.....?

    Ruthiegal replied to RN_in_SC's topic in Emergency

    It may be exhausting but think about the judgement you are making. They may be uneducated or ignorant, but maybe that isn't their choice. Not everyone can find a way to go to college and better...

  25. My son called me lazy for being sleepy during the daytime!

    Ruthiegal replied to momofdandm's topic in General Nursing

    I would make them stay up the same hours as you work for a couple of days, then see how they adjust. I think that would get thier attention. I work midnight shift and have never been called lazy for...