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the neverending med pass



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No. 30
from vsink
Old Jul 12, 2009, 12:41 AM

Default Re: the neverending med pass
I have been a LPN in a nursing home for almost 3 months! I just put in my two weeks notice! The med pass is making me nuts!
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No. 31
from LEN-RN
Old Jul 12, 2009, 07:49 AM

Default Re: the neverending med pass
Originally Posted by Dixiecup View Post
I don't see how any of you get any nursing responsibilities done passing meds! All our meds are totally passed Med Techs. The nurses have more than enough to do in 8 hours WITHOUT passing meds. She literally never stops (I'm the ADON) and if she had to pass meds no one would ever get any care.

Thats just it, nursing responsibilities get sidelined and thrown in between. Thats one reason nurses dont take breaks.

Its about money. And there is always another unassuming or eager nurse waiting to be hired, so most management does not care that there is a problem. I have seen one floor supervisor hide in her office all day, until the administrator stops in, then she is out and about acting like she cares, then goes back in her office when he leaves the floor. During a snow storm a HUGE snow storm, where people were stranded at work, do you think she even called in to see how everyone was doing??? UMMMMM noooooooooo. She could have cared less. She is worthless. And after than same snow storm, administration gave each floor supervisor $100 gift cards to be given out to the staff who stayed(slept in empty rooms on the floor) but this floor supervisor did not pass out ONE gift card. Unbelievable.
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No. 32
from kmr2828
Old Jul 13, 2009, 06:57 PM

Default Re: the neverending med pass
I have now hit my 3 month mark in a Long term facility . I am really trying to hold out for 6 months & I will begin sending out my resume to a few places that I heard have better working conditions & a more manageable nurse to patient ratio . I have a unit manager who is "suppose " to do the treatments & answer the phone ,however she has told me that passing meds to 32 people (7-3) is Not a full time job & she expects me to do all 32 treatments & dressing changes, wound care etc for all of the residents. I have lots of feeding tubes & neb treatments, finger sticks , coverage etc.
I still cannot seem to get it all done. I have doctors, infection control ,psych, pt , Aprns , dietician, speech therapist, hospice nurses all come & track me down while I am attempting to pass my meds. . The Rn on the floor sends them to me. She takes several breaks to smoke & eat for lunch the extra sandwiches that the kitchen sends for the diabetic residents - meanwhile I am running around like a absolute fool . with no break & many times no lunch . She will even come find me down the hall while Im in the middle of passing my am meds to tell me I really need to make sure I remember to go check the residents skin when an aid is giving a shower (in CT an LPn is not suppose to assess anything, so they changed the name to a skin audit.. pretty darn sneaky ) .... like I have time for that. I took the advice from BoopetteRN & reviewed my meds however the unit manager would not let me change the time to 5pm , but let me move some of the 8am & 9am to 10am and I noticed a few could be dc'd & I mean 2 .
I love the cna's & I love the residents . I know the residents know I do really care for them . I have received compliments from families that it is much better since I have been there.. I feel these residents deserve more better care. I was told today that I cannot work past my shift 3pm , which I have been doing since I have to also chart on each resident , do the 24 report for the dos , fill out the I&O's , bm's and skin audit forms as well as Adl assessment sheets ever day in addition to the medications & treatments for all 32 residents . I would love to see the unit manager or the DON attempt to do all I do . I know they are licensed to do it , but sure would not be done by 3pm.
I do not beleive that any nurse who has 50 plus residents for 7-3 shift could honestly say that she is not cutting corners or taking "shortcuts" , especially if she is doing medications & all of the treatments. I really do not believe that anyone could possibly be doing everything by the (state guidelines) book ... I would have to see it to believe it !
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No. 33
from Bokyo
Old Jul 27, 2009, 07:18 AM

Default Re: the neverending med pass
Originally Posted by Jo Dirt View Post
It is a horrible system, the way they expect you to pull a pill passing marathon. Amidst eye drops, ABO's, swish and swallows (and the list goes on) they expect you to do tx's and chart the same old crap shift after shift on the same patients until you run out of ink.
I have tried, I have really tried, and I was defeated. No matter how energetic or how good your intentions are there is just absolutely no way to get it all done. Half-a$$ed is the mantra of the nursing home floor nurse. And that doesn't make THEM the bad people, that's just the way it is.
I attempted to orientate a 3-11 nurse who insisted on doing it all by the book. After two weeks of staying until 2-3AM and a lot of frustrated tears she quit and went back to a quiet ICU.
Most nursing homes are hell and are just old people mills where they ship them in and haul them to the funeral home and ship another one in the bed before the sheets have been completely changed.
I hope I never have to be in a nursing home. I'd shoot myself first.

