Latest Likes For SuesquatchRN

Latest Likes For SuesquatchRN

SuesquatchRN 46,426 Views

Joined Jan 26, '06 - from 'empty'. Posts: 13,197 (46% Liked) Likes: 17,863

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  • Jun 18

    I like LTC. Don't love it but like it. I hated being a floor nurse there but then, I hated that in the hospital, too. I am now doing hospice, visiting, and love it. Lots of freedom, lots of autonomy, and no MDs changing orders every 30 seconds.

    It depends to a degree on your state. I started in NY and LTC was very tightly watched by the gov't so the corner-cutting I see here in TX, where they have actually outsourced a lot of survey, wasn't possible. But it's hard, wherever you are.

  • Jun 6

    Diuretics aren't generally given in the evening. Needing to pee constantly harshes the patient's night's sleep.

  • Jun 2

    Quote from momtojosh
    ....i feel your rant BUT i can honestly say i have NEVER felt like that toward a PT matter how much they call and check or pop in at the work site.......
    I sure have.

  • May 18

    The online program has all the accreditation of the brick and mortar school.

    I'm starting in March, too.

  • Apr 7

    Quote from Kimbalou
    It is a proven fact that abortion affects women emotionally for a very long time.
    No. It is a proven fact that the Right to Life website says that it does.

    The experience of those women I know who who have had abortions - and I include myself and my mother - does not support the lies of the anti-choice organizations.

    rrandle, you have chosen important, worthwhile work.

  • Mar 16

    It hurts to be accused of neglect, particularly when it isn't true.

    I know.

  • Mar 14

    Quote from LYNDAA
    I agree WHOLE-HEARTEDLY that Narcan should not be used on an actively dying patient but it is good to have it nearby for the same reasons we do of what we do......the families.
    I will never, ever give narcan, which eliminates the ability to control pain AT ALL for hours, to one of my dying patients. And thank a merciful providence I am no longer in a hospital setting. Press Gainey this.

  • Mar 13

    Quote from VivaLasViejas
    And as terrible as it sounds, all I could think of was how fortunate it was for society that this character had rendered himself permanently incapable of producing just can't fix that kind of stupid. Yanno?
    He qualifies for a Darwin Award, to those who removed themselves from the gene pool by an incredible act of stupidity that either kills them or renders them incapable of reproduction.

  • Mar 4

    The family pushed for it - because an 86 year old man with a broken hip died.

    What I find most disconcerting is she is described as "the nurse most concerned with managing Mr. x's pain."

    No good deed goes unpunished.

  • Mar 2

    "Suicide by non-compliance."

    I think that nails it.

  • Feb 25

    Quote from nancy2009
    like you said, prioritization is the key. i think you should get help from other nurses, if you find your work load overwhelming rather than trying to get everything done at the expense of pre-pouring your medications, if this is your practice.

    really? what other nurses?

  • Feb 25

    Quote from FLArn
    The Hardest part of the LTC med pass for me always was running to the supply closet when I found the empty bottle of test strips, ... then to replace the tylenol bottle with 1 tab in it, etc., etc......:selfbonk:
    It infuriates me when I follow someone that inconsiderate. I always make sure the cart is stocked and NEAT for the next person.

  • Feb 25

    Squirtle, most LTCs have "med carts," which contain vlister packs filled with 30 tablets per patient and set in between dividers with names/room numbers. The bottom drawer holds liquids, etc, and there's usually an easy spot to reach insulins, needles, etc.

    You go along the hall pushing the cart and checking off the MAR as you pop the pills in front of each room.

    It can get frantic, but remember, the patients are chronics, not acutes, and orders don't change quickly. Coumadins change a lot, ss insulins obviously change based on BG, dig and toprol get held based on bp or apical, but otherwise, I can pretty much pop my residents' meds in my sleep. At do, starting at 0400.

  • Feb 25

    Quote from CASTLEGATES
    If you've got labeled pill packets, OK ONLY if you do your triple checks before and we really need to do triple checks every single time (every med error lacks one of those checks).
    That's not possible in LTC, CG.

    I used to pop them into a little cup, put another cup labelled with the patient's name on top of it, and lock it up. If someone required vitals I wuld put those pills separately, and pre-pour only if I knew the patient to be stable and unlikely NOT to get the pill. I actually had fewer errors that way. As the OP says, more time. And I can't check wristbands when patients don't wear them.

    A reason not to pre-pour where I am now if the DON will write you up if she catches you.

  • Feb 23

    Jack, you know how the enlightened NYS BON handles an impaired nurse who turns herself in? License surrender followed by some rehab.