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Pass Nursing School Exams With an “A”

Written by kimmel52 on July 27, 2013 – 7:54 pm


Take Medical Surgical Nursing School Tests anyhwere

Take Medical Surgical Nursing School Tests anyhwere


Nurses Learning Center

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Daily Nurses Diary

Written by kimmel52 on October 9, 2008 – 2:34 am

Today my friend passed away.  Do you recall the WWII Vet with the left below the knee amputee.  Well he was transferred to Hospice care, and died about a week later.   It was said that his wife asked him for a kiss, and he said NO, I’ll give you two, and then he passed away.  May God rest his soul.  You know he stated to me that he never had any pain associated with his lung cancer, and even drove himself to Veterans hospital a couple of weeks prior.  He will be missed.

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Student Nurses Quote for the Day

Written by kimmel52 on October 6, 2008 – 11:19 pm

No one is going to ask you your GPA when saving a life.

No one will ask your GPA when you are saving someones life

Not everyone is an all A student.   Accept yourself for the effort that you put forth, knowing it is your best.  Do not look to those on the right or the left, just continue on your path and before you realize it, you will be a graduating nurse.

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Daily Diary of a Home Care Nurse

Written by kimmel52 on September 28, 2008 – 2:00 pm

Daily Diary of a Nurse

Today’s Entry, September 29th 2008;

Sorry that it has been a few days since I last made an entry.  Truth is I have been busy with teaching.  I love teaching.  My patient load has gone down some.  I really don’t know how home care nurses can see forty patients weekly.  I am not that organized.  Let’s see, well there was a patient that I saw who was a right sided CVA.  He admitted to drinking.  All he wanted was a power chair.  He stated that he couldn’t get out of his apartment and felt very isolated.  I knew that the social worker could help him.  His blood pressure was 160/90.  When I called the Dr. and asked him if he wanted him to have another BP pill or half of one he stated that there was no need.  You know, I couldn’t draw his blood.  I tried twice, and after that I told him I would send in the expert.  Gee, I feel bad having to stick people and not get blood.  I saw the vein, and yet I couldn’t get the flash.  He told me that his wife, who doesn’t live with him, came over and drank an entire bottle of Tequila.  I can see why he still drinks.  What a nice man.  He called me a vampire.  Yeah, some vampire, I can’t even get any blood.  On another note, I have to tell you this for my patient who is a Vietnam Veteran.  He actually asked me to write about him.  He wanted me to tell the world that he enlisted at 17 to go to Vietnam.  That he did a 18 month tour in the airborne.  He told me that none of the men knew about the riots and protests going on in the states.  He mentioned that his best friend was a white boy from Alaska.  My patient has much to tell me about his tour.  I noticed that he gets very emotional when he talks about Nam.  But, he stated that he is going to tell me everything as long as I write about what he says.  So I am keeping my promise, and will keep you posted.  I need to make out a math quiz for my student’s for tomorrow, so I will bid you all adiu, guten nicht, and good night.

Nancy Nurse

September 22th , 2008  0900 Welcome all student nurses!

New Entry;

Well everyone, I’m back.  Rembember the patient that went to the hospital for a respiratory problem.  She is the one on whom adult protective services were called.  I have to go back tomorrow to do a resumption of care or ROC.  The sad news is that while she was in the hospital, she developed leg ulcers.  I can’t imagine how bad they are.  She had scars on her bilateral lower extremities from previous diabetic ulcers.  I know that her sugar fluctuated, but you would think that the hospital would keep her under tight glycemic control.  I feel so bad for her. Here she is with a comprimised respiratory system and the windows are left open all night.  Now she has diabetic ulcers.  I feel so helpless sometime.  I realize that the disease process takes its toll, but no reason for others to rush it along.  I guess all I can to is to continue to do my best.  Did I tell you, that I have cut back on my patient load so that I could teach engineering and math?  Well, yes I did.  Why? Because I love to teach.  Oh, yes, and my patient who is the WWII veteran had dropped our services to go with Hospice.  I am so glad, I had the hardest time trying to get the home care physician to order Megace for appetite enhancement.  So, tomorrow begins another day of just seeing patients.  I will tell you about the patient’s cases that I opened recently, tomorrow hopefully.  Have a good night.

Kindest Regards,

Nancy Nurse

I believe that the worst thing that can happen to a home care nurse is when you have a paient die before seeing them that week.  That is exactly what happened to me.  I had opened a case of a man who had medical problems such as heart and hypertension in August.  Then, I walk into work and find out that his sister had just called to inform the home care agency that he died.  I was frozen in my tracks.  All I could think of was could I have saved him.  Every possible scenario was going through my head about how I might have done things differently.  What if I had seen him a day before, maybe I could have caught something or assessed something different about him that might have saved his life.  Honestly, I haven’t got over it.  I tell you what one of my nursing instructors told me during an evaluation.  She said my problem was that I care too much.  Do you believe that?  Persoonally speaking, in this field I don’t think that anyone can care too much.  I think there are not enough people who care.  Well, thanks for listening.

