It is a bedtime story about a dog and his owner.The owner surprisingly had visitors that they were not expecting .So the owner started a song like this.
My handsome big dog go into the house in the living room and get me some kola nut, so that we can give to these uninvited visitors.I did not invite them and I am sure that you did not invite them.So come on big boy go into the house and get me some kola nut so that we can give to these strangers.Hopefully the kola nut will force them to tell us why they are here.
So the dog went into the house and got the kola nut.The uninvited strangers ate the kola nut.After eating the Kola nut (coca cola) they confessed that they are interested in buying the piece of land in their backyard so that they could be their neighbor.Sometimes a kind gesture can lead to meeting pretty nice people.The dog owner told them that she owns the land but the land is not for sale.So they left back to where they came from.The big dog and his owner live happily there after .The End.
I will provide compassionate excellent Nursing care.
I will do my best now and tomorrow. Be a good leader,not a follower. I must Move Nursing Agenda Forward. I must do my Best all the time. I promise to update and obtain required CE every two years. Advance my knowledge,education,and experiences. I will be Knowledgeable not Knowledge Deficit. Team player,work effectively with my colleagues and other ancillary. Clock or sign in on time. Clock or Sign out on time.Have all my equipment such as Stethoscope,Pen and Pencils. I must Reason,and be Reasonable. Perform my assigned role effectively and efficiently.Follow Hospital policies and Regulations. Comply with JCAHO Standards of Care and Regulations. Carry out Doctors Orders on Time. Troubleshoot and be Supportive of my Colleagues.Know and Understand Patient Bill of Rights. Respect Patient and Families.“The very First Requirements in a Hospital is that,it should do the sick no harm “Florence Nightingale . Give medications by mouth and intravenously as ordered.Advocate for my Patients. And provide TLC. Must not Abuse Patients Physically, Emotionally or Sexually. Promote Health and Prevent Diseases. “I attribute my Success to this -I never gave or took any excuse”- Florence Nightingale .Nursing Assessment.
After your knee surgery you were in postoperative care for 45minutes to 60minutes.
Physical therapist ambulated you to the bathroom to urinate and to see if you can use your front wheel walker.The nurse gave you ice chips with sip of water and you tolerated well.
DISCHARGE HOME INSTRUCTIONS AFTER KNEE SURGERY SAME DAY.
You have a big dressing on the affected knee. Keep it dry and clean. Wear your knee immobilizer as ordered for atleast 48hours to protect your surgery. May remove immobilizer during exercises.
Apply ice to help you feel more comfortable,reduce swelling and inflammation.
Diet: Resume your diet and your medications as ordered by the doctor. Antibiotic: Take your antibiotics as prescribed by your doctor.
Resume activities such as walking with knee immobilizer in place. Use your front wheel walker. Prevent falls by the removal of all obstacles on your ways.
Shower: No shower 🚿 or bathtub.But you can sponge bath.
Wound Care : Keep your wound covered for ten to 14days after surgery to prevent infection. Notify the doctor for signs of infection, swelling, increase in pain and temperature greater than 100.5F.
No Pillows: Do not put Pillows under the affected knee. Use ice pack to help with your swelling. If your condition worsen such as increased pain swelling to the thigh and ankle call and notify the doctor. Physical Therapy: Follow up with Physical therapist and start your physical therapy immediately. Take your pain medication 30minutes before physical therapy. There should be no pillows under the operated leg.
Blood Thinner: This is very important to prevent blood clots.Take it( Aspirin 325mg po or lovenox subQ)prescribed by the doctor. It is usually prescribed for 14days.Follow your doctor orders for you.
Dental Work: No dental work until after three months of Total Knee Arthroplasty Surgery. If you have to see your dentist let them know that you have knee surgery.
NB: Please if condition changes call your doctor office immediately at 000-000-0000 or go to emergency room if no response from your doctor. If you are having chest pain call 911 immediately.
Maintain good balanced nutrition three times a day. Rest well,exercise ,take your stool softener to prevent constipation. Take your pain medication and follow up with your appointments as scheduled.
The journey was a long one many departed before her arrival. So we must hold her tight and protect her with whatever we have.But first of all ,we must name her “STAY” because we don’t want her to depart like the ones before her.Did you say “Stay”.Yes I said Stay that is Stay with Us.
