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| Helping you become a better nurse. | Issue 491: Oct 10, 2012 |
NewsletterBreak RoomHealthcare / Medicare / Medicaid Online DegreesAdvance your career today! We have highly respected and accredited universities offering RN to BSN, LPN to RN, LPN to BSN, Forensic Nursing programs and much more. Financial aid available to those who qualify. . Relax. Let Jobs Come to You!Create your personal Job Alert to notify you by email of new jobs posted that match your search preferences. It only takes a few moments to create one now and never miss a new opportunity! SpotlightDiscuss US Politics. Not sure about a government policy or law? Not sure which candidate to vote for? Is ObamaCare for you? Want to discuss the latest Supreme Court case? This is the place to discuss anything about politics. It's open to Democrats, Republicans, Independents, Green Party, Libertarians - everyone! |
Oct 3 - Oct 9 Hottest Topics
Nurses With Disabilities: Getting What You Need So You Can Give Your Best
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We have meaningful professional opportunities for nursing and nursing support in Labor & Delivery, Emergency, Medical Surgery, our Float pool and other areas. Visit jobs.parklandcareers.com/RNs to apply. LTC med nurses-Are you obeying all of the rules?I just got a bunch of paperwork about meds at my LTC. According to the policy, I am required to check for all allergies each and every time before administering meds. I am also required to check for expiration dates on each med before administering meds. So how many of you are checking for allergies each and every time you give a med? How many of you are checking for expiration dates each and every time you give a med? I finally fell prey to the LTC politicos after a year and a half...I did turn in an incident report, I put the res on 72 hour charting, I charted on him and so did the next 8 shifts after me, I notified the family and doctor and I said I talked to you about it on Sunday and you told me to write the order for something and I did. HE HAD THE GAUL TO SAY "HM I DON'T REMEMBER THAT CONVERSATION." tears started flowing. So he later pulls me into his office to sign my write up so I ask him out of curiosity, I had another resident that fell do you have that incident report" which he answers yes, I said oh convenient. I know what the story is, he didn't do his job so instead of holding him responsible he probably pitched the paperwork so it looks as though I didn't do my work so I can take the hit. Read Can't stand dialysisI've only been at this job for 2 months and I am sooooo unhappy. I feel sick just thinking about going to work because of how much I hate it. I don't like the environment, the team and most of the patients. Everything about this makes me miserable, but I feel bad leaving after such a short time. I keep telling myself to hold out until the end of the year, but it has taken everything I have just to make it through this week! I need help. What should I do? Read Clinical awakening
Possible TIA or effects of medications?Resident was acting different than normal. Speech was barely audible, unable to swallow meds (never a problem before), pocket food in the mouth, stated he felt dizzy, very lethargic... took VS and they were within normal parameters... Advised supervisor and we continued to monitor. I keep rethinking this and truly wonder if he possibly had a TIA? Read Getting a job - from the employers perspectiveI am the DON in a LTC facility. I currently have ads on careerbuilder for a full time CNA position as well as a full time LPN/RN position. Both positions are clearly advertised as 3-11 positions. I spent my day going thru what seemed like a hundred resumes for my 2 open positions. While thinking of all the "job needed" threads here, I decided that I must share my absolute frustration in hopes that someone will learn something from this. Read One case only or a whole bunch of them?Last week I worked at 5 different homes in 6 days. My agency does not put a "main" nurse at any case, they prefer to schedule at LEAST 10-12 nurses per case every month (as per MAR signatures). While the variety of work can be nice, it's very hard to become proficient with a case quickly. Parents lament to me that they feel like their homes are revolving doors, and they are constantly having to update nurses over and over and over, to be sure everyone gets new information when it comes up. They generally prefer having a small handful of staff for their children, so they can have consistency, plus feel more comfortable in their own homes. However on the flip side, there's a very low incidence of unstaffed shifts. It's much easier for the agency to fill them in a pinch. What does your agency do? Read AUGS: Drugs Compared for Urinary Incontinence in Women
Props to God, ignore the nursesMy sister recently went through a horrible systemic group A strep infection and was not expected to live. Very long story short, she defied long-shot odds and today is mostly better, except for tinnitus d/t ABTs and rheumatoid joint pain from the antibodies. Her story has recently been getting picked up all around all the news circuits, in the wake of highly-publicized news stories of flesh-eating bacteria, which as you know is also a GAS infection. Read Representing yourself to the public as a nurse when you are not a nurseA family member was recently seen in an ER. One of her care providers introduced himself as a "med tech" and the family member asked "What does that mean?" and the response was " it is the same thing as a nurse". My family member went on to watch everything this person did while she was there, and saw vital signs, linen changes, positioning changes, paperwork, and things in the scope of a nurse assistant. This family member happened to know the difference, and we talked about this when she came home from the ER. Read
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It was the nightmare every long-term care nurse manager dreads: the exit interview with a state survey team that has just inspected every inch of the building and every piece of nursing documentation produced over the past year.....and found it badly wanting. I tried to keep what I hoped was a neutral expression on my face as the lead surveyor read off the sixteen citations they had levied against my assisted-living facility. Two of them were classified as serious.... 
It was a warm fall morning. The alarm clock jarred me from my dreams at 4’oclock. I jump to turn it off so it does not wake my baby who is snoring in her crib. I almost want to pinch my husband in a jealous rage that he is sleeping so peacefully. I sulk off to make a pot of coffee, throw a load of wash on, and scuff off to get in the shower. As the warm water hits my back I am still filled with self-pity, thinking “what the heck have I gotten myself into?” I loathe my situation thinking that I will not be home to relax until 8 that night. I go about the steps of putting on my clinical uniform the stiff , itchy scrub top and scrub bottoms, that seem to be shirking every time I wash it, no way it’s me gaining weight! 
For women with idiopathic urgency urinary incontinence, the reduction in frequency of episodes of urinary incontinence is similar for treatment with anticholinergic medications and onabotulinumtoxinA, according to a study published online Oct. 4 in the New England Journal of Medicine to coincide with presentation at the annual meeting of the American Urogynecologic Society, held from Oct. 3 to 6 in Chicago.