Still Shaken,

Nancy Nurse

Entry, Today September 16th , 2008
Well I’m back, and I hope that you are all still with me.  I went to my patients home to do an admission.  Remember that I am re-admitting her.  As it turns out she had her whole family there.  She is wheel chair bound due to her weight and dependent edema.  Her weight exceeds over 300lbs.  She has an incontinence problem and sits in her urine most of the time.  The red flag in my mind is raised because I know that if her family doesn’t take care of her she will have skin breakdown.  As it turned out, I had asked her if we could go into her room, where I could clean her up and inspect her skin.  However she declined and said to me, “next time, next time”.  I found it strange that with all of the family that were sitting around in ear shot of our conversation that no one got up to offer to clean her, or encouraged her to go with me.  What an akward moment.  When I arrived back at the office my supervisor told me that this admission was not complete unless the skin is inspected. She also stated that I could not write what I suspect; only what I actually see.  So back I went.  This time she was in bed and I was able to clean her up and inspect her skin.  Yes, she had decubitus ulcers as I suspected in stages I and II.  I asked her family if they had any antibiotic ointment, cornstarch, baby powder, anything at all.  Her granddaughter stated,”Look, I don’t clean her up.  My cousin does that, and I can’t help it if she isn’t around, I have enough to do around here taking care of my kids.”  I felt bad for my patient, because she said this right in front of her grandmother.  What could I do?  I felt so bad and so helpless.  This wasn’t my first episode with this family.  I made sure that social work, physical therapy and a home health aide were on the case. But what then, after the certification is up.  She lies in bed in her own urine for hours.  They leave window open and she gets cold. I cleaned her up and applied A & D ointment to her skin.  There were a lot of boggy areas and ecchymosis over most of the gluteal area.  I reported back to my nursing supervisor the situation.  She notified Adult Protective Services.  I feel bad.  That is her home.  Why, tell me, with so many family members can the matriarch of the family neglect her.  I mean, they have a nice home, good jobs and so forth.  So tell me why?
Next Patient.
Did I tell you that this is a wonderful job?   Yes, it is.  This next patient is another elderly client.  His home is not in a very good area, and no I am not afraid.  There is something about being a medical professional that transcends all of the bad that is out there, that you don’t get harassed or approached.  Or maybe it’s my neon green scrubs with yellow flowers.  So any way I pull up into their driveway.  I see women who appear to be in her mid fifties standing at the door.  She greets me with a smile.  Mmm, perhaps it is my patient’s daughter.  I walk up the steps and she holds the door for me.  Once inside I hear a frail voice call out, “who is in my house? Come in here so that’s I can see you with my own eyes.”  I stood in the living room looking around the home.  I was a simple home, old, lived in and clean. It was as if time stopped in 1975 by the velour furniture and velvet paintings.  As I gazed around further I saw a generation of pictures gracefully and lovingly displayed on the tables, walls, and T.V…  There was my patient, I said in my mind, as I looked at large photograph of a WWII soldier, proudly displayed in the center of the livening room wall for all to see.  I walked into the room where I heard the frail voice.  There in bed lie the WWII veteran and his wife.  The frail women looked up at me and said, “Who are you?”  Upon introducing my self as a registered nursed with the home care agency, she beckoned me to sit at the foot of the bed.  As I sat there she said, “Oh dear, what has happened to me?  I am in such bad shape.  Dear Lord help me.”  I asked  her what was wrong, and without saying a word she pulled her covers back to expose her tiny frail legs and pointed to her toes that were twisted tortuously from arthritis.  Before I could say anything her husband woke up next to her and said hello.  I could recognize him from the pictures on the wall.  I could see the soldier in him, proud, strong and brave.  Just then, the woman who had greeted me at the door walked into the room and went over to the wife’s bedside commode and proceeded to carry an entries night’s bladder and bowel contents to the bathroom.  As she walked by me in the tiny room, I asked if she was their daughter.  Before she could reply to me, the elderly wife said, “Oh no, she is my angel, our neighbor.  She takes care of us and makes us breakfast every morning.”   I turned to look at the women who was still holding the bathroom pot, and said,”Pleasure to meet you.”  She wryly looked at me with just a twinkle of mischief in her eye and said, “You may think differently if this pot spills on you, now could you please give me some room to get by?”  I stepped out of the way.  As I began to do my paper work at the foot of their bed, I realized just how comfortable I felt.  Here I was sitting on someone’s bed, while it was occupied and I felt like a kid in my parent’s room.  The next thing I knew, the neighbor came back into the room carrying a tray of breakfast which she lovingly placed on a bedside table next to the elderly women and her husband and as quickly as she came in she was gone.  I turned to my right and began to get my supplies out of my bag when I noticed a leg prosthesis in the corner of the room, then I heard the frail voice , “Dear Lord, We come before you this day, and give thanks for being able to see another day.  A day that we will never see again.  We thank you for all of your blessings, and I pray that you will take care of my husband in your special way Dear Lord, and please bless this nurse and take care of her, help her Lord to your work, and  bless this food that you may strengthen our bodies that we may yet see another day.  Amen.”
Tears began to fall from my eyes, as I bowed my head with them.
Entry August 26th, 2008
Good morning student nurses;

“I am driving on the road heading toward a patients home.  I have been trying to get in touch with her for over a week now without any success.  According to state guidelines you have only 48 hours from the time of receiving a case to open it.  I  am not sure how they are going to handle it back at the office but right now I’m  concerned with seeing her.  You see she just got out of the hospital a week ago. I sent her there, well not me, but her doctor,  after I  called him and informed him of her symptoms.  She could barely breath, I knew that I couldn’t leave her that day.  I had to do something.  So I called the doctor and he suggested that she go to the hospital.  So here I am now on the road going back to do a re-open.  I  have to tell you the money is not bad.  I get $45 for a revisit and $75 to open a case and $100 to do a recertification.  It is a lot of work and a lot of driving.   But you know, I like it better than being in one place for 8 hours, although I also work at the hospital on the weekends.  Well, here I am…I  will fill you in tomorrow.”

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