1.You have been NPO past midnight as ordered by the doctor and consent signed. Blood pressure medication taken with sip of water the morning of your surgery. Do not take diabetes medication on the day of surgery. Talk to your healthcare provider.
2.You should come to the hospital atleast two hours early. This gives you time to check in with the receptionist.
3.Bring your personal belongings such as toothbrush, toothpaste, lose clothes,,watch,phone,slippers,flat shoes, copy of advance Directive, insurance card, and driver license.( Jewelry, and valuables should be left at home)
4.The hospital receptionist will ask for your driver license, and your insurance card.He or she after asking you few questions will give you the forms to sign.He or,she will print out your armband and stickers that will be used while you are hospitalized.
5.Also ask for the name of the person that brought you to the hospital and give him or her papers to sign.
6.Nurse will prep you,start IV and ask few questions. Get you ready for operating room.The affected knee and site marked.
7.You will be whisked in for surgery after every information has been gathered. Operating room nurse,the surgeon, and anesthesiologist have all spoken with you to make sure that you are in same page. You have been practicing:Turning, Coughing,Deep breathing and use of incentive Spirometer.
If you have plan to jeopardize the life of the innocent patients/clients/ residents trusted in your hands because you want to practice nursing without adequate nursing training .Have you have taught that you might accidentally kill an incident person(s)?.Have your hospital covered something that they can’t explain and blame the deceased?.Who knows?.
2.Nursing profession is not for you because you do not understand the nursing responsibilities. Do you understand the Standard of Nursing?.What is the importance of Nursing Process?.How do they relate to each other?.
Registered nurses if you see Something say Something.Do not be quiet. As a Charge Nurse if you are suspicious of any nurse sent to your floor ask questions, call supervisor.
3.Proficiency of a profession is in the hands of the licensed professionals. Don’t allow others to drag nursing profession to the mud.Board of Registered Nursing should request for the name of nursing school where they graduated from to see if the school has accreditation.Unfortunately some of these people with fake nursing certificates were able to pass the NCLEX.
4.Shortage of nurses.Even if there are shortage of nurses we must not sell the profession to people who don’t know the value of this profession.
5.Malpractice : I am sure that so many patients must have lost their lives due to malpractice, incompetent nurses giving medications that they don’t understand. Who knows?.
6.Nurses Abusive Behaviors and Bullying : While the fake nurses will be there to tolerate nurses abusive behavior competent nurses might not be ready to swallow the unprofessionalism of some nurses. That is why some nurses quit and move to travel nursing.Abusive nurses are part of the problems in nursing profession because they abuse indiscriminately.
7.Shame on you fake nurses. If you’re a fake nurse and you’re caught shame on you?.Is it worth it?.If you’re not caught you better disappear because one day you will be caught and you will cough up more than what you benefitted.There will be lawsuits coming from every where. So go back to something else if you are lucky and not caught yet.
7.Fish them out: Schools,Hospitals, Skilled Nursing facilities,law Enforcement officials, whistle blowers should continue to work tirelessly to smoke out these fake nurses.Nobody deserves to be a victim of these criminals who want to do harm to the sick. If you want to practice nursing go to nursing school and complete the theory and clinical studies graduate and take your licensing examination.
8.Thank You: To all the people working against these guys we thank you. Let justice be served.
Nursing is a noble profession that must remain at a high standard and should not be relegated to the background by desperate people with fake certificates/associate degree or bachelor degree.
Medical clearance from your doctor which include laboratory tests and chest xray.
Signing of informed consent.
Eat balanced meals and sleep well before your surgery. That is increase your protein intake, fiber intake daily. How is your calcium?.Are you getting adequate calcium through meals and supplements. Take calcium with vitamin D.(D3)Obtain good sleep for few days before your surgery.
Have you stopped smoking 🚬 Stop smoking few days before your surgery.
Stop all blood thinner such as aspirin, Heparin, Warfin ,Plavix,herbal ,including some cholestorol medications a week before your surgery. Follow doctor orders and instructions from your health care provider.
Stop alcohol intake. Do not drink alcohol for atleast 48hours before your surgery.
There are exercises that your doctor may want you to practice before your surgery,practice those exercises routinely.
