High Demand Vs Low Demand Nursing

W.O.D 9/24/2012 7am

Today I found my one rep max which was 145lbs hopefully next time I do this it will be alittle more ;)

W.O.D

AMRAP (as many reps or rounds as possible) Time limit 7 min

• Wall Balls 10 reps 12lbs ball
• Box jumps 10 reps (the boxs were really high excpecially becuase I'm short -_- )

I think I finished three rounds and started my fourth or I might have finished four rounds and was going on five?

Do you know your blood type?

Maybe you could figure it out by reading this??
http://www.mensfitness.com/nutrition/eat-according-to-your-blood-type

Since we're on this subject.... when was the last time you donated your blood?

Knocking on Deaths door's......

After a year at a senior living facility as a CNA and CRMA my thoughts on death has changed constantly. Seeing the different stages of deaths, various reasons for death and all the different family dynamics can be a real eye opener. Being the one to medicate the resident and seeing the differences between a comfortable death and one that wasn't medicated for comfort lead me to feel that keeping the person as comfortable as possible would be best. This isn't always possible, for example I had a resident who fell out of bed and broke a hip, this hip fracture advanced infection and with leukemia couldn't fight it off and went into active dying, even with the scheduled and PRN Morphine and Ativan this resident was very uncomfortable. Even the easy tasks of cleaning and changing briefs turned into excruciating pain for this poor man. Finally with death knocking, Hospice increased the morphine and gave a big boost of Atropine to clear the lungs finally this poor man was in peace and passed shortly after.

After seeing this I knew my views of Comfort meds changed I knew people who think that giving these meds shorten the life of an actively dyeing person (which it may) but to me I would rather see someone not have to suffer especially during their last moments on this earth.  

Click this link
Watching a patient Die...... ;,(
 
What are your emotions when watching a patient/resident pass?
How does this affect your views on life?
Have you experienced this and how do you feel about it?
Is there cultural/religious views on death that doesn't allow comfort meds? Why?

Are runners drug addicts?

While studying for pharmacology I came upon a a paragraph about how drugs mimic natural endorphins in our body and the example given was how morphine is an example of a drug that binds to the specific receptors that our endogenous counterparts like endorphns and encphalin bind to. These two substances are the same drugs that are known to be involved in the "runners high"!! : O

W.O.D 8/30/12

Today I wore my big girl panties at crossfit!!! haha meaning it was my first workout I did tht was with the regular class and i didnt have to scale anything back. But I have to say this was one of the hardest workouts I've done my legs felt like they where going to fall off!

For warm up we found our 6 rep max for a front squat this was 65lbs for me I think I could of done more but it really hurt my wrists so next time I need to tape them.

W.O.D 4 RFT

400m run

15 KTE (knees to elbows)

30 ball walls

3 min rest

 

my time was 32:40 :)

 

 

15 Tips to become a great CNA

1)      Be confident in the tasks you do

2)      Be your patient/residents advocate; let the nurses know anything that you think needs to be reported

3)      Wash your hands all the time; when caring for sick people their immune system is compromised and microorganisms can harm them far more than they can us.

4)      Know your precautions forwards and backwards and know where the PPE is located in the facility

http://allnurses.com/nclex-discussion-forum/contact-precautions-you-409406.html

5)      Know your vital signs!! know what's in normal limits and what should be reported also know where you can find your pulses and know different ways to take a Temp.

Temperature, Pulse, Respiration's, Blood Pressure, Oxygen %, weight

 

6)      When providing personal care remember your patients dignity; this can be done with a sheet or towel when giving a shower or bed bath,

7)      Try not to make your patient feel as your rushing them, make them feel as though all your attention is on them even though you may be thinking of the resident whose being taken away by rescue in the next room over, your shift may be crazy but never let them know you are short handed this is never an excuse.

8)      If your patient needs to ambulate try using small steps like "lets walk to the end of the hallway then ill wheel chair you the rest of the way" .

9)      Communicating to the other staff about your patients condition if it has changed on your shift is critical

10)   Keeping the work areas clean and organized for the next shift is always a plus

11)   Keeping track on your patients nutrition

12)   Good body Mechanics this will save you in the long run.. don't just do it fast but do it smart; keeping the bed in the high position when doing any bedside care, using gait belts and always lift with your legs and butt and keep that back straight

http://nursingcrib.com/nursing-notes-reviewer/fundamentals-of-nursing/body-mechanics/

13)   Stay educated; know your signs and symptoms of common diseases

14)   Trim those fingernail! Don't ever touch the toenails, but the fingernails can be a great place for bacteria can live

15)   Encouraging the residents/patients to participate in activities

There's probably so much I didn't mention, I find the biggest pet peeve of mine is not being confident because when you are not confident the patient feel unsafe and uncomfortable. If you are unsure always ask for help!