▲ 0 r/cna

Starting home health care.

I have never provided care in a pts home, 1:1, without any backup person, call bells avail, shouting avail! . I have a history of sexual abuse as a child and have cptsd.

Please tell me the worst experience you ever had, any experience, any advice. I want to prepare myself mentally and know what i am stepping into, also be able to “read the room” and signs if any to prevent anything from happening if ever.

I do realize this post may come out as extremely negative. I am on the spectrum and have issues reading social queues and body languages that may mean something entirely different. I am just trying to prepare. Thank you for your help.

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u/Such_Clock_6769 — 6 days ago
▲ 5 r/communication+1 crossposts

The desire to want a ‘deep’ conversation when in reality they only want an audience, not to actually converse, only to listen.

My question/dilemma comes from many many interactions with a loved one that ends in an argument, agitation and then complete silence.
I love and care for the said individual and im simply trying to understand.

They have a deep desire of having what they call ‘deep and real conversations’ about reality, what’s beneath the surface, philosophy, and wanting someone that helps them to explore and understand the deeper meaning to their thoughts, however:

Every single instance of having a conversation ends in an argument.
The problem:

  1. I am on the spectrum. To me, a conversation means people conversing, say and hear. I simply ask questions to try to understand, relate, get more information so that i can be sure i am actually listening correctly. To my mind, this is so that i understand them better and on a deeper level and also shows that i am engaged.
  2. Said individual is heavily opinionated, has voiced on many occasions that nobody actually understands what they are talking about, strictly believes their own ideas/knowledge/values/experiences are not understood by the masses and simply not taken as seriously.
  3. In almost all of these “conversations”, the argument starts when i express my objections (OR ANY OBJECTIONS) towards a subject.

Random example, not an actual conversation: lets say his point of view is “sky is always blue”
I say “are you referring to the color we perceive as blue when we look at the sky, or sky is actually blue?”
Them: “omg stop it, you always have to make it about what you think is the correct way of saying things, whatever, we are done”

——
My question is: Is it wrong to converse in a conversation? If the person wants you to only be an audience, only listen, no verbal confirmations or communications- is this still a conversation?

How can i navigate this further? To what extent are humans expected to empathize with people’s self-created thoughts and realities. I might not understand it but i want to try my best.
I don’t want to settle for assumptions. I want to actually comprehend and help if i can. Im really lost

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u/Such_Clock_6769 — 6 days ago

HCA jobs in Nanaimo

Hello everyone. I just got my HCA registration and looking for HCA jobs in Nanaimo.

I have been checking VI Hire multiple times a day, applied to the limited number of jobs available on Indeed as well but nothing…

Does anyone know of any HCA openings in LTC, the hospital or anywhere at this point to be honest..

Thank you kindly.

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u/Such_Clock_6769 — 7 days ago
▲ 105 r/nursing

had my first postmortem care experience today and The Pitt helped me get through it.

I can’t explain how grateful I am to The Pitt episode that Dana and Emma provided postmortem care in.

I’m a new grad RN in a LTC facility and today i had my first ever experience with postmortem care. I did not even know the patient has passed away until a few minutes before getting into postmortem care.

The patient passed away a few minutes before medication pass. I was set up with my whole cart to go in the room and administer the medication. I noticed the room is very crowded with a few family members in. THANK GOD, before going in the room, another RN noticed me and literally pulled me out of the door frame and asked what do i think im doing …

The RN updated me and assigned me to postmortem care. I am on the spectrum and I usually prepare every single conversation, sentence and possible responses in my head before starting an interaction. I had 2 minutes before having to step into the room, ask the family to leave and start the care. I also have very little experience with postmortem in general, except from lectures in school. This was my first time seeing a dead body. Today was very very much. Lots of emotions and overwhelming feelings that I have trouble processing.

The ONLY thing that got me through this was Dana. The way The Pitt portrayed the whole care, the amount of dignity and respect both nurses had for the patient, the emotions they visibly were going through… idk. Thank you for this show. Im really grateful.

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u/Such_Clock_6769 — 28 days ago

had my first postmortem care experience today and The Pitt helped me get through it.

