Cruella de ville

Sitting in soiled bedding can cause skin breakdown and increase infection risk, so I wouldn't allow a patient to sit in their own mess in a hospital or other care setting. I would be trying lots of options and ideas, handing them all the supplies an...

Give only the minimum notice. I have had jobs that terminated immediately upon receiving a notice stating they didn't want anyone working there who didn't want to be working. 6 weeks would be a long time to go without a paycheck. As much as you love...

I made the transition a few years ago. A few things that were big changes for me was the idea that we are actively trying to save everyone vs LTC where most are DNR and waiting for end of life. It was a learning curve to call the doctor's with every ...

I usually just ask them what they want. I just tell them I am happy to offer smoking cessation information if they feel like listening but add they are adults and are free to make their own decisions about what is best for them.

Just a bit of advice. You don't ever need to give an explanation of why you can't cover a shift and you are not painting yourself a very good picture if you are telling them you are too drunk to work. A simple no, or let it go to voicemail would be b...

Quote ""I texted the previous charge, L, and apologized for bugging her during her family emergency but just wanted to know who she gave report to since charge report is vague without the fine details. No response. I was left with no other option th...

When I worked LTC our social workers asked a series of personal questions as part of their admission process. Marital status, kids, (names and where they lived), occupation, hobbies, food likes and dislikes. We would read these in morning report f...

I work for a LTC and we are struggling with staffing. First it was CNAs and now it is all positions. After they started mandating LPNs and RNs to Nursing aid shifts, they started scheduling the LPNs to work as CNAs. Their most recent plan is to have ...

When I took A & P I found that almost half the class was retaking it because they didn't do well the first time around. I quickly realized I had to spend way more time studying than I ever thought I would have to, and way more time than I had ori...

Are the social workers, supervisors and DON available to be the buddy? I would recommend asking the charge nurse every time to assist you with this challenging patient. Can you work with the social worker to help develop some guidelines for this guy?...

As a new nurse 10 yes ago, I kept them and read them almost every night during my first few months of working. Now the only ones I ever read are my pharmacology book to review new meds and study up on older meds.

Hello nurses, I am.looking for some advice. I am in a complicated situation and would like some feedback. Here is my situation. I have been at my current job for almost a year, last month my husband of 20+ years died suddenly. Needless to say I am de...

Do the residents want to get up that early? Is it a reasonable assignment to get all the residents up that early in the morning? What time do they have to start waking up residents to complete this expectation? I certainly won't condone anyone not do...

CapeCodMermaid, I only know you through your posts here on all nurses and I have always felt like you were the kind of manager or DON that I would like to work for. That being said, the last statement you wrote about resonates with me. At my last job...

Every day we have the chance to make a difference. We see patients at their worst of circumstances and we do have the opportunity to make that a little better for them Whether that is helping an addict feel like we are caring for them as a human bei...

My path to nursing was a little long, I started nursing g school out of high school, but it wasn't meant to be. I got married and had 2 children and wasn't until they were older that I realized that I wanted to finish my degree and be a nurse. My hub...

^this^ Somehow you managed to sum up part of how I am feeling. Thank you.

If her care plan had her independent for mobility and you were following the care plan, then there should be no reason anyone should get in trouble.

Thank you all for your words of encouragement. This is by far the hardest thing I have ever had to go through, and no end in sight. I do have an awesome group of coworkers who have been just amazing in helping me.out, and giving me space when I ask ...

After having been through this situation on a personal level I can say that I would hope that you would try to change your attitude just a bit. A month ago my husband walked into an ER with chest pain and lost pulse as he got up on the table. They di...

We just went through a somewhat similar situation and had one person lose their job. Our ER calls up to our floor to secure a bed for an upcoming patient. Our HUC would then go into the e-chart to get ready for the patient, make their chart, follow u...

We will not enforce any hold orders from another facility, only legal holds like a legal commitment. If someone is in police custody they send an officer. Our doctors will review and occasionally place someone on a 72 hr hold if the circumstances nec...

What was her BG? Any s/s stroke? Neuros? Vasovagal? How much sleep did she get the night before? Any chance of overdose? To answer your question, just chart your observations and what your interventions were. After your assessment did you send to ER...

I will always remember my first RN job I was terrified and had lots to learn and I really felt like the "more experienced" LPNs were being mean to me. What I found out later was the DON had told them she had hired a NEW strict RN who was going to "wh...

The machines are only calibrated to be accurate up to a certain number so a 599 could be 601 or 899. Even the low numbers are only accurate down to a certain number and so anything under or above the parameters set by the manufacturer needs to be con...