LOL......
Oh well...we're in the same shoes!!
But i still Love it............
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No. 34
from Bokyo
Old Jul 27, 2009, 07:30 AM

Default Re: the neverending med pass
Originally Posted by kmr2828 View Post
I would love to see the unit manager or the DON attempt to do all I do . I know they are licensed to do it , but sure would not be done by 3pm.
I do not beleive that any nurse who has 50 plus residents for 7-3 shift could honestly say that she is not cutting corners or taking "shortcuts" , especially if she is doing medications & all of the treatments. I really do not believe that anyone could possibly be doing everything by the (state guidelines) book ... I would have to see it to believe it !

I had once did it...the on call for that weekend was the DON....ok, i told all the Nurses not to work if ever they will call them...let her work her @$$ on the floor, i didn't work that night...then the next day....i ask her if she could add one more Nurse in the Night shift....she just simply say "YES".

Ask your DON and Administrator to have a Tx Nurse...that way your load will be lessened.
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No. 35
Old Jul 30, 2009, 04:08 PM
Updated Jul 30, 2009 at 04:14 PM by mykrosphere

Default Re: the neverending med pass
i worked in long term care and its the hardest job ive ever had.
most of our long terms were on vents, even.
its pretty sad when most of the patients dont even really care about the pills, they just want someone to talk to.
i work in an ltac now and its a bit easier with less patients, and i wonder how i ever got through taking care of 20 vent patients in a nursing home.
(nevermind having to hang all the ivs because i was the only rn working at night some nights, and doing staffing, and yadda yadda)
it makes me sad that older people are not better taken care of.
we try our best and still go home feeling like we didnt do enough.

its awfully stressful


and the med pass is a joke.
working 7p-7a you have the first med pass of "hs meds" that takes roughly 3 hours (on a good day)
then around 11 or so you have the second round of "hs meds" (people who are a/o enough to not want a sleeping pill at 9pm. (about an hour)
then minimal charting, then its time for the 4am med pass, and after that, the 6am med pass.
throw in some accuchecks, patient falls, random codes, and you have 12 plus hours of nonstop "action"

for as hard as long term care works you, its amazing the pay is the lowest ive ever received.
getting to know the patients is really rewarding.
and i respect all honestly decent nurses who work in ltc.
(old people are the best)
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No. 36
Old Jul 30, 2009, 05:59 PM

Default Re: the neverending med pass
Originally Posted by Bokyo View Post
I had once did it...the on call for that weekend was the DON....ok, i told all the Nurses not to work if ever they will call them...let her work her @$$ on the floor, i didn't work that night...then the next day....i ask her if she could add one more Nurse in the Night shift....she just simply say "YES".

Ask your DON and Administrator to have a Tx Nurse...that way your load will be lessened.
You'd be better off asking for a book on English grammar.
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No. 37
from Bokyo
Old Aug 03, 2009, 12:07 AM
Updated Aug 03, 2009 at 12:16 AM by Bokyo

Default Re: the neverending med pass
I once did it...the on call for that weekend was the DON....ok, i told all the Nurses not to work if ever they will call them...let her work her @$$ on the floor, i didn't work that night...then the next day....i asked her if she could add one more Nurse in the Night shift....she just simply said "YES".

You can request your DON and Administrator to have a Tx Nurse...that way your load will be lessened.

Thanks...CapecodMermaid...
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No. 38
from Katie5
Old Oct 18, 2009, 11:14 PM

Default Re: the neverending med pass
Originally Posted by Jo Dirt View Post
It is a horrible system, the way they expect you to pull a pill passing marathon. Amidst eye drops, ABO's, swish and swallows (and the list goes on) they expect you to do tx's and chart the same old crap shift after shift on the same patients until you run out of ink.
I have tried, I have really tried, and I was defeated. No matter how energetic or how good your intentions are there is just absolutely no way to get it all done. Half-a$$ed is the mantra of the nursing home floor nurse. And that doesn't make THEM the bad people, that's just the way it is.
I attempted to orientate a 3-11 nurse who insisted on doing it all by the book. After two weeks of staying until 2-3AM and a lot of frustrated tears she quit and went back to a quiet ICU.
Most nursing homes are hell and are just old people mills where they ship them in and haul them to the funeral home and ship another one in the bed before the sheets have been completely changed.
I hope I never have to be in a nursing home. I'd shoot myself first.
I did't want to, but I laughed
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No. 39
from Katie5
Old Oct 18, 2009, 11:16 PM

Default Re: the neverending med pass
Originally Posted by CapeCodMermaid View Post
You'd be better off asking for a book on English grammar.
Mean, just mean
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