I can’t explain how grateful I am to The Pitt episode that Dana and Emma provided postmortem care in.

I’m a new grad RN in a LTC facility and today i had my first ever experience with postmortem care. I did not even know the patient has passed away until a few minutes before getting into postmortem care.

The patient passed away a few minutes before medication pass. I was set up with my whole cart to go in the room and administer the medication. I noticed the room is very crowded with a few family members in. THANK GOD, before going in the room, another RN noticed me and literally pulled me out of the door frame and asked what do i think im doing …

The RN updated me and assigned me to postmortem care. I am on the spectrum and I usually prepare every single conversation, sentence and possible responses in my head before starting an interaction. I had 2 minutes before having to step into the room, ask the family to leave and start the care. I also have very little experience with postmortem in general, except from lectures in school. This was my first time seeing a dead body. Today was very very much. Lots of emotions and overwhelming feelings that I have trouble processing.

The ONLY thing that got me through this was Dana. The way The Pitt portrayed the whole care, the amount of dignity and respect both nurses had for the patient, the emotions they visibly were going through… idk. Thank you for this show. Im really grateful.

reddit.com
u/Such_Clock_6769 — 28 days ago

MED ADMIN IM/SubQ/ID INJECTION QUESTION, not IV

Im a nursing student and i keep mixing these up… specifically the different lengths of the same G.

———-
This is the list i have gathered so far/ is it correct? Do i need to add anything?

18G 1½” (1.2 mm × 40 mm):
deep IM injections / thick (viscous) meds /e.g, Penicillin G Benzathine (Bicillin LA),

20G 1” (0.91 mm × 25.4 mm):
IM adults, thick (viscous) meds /
E.g, Testosterone Cypionate , Ceftriaxone

21G 1” (0.8 mm × 25 mm):
Routine IM injections/vaccinations /
E.g, Influenza Vaccine, Hepatitis B Vaccine, Ketorolac

22G 1½” (0.7 mm × 40 mm):
Deep IM injections / larger adults /
E.g, long-acting antipsychotics (Risperidone) and Hydroxyzine

23G 1” TW (0.6 mm × 25 mm):
IM w/ smaller gauge for comfort /
E.g, Cyanocobalamin, Epinephrine and Medroxyprogesterone (Depo-Provera).

25G 5/8” TW (0.5 mm × 16 mm):
subQ injections /
E.g, Insulin, Enoxaparin, and Heparin

25G 1” (0.5 mm × 25 mm):
IM or SubQ injections depending pts size and med /
E.g, pediatric IM vaccines, Morphine by IM injection, or certain subcutaneous immune globulin therapies.

30G ½” (0.3 mm × 13 mm):
VERY FINE needle, ID or subQ /
E.g, Tuberculin Purified Protein Derivative (PPD test) for ID, some forms of Insulin may be subQ.

—————

I can’t find a guide that’s accurate for all below G and L that i have available in my nursing program and how to associate these with different medications.

How did you memorize these? Any tips and tricks are much appreciated!!

u/Such_Clock_6769 — 2 months ago
▲ 10 r/nursing

Incoming new grad nurse, terrified of the many many things i may have not learned or don’t know.

Appreciate ANY advice, your 2 cents, your tricks, things you learned, things you messed up. Thank you!

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u/Such_Clock_6769 — 2 months ago
▲ 50 r/nanaimo

Does some specific psychosocial change come with aging that makes SOME (50+ yo) people loose all common sense?

On 40 rn, a 60yo person on SPEAKERPHONE with their bank, on call with the automated answering machine. Apart from all their info and balance being shared publicly, ive been on the bus for 12 mins and the call continues… why ON SPEAKERS???

Another older got on and genuinely started shouting at a younger disabled person for taking the seats up front. When the person got uncomfortable and stopped explaining, she kept going on and on LOUDLY.

Im genuinely interested to know, WHY? What makes some older people think they are entitled to any public space?

Sorry for the rant, been a day and this keeps happening to me specifically this year.

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u/Such_Clock_6769 — 2 months ago