GLORIAmunchkin72

GLORIAmunchkin72

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All Content by GLORIAmunchkin72

  1. PT INR critical level, not once, not twice

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    The coumadin was withheld yesterday. I don't know about tomorrow or the day after. They have tried different dosages and she has been on vitamin K off and on. Just about the time they think it's safe...

  2. PT INR critical level, not once, not twice

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    This is a long term care facility. I am a QMA. My question was: Was I wrong for insisting that only a nurse should administer her coumadin until her PT is stable over a reasonable course of time. This...

  3. Nursing Issue - Medication Aides

    GLORIAmunchkin72 replied to M&MRN2005's topic in Patient Safety Issues

    For crying out loud, this is supposed to be a free country. No one should force you into a position that you do not wish to be in. There are higher authorities than your bosses. Don't lie down and...

  4. Medication error

    GLORIAmunchkin72 replied to kittiesareus's topic in Patient Safety Issues

    "TECHNICALLY" speaking we are supposed to sign for the med right after we administer. But in reality not everyone follows all the rules to a T. I tend to have the opposite problem. I say, if you sign...

  5. CNA/Patient Ratio Laws

    GLORIAmunchkin72 replied to Aneroo's topic in Patient Safety Issues

    This is why I would have to think very hard before leaving our facility to another one. We have our problems but there are so many nursing homes out there that sound HORRIBLE! I just wouldn't want to...

  6. Medication error

    GLORIAmunchkin72 replied to kittiesareus's topic in Patient Safety Issues

    Witnurse, If you've only made 3 mistakes in 30 years then you are an EXCEPTIONAL

  7. Medication error

    GLORIAmunchkin72 replied to kittiesareus's topic in Patient Safety Issues

    Kittiesareus, Compose yourself and strive to do better. The fact that you are a student means that you in the learning process and have not achieved perfection (yet). Nurses, doctors, pharmacists,...

  8. Nursing Issue - Medication Aides

    GLORIAmunchkin72 replied to M&MRN2005's topic in Patient Safety Issues

    LPN2RN05 Come to our place: we are hurting for LPNs (and CNAs). If I were to compare the nursing entity to a large animal, say an elephant, we use every part of it. Nothing goes to

  9. We have this med order

    GLORIAmunchkin72 posted a topic in General Nursing

    It has been on the MAR to be given BID routinely for 2 months now. The recipient's husband is not in agreement with the doctor's order and demanded that it be given in the morning only. The nurses...

  10. We have this med order

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    why the doctor's sometimes refuse to change the orders. Maybe they just have so much to do that if they don't think it's a life and death situation they just let it ride. Sometimes we have veritable...

  11. We have this med order

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    suppose you're in a court setting and they ask why you withheld so and so's meds for such and such period of time, then you tell them: the "sticky" said to. And they say, "what sticky?" (the sticky is...

  12. We have this med order

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    We have all kinds of little "stickeys" on our MAR, and God forbid you overlook one of

  13. I heard somewhere that flushing pills

    GLORIAmunchkin72 posted a topic in General Nursing

    down the toilet is no longer acceptable practice. What would be a good, safe, legal

  14. Just How do You do It?

    GLORIAmunchkin72 posted a topic in Agency Nurses

    Many of you travel more than an hour from home to strange places through rain sleet and snow to face the unknown and be prepared for anything. Personally I would be scared to

  15. I heard somewhere that flushing pills

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    "Swimming in Steroids" "Dr. Mike Howell found a pregnant 2-inch long male mosquito fish (Gambusia holbrooki) in a creek in Florida! It was male because of the thin elongated anal fin or gonopodium...

  16. I heard somewhere that flushing pills

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    to give your "controlled" meds to someone

  17. What do you think is a major problem in nursing?

    GLORIAmunchkin72 replied to sweetyjen's topic in Patient Safety Issues

    If you don't defend your territory, who

  18. I heard somewhere that flushing pills

    GLORIAmunchkin72 replied to GLORIAmunchkin72's topic in General Nursing

    Down the sink or down the toilet they somehow find their way to the water

  19. Nursing Issue - Medication Aides

    GLORIAmunchkin72 replied to M&MRN2005's topic in Patient Safety Issues

    No. We are not the equivalent of an LPN. We are QMAs. We were taught all those things in class but not in depth. Even though the State board exam only comprised of 100 questions we were expected to...

  20. Should patients be allowed to refuse LPNs and CNAs?

    GLORIAmunchkin72 replied to flashpoint's topic in LPN, LVN Corner

    tell her that it's going to cost this much more"dollar quote" to bring in an extra RN just for her. And tell her you charge xtra for red

  21. how to avoid " throwing in the towel"?at work ....

    GLORIAmunchkin72 replied to Purple Princess's topic in Geriatric, LTC

    You have to have skin about 1inch thick and be able to take a daily "beating" and keep on ticking and be willing to accept the fact that you could be discarded as an unfortunate casualty of war at any...

  22. I Quit (Long Vent)

    GLORIAmunchkin72 replied to ImAnMa's topic in Ambulatory Care, Clinic

    I think the answer is for us to be kind of one another, from the little minnow to the big fish we all have our problems. That is not to mean that we cannot voice LEGITIMATE

  23. Dealing with a difficult co-worker

    GLORIAmunchkin72 replied to Alicia18's topic in General Nursing

    This is one of the reasons why we have shortage of help. Instead of helping new people we run them off! And then we complain that there is not enough

  24. Dysphagic patients and ice chips

    GLORIAmunchkin72 replied to Aniroc's topic in Patient Safety Issues

    We had this one resident who didn't do very well on thickened liquids. We all helplessly watch her go down the tubes from dehydration. It was, of course, unacceptable. The daughter, thank God, stepped...

  25. Dysphagic patients and ice chips

    GLORIAmunchkin72 replied to Aniroc's topic in Patient Safety Issues

    I, too, use toothettes to hydrate my mouthbreathers, but I definitely would not use mouthwash. If they do not have an NPO order I dip it frequently in a cool glass of water. And they desperately such...