Jump to content

6/20 WILTW Child Welfare, Confidentiality, Contraception, Commencement, Conti...

Nurses   (3,242 Views | 36 Replies)

A&Ox6 has 11 years experience as a BSN, CNA, RN and specializes in Pediatrics/Psych/QI/Suicide Prevention/Regulatory.

4 Articles; 19,494 Profile Views; 570 Posts

You are reading page 3 of 6/20 WILTW Child Welfare, Confidentiality, Contraception, Commencement, Conti.... If you want to start from the beginning Go to First Page.

quiltynurse56 has 3 years experience as a LPN, LVN and specializes in LTC and Pediatrics.

952 Posts; 13,221 Profile Views

Yes, eating ice chips can be a sign of anemia. Know that from personal experience.

I have learned this week that working per diem is great, yet, there are some CNAs who freak out over stuff and then I have both a resident and a CNA to calm down. 3 things just needed to be watched and reported to the day shift and did not need to be sent to the ER during the night. Only one of them did end up going to the ER though. 4th one was a hospice resident. No, we following their hospice protocols and call hospice.

A drop or two of blood from a hemorrhoid in urine looks like a lot, but it is not something to freak out about, especially after resident has been assessed and no, she does not need to go to the ER.

I have also decided it is time to take care of myself again and am getting a thorough medical work up as I have not been feeling well. Bradycardia being one of the issues here. One more test next week and results the next day.

Share this post


Link to post
Share on other sites

NotAllWhoWandeRN has 8 years experience as a ASN, RN.

790 Posts; 8,783 Profile Views

I learned there may, just may, be a light at the end of the tunnel.

Share this post


Link to post
Share on other sites

NotAllWhoWandeRN has 8 years experience as a ASN, RN.

790 Posts; 8,783 Profile Views

And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately. :yes:

Share this post


Link to post
Share on other sites

A&Ox6 has 11 years experience as a BSN, CNA, RN and specializes in Pediatrics/Psych/QI/Suicide Prevention/Regulatory.

4 Articles; 570 Posts; 19,494 Profile Views

And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately. :yes:

Or maybe a rotation?

Share this post


Link to post
Share on other sites

quiltynurse56 has 3 years experience as a LPN, LVN and specializes in LTC and Pediatrics.

952 Posts; 13,221 Profile Views

I have also learned this week that when dealing with your own health concerns, being a nurse can get in the way of things. You know, we know too much.

Share this post


Link to post
Share on other sites

ixchel specializes in critical care.

5 Articles; 4,547 Posts; 57,755 Profile Views

And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately. :yes:

Or maybe a rotation?

You know, I'm kind of into this idea.

Here's the deal...

About 3.5 months ago, I went on FMLA for a medical emergency. My PCP had mercy on me and wrote me out until surgery that was scheduled for mid-April. I scheduled that back in January, with full support of management.

Unfortunately, the 5 weeks off PRIOR to surgery complicated things. First, for the emergency that created the need, second, for the almost lawyer-worthy issues that came of it, third, I needed every second of my 12 week FMLA for surgical recovery, but by mid April, I'd used up 5 weeks.

After receiving verbal assurance that I'll be worked with at the end of FMLA, I went through surgery. Now, at ten weeks, I've been off for 3.5 months and my brain just can't be further removed from nursing most days. I have a giant pile of ideas for this thread when I make my weekly OPs while I'm working. While I'm not? It's a struggle!!! And I feel like keeping the thread fresh and relevant really does need a good OP.

A lot of you have stepped up in a pinch, and I love you for it! If any of you has some ideas for a really dynamic, fun OP, get in touch! I also love it when students or nurses from specialties other than my own chime in because you're looking at nursing-relevant topics that I am not. It keeps things varied! Interesting! And most importantly - we all actually learn something. That's kind of the point, right? Part of it, anyway.

So, yeah, if any of you wants in on OPs, I'm still out for at least 2-3 weeks, possibly a few more months if my recovery doesn't jumpstart soon. I do have thoughts for this week, but after that, who knows what I'll have!

Share this post


Link to post
Share on other sites

A&Ox6 has 11 years experience as a BSN, CNA, RN and specializes in Pediatrics/Psych/QI/Suicide Prevention/Regulatory.

4 Articles; 570 Posts; 19,494 Profile Views

You know, I'm kind of into this idea.

Here's the deal...

About 3.5 months ago, I went on FMLA for a medical emergency. My PCP had mercy on me and wrote me out until surgery that was scheduled for mid-April. I scheduled that back in January, with full support of management.

