ltcnurse4u CNA, LPN

ltcnurse4u has 24 years experience as a CNA, LPN and specializes in LTC.

Latest Activity

1. HELP! I need a new report/brain sheet.

   ltcnurse4u replied to svicente0520's topic in Geriatric

   Here is a cheat sheet I created for myself to use. Feel free to tweak it to fit your needs. Don't be too hard on yourself, getting a routine takes time. Talk with your supervisors and come up with a plan together. Medicare charting is daily chartin...

2. Non-diapering nursing home patients

   ltcnurse4u replied to ASSEDO's topic in Geriatric

   I am not sure where you work or where you saw someone walking around in a "diaper" with a half a days worth of urine, but that is not normal and is very neglectful. At my facility, we have a toileting program when they are offered the toilet every tw...

3. Time management

   ltcnurse4u replied to LPNSWEETHEART's topic in LPN/LVN

   I also work the PM shift. I created a cheat sheet and it has been a huge time saver for me. I stick to my routine and I am very OCD about it. I keep my folder and by nurse bag handy. I have room for those oh crap moments and I do not panic when somet...

4. patient identifiers

   ltcnurse4u replied to newtelenurse's topic in Geriatric

   I have created a cheat sheet to help keep me on track. List of what vitals I need, labs to be f/u on, wound care, who needs blood sugars I need to monitor, I/O's, what staff is working and what unit. Each day after report, I sit down and make my li...

5. What I Wish I Could Say to My Residents and Their Families

   ltcnurse4u replied to bluegeegoo2's topic in Geriatric

   We had a male resident that had PRN orders to straight cath. At night, he would use his call light and wave at his groin and say "my bladder is full, can you pee for me?" I am not kidding! I told him he needed to get up and use the bathroom first, an...

6. Crushing Oral Medications...New Regulation

   ltcnurse4u replied to ltcnurse4u's topic in Geriatric

   I believe there was a post stating the regs were updated to allow meds to be crushed and combined together if it is in the best interest of the resident. On another side note, when our facility had its survey, the state did not say anything about me...

7. First nursing job, need help!

   ltcnurse4u replied to bigmamabear's topic in LPN/LVN

   The above poster gave some really good tips. I have a cheat sheet that I use for my shift. I work on a TCU and the residents are very much like med-surg patients. My cheat sheet has a space for vitals, blood sugars, weights, BM lists, PRNs ect. I als...

8. Phasing out alarms?!?

   ltcnurse4u replied to al586's topic in Geriatric

   We have been alarm free for years. I havent missed it one bit. I recently picked up a side job and they still have alarms but they did not prevent any falls. You will get used to it...anticipate what they need...when they fall..and they will fall......

9. Lpn to rn bridge

   ltcnurse4u replied to stephanie.monaco's topic in Excelsior

   I am currently enrolled...taking my 2nd class. I really like it. I am working on my pre-regs at the moment. It is a alot of work...lots of papers and you must be really focused. My instructor posts assignments midnight Sunday with the due date, most ...

10. New RN Charge nurse

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric

    She hasnt made many friends with the staff...and she has been talked to several times by the DON and the administrator. The unit managers have spoken with her because she is doing the RN assessments wrong and on the wrong dates. She is constantly wri...

11. New RN Charge nurse

    ltcnurse4u posted a topic in Geriatric

    I have been an LPN for a while..over 10yrs...all in LTC. I have worked at the same place for several years... I can say I know a few things about my job. That being said..how do I approach an RN charge nurse who clearly does things wrong? Like...basi...

12. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric

    Agreed...

13. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric

    So I spoke with DON and our pharmacy rep about this issue today. ( I am so happy I picked up this shift!!) So here is the skinny: MDs will NOT be able to writer an order to crush meds and combine. If you are crushing meds...for PO or PEG..you need t...

14. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric

    Someone at work had stated it was because when a resident spits out a medication that is crushed, you do not what medication it is because the meds have been crushed together. This is ridiculous and will cause more harm than good to the residents. I...

15. Crushing Oral Medications...New Regulation

    ltcnurse4u posted a topic in Geriatric

    Our pharmacy sent out newsletter on Monday that states: As of November 28, 2017, phase 2 of the new federal regulations will take effect. Part of the changes relates to crushing oral (PO) medications. The new regulation states: "Crushed medication...