Do you have an Advance Medical Directive ?.These are printed instructions that communicate your wishes about your healthcare to health care professionals.This is a common question that they ask before surgery. If yes say Yes ,if you don’t have say No.
Supplies: You will need front wheel walker,Bedside commode or raised toilet seat delivered to your house before your surgery.
Have the things that you will need after surgery ready and within reach before surgery.
Reliable driver that will take you to the hospital available before surgery.
Hydration, Hydration. Drink adequate fluid before surgery. .Start your preoperative knee exercise. Ankle pump,flex and extend your knee exercise.
What to Wear: Avoid wearing long pants; shorts pants are preferable. It will be difficult to remove if you are wearing long pants.
Prepare your home before surgery. Let things that you will need be easily accessible. Cook food and freeze them before surgery, clean sheets on the bed,light in the bathroom and hallway. Clear the floor of electrical cords and obstacles to prevent accidental falls. 15.Breathing exercise. Coughing, deep breathing and the use of incentive Spirometer to prevent respiratory complications after your knee surgery. Follow doctor orders and instructions on what you need to do and what you need to bring to the hospital.
In early 2020 my neighbor and her husband decided to move away from a beautiful ,quiet peaceful home in Inland Empire to Wisconsin. I felt like crying, I was miserable to say the least because they were very nice family.Though the colors are different in great neighborhood we stand.We stand in all our might,peace,love ,caring and compassion we spread.I called my husband to let him know. He couldn’t comprehend it at all.I went back to them to find out why?.
Here is what they said (husband and wife)
1.COST OF LIVING: It is very expensive for us to live in California. (Rent in Los Angeles is about $2000 for a one room to $5,000 per month for three bedrooms)I said you have been living here for a long time and I am sure that you can manage. Our kids are all over California so we will be visiting them.I started to find out that more people are leaving California due to cost of living to Oklahoma, Wisconsin, Houston, Florida, Nevada, Arizona.
2. HEALTH REASONS: My wife is having a hip replacement and she will be forced to stay home after her hip surgery.We have already sold our house for over $600,000.00(Six hundred thousand dollars)and we are buying a small house with a big compound in Wisconsin for under $200,000.00.The actual cost of our house in Wisconsin is $163,000.00 to be exact.We will invest over $400,000 and that we go a long way for both of us they said.
3.WEATHER: What about the beautiful California weather I asked?.She replied, it is the cost of living in California is the problem. It is very very cold in Wisconsin, the temperature is in minus but the cost of electricity is still cheaper than living in California.
4.SOCIAL SECURITY AND DISABILITY: She said that she did not contribute to Social security since her company was not deducting Social security,she will be getting only $300.00 from Social security from a place that she worked briefly in the past.But her husband is older(65years),and contributed to Social security so he is getting $1200.00 /per month. But argues that that is not enough since their mortgage is close to $3000.00/per month. 5.DISABILITY: She will be entitled to disability benefits for three months due to Hip replacement surgery. I found out that if you are already on retirement you can’t get disability. This is my findings when I called to inquire about this.
6.POST OFFICE: In 2021 I decided to take a closer look to pay attention to what is going on around me.I looked for my two wonderful post masters that,I have known for over ten years. I was told that one of them relocated to Arizona and the other person moved to Nevada. I asked why and was given same reason- cost of living in California. I could not understand why people of middle class to upper middle class have to leave California for the cheaper states.And I have learned from them that you have to be slightly inconvenient to be permanently comfortable. I have studied and find out that many people have left California for other reasons.
7.SOCIAL SECURITY RUNNING OUT OF FUND SOON.
There are reliable rumors everywhere for a long time now that Social security funds will be running out in their near future and people are panicking and making financial adjustments ahead of time so that they will not run out of money.
8.BANKS:Some bankers that I know have also relocated to other states due to high cost of living in California.
9.INFLATION :Recent high cost of living in California is also playing part in the exodus movement from California. 10.INCREASE IN DEATH RATE.
There are too much violence in California gunshots, racially motivated shooting- blacks,Asians,gangster violence, attacks on LGBT.
11.DECREASED IN INFLOCK OF LEGAL MIGRATION.
There are recent studies suggesting that people are migrating to other states from California.