Unfortunately, the 5 weeks off PRIOR to surgery complicated things. First, for the emergency that created the need, second, for the almost lawyer-worthy issues that came of it, third, I needed every second of my 12 week FMLA for surgical recovery, but by mid April, I'd used up 5 weeks.

After receiving verbal assurance that I'll be worked with at the end of FMLA, I went through surgery. Now, at ten weeks, I've been off for 3.5 months and my brain just can't be further removed from nursing most days. I have a giant pile of ideas for this thread when I make my weekly OPs while I'm working. While I'm not? It's a struggle!!! And I feel like keeping the thread fresh and relevant really does need a good OP.

A lot of you have stepped up in a pinch, and I love you for it! If any of you has some ideas for a really dynamic, fun OP, get in touch! I also love it when students or nurses from specialties other than my own chime in because you're looking at nursing-relevant topics that I am not. It keeps things varied! Interesting! And most importantly - we all actually learn something. That's kind of the point, right? Part of it, anyway.

So, yeah, if any of you wants in on OPs, I'm still out for at least 2-3 weeks, possibly a few more months if my recovery doesn't jumpstart soon. I do have thoughts for this week, but after that, who knows what I'll have!

Hugs ixchel!

Share this post


Link to post
Share on other sites

ixchel specializes in critical care.

5 Articles; 4,547 Posts; 57,755 Profile Views

Hugs ixchel!

Ahhh thank you :)

Share this post


Link to post
Share on other sites

editingeyes has 3 years experience and specializes in Mental Health/Substance Abuse.

37 Posts; 2,400 Profile Views

Funny how you can pick up the little facts, right? I had a student this year that was sitting in my office telling me about how she eats ice all time. Her main complaint to visit my office was extreme fatigue. Something in my head went "huh" about the ice eating and I looked up pica. Called Mom, sent student to her doctor, and yep - iron deficiency anemia. Student told me anemia or not, she is planning on continuing to eat ice as it is delicious ;).

This week I learned that stress relief is a necessary thing and that I actually hold in a lot more stress than I ever release. I need to find a healthy way to do that before I really explode. The school year is over on Friday and my first summer goal is to return to the gym and the treadmill to walk it out while catching up on Netflix and Hulu (I'll take recommendations!)

Haha, I lived in Nashville for a while where eating Sonic ice was an every day thing for people. I have never seen people go to a "restaurant" and just ask for ice chips. It is like a cult thing down there! I'm glad you figured it out too! Probably saved that girl a lot of frustration from being so exhausted!

Share this post


Link to post
Share on other sites

NotAllWhoWandeRN has 8 years experience as a ASN, RN.

790 Posts; 8,783 Profile Views

So, yeah, if any of you wants in on OPs, I'm still out for at least 2-3 weeks, possibly a few more months if my recovery doesn't jumpstart soon. I do have thoughts for this week, but after that, who knows what I'll have!

I don't feel like I could do WILTW justice. I've also been without work for several weeks due to things coming to a head regarding a lifting injury that happened several months ago. I hope to be working again soon, and when I am it is likely to be outpatient nursing. It will be a totally new experience requiring a LOT of learning, and I'm sure I'll have better things to share then.

Share this post


Link to post
Share on other sites

NotAllWhoWandeRN has 8 years experience as a ASN, RN.

790 Posts; 8,783 Profile Views

I have also learned this week that when dealing with your own health concerns, being a nurse can get in the way of things. You know, we know too much.

On the flip side, I may have allowed people to convince me not to listen to my own body for years because of that. More testing/workup in July and I may get an answer then.

Share this post


Link to post
Share on other sites

brillohead has 5 years experience as a ADN, RN and specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

1,781 Posts; 23,103 Profile Views

An add-on to the ice-eating=iron deficiency thing... check thyroid levels in someone who eats a lot of salt. Their body could be craving the iodine.

People always get on my case about how much I over-salt my food. Even as I child, I used to pour salt onto a spoon, or just sprinkle some directly onto my tongue. After 3+ decades of this behavior, guess who has been taking 90mg/day of Armour Thyroid for the past 15 years?

Also, please advocate for your patients to have a TSH level between 0.8-1.2, even if the lab says the "normal" range can go up to 4.5 or so. True normal is right around a 1.0, and symptoms often start before 2.0. Thyroid is a very cheap drug (especially so if they just need the T4/Synthroid versus the T3-T4 combo in Armour, but even Armour is only about $10/month), and it can really make people feel a lot better!

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.