marjoriemac LPN

marjoriemac has 5 years experience as a LPN and specializes in nursing home care.

Latest Activity

1. funny story

   marjoriemac replied to facetiousgoddess's topic in Geriatric

   Whenever we have a 'full moon' it usually results in wandering naked, escape attempts, shouting at each other and raiding the biscuit barrell (and that is just the residents!).

2. leaving patient in bed with wound

   marjoriemac replied to Ms.RN's topic in Geriatric

   We've had patients with real bad wounds on sacrum etc, we would normally alternate between sitting up (with appropriate pressure cushion) and being in bed with regular positional changes.

3. Is there a state rule on how to count narcotics?

   marjoriemac replied to Ms.RN's topic in Geriatric

   I'd say whilst both trained staff are present at handover, both shold count drugs and check the amount is correct.

4. What do you bring to work?

   marjoriemac replied to OldMareLPN's topic in Geriatric

   I bring scissors, pens, fob watch, nail clippers, lip balm, notepad for me and a goody bag containing alcohol gel, tourniquet, spare scissors and spare nail clippers, oh and a measuring tape. My goody bag is because someone always asks for the items!

5. ted hose

   marjoriemac replied to proud2b1's topic in Geriatric

   TEDS are usually applied but my gripe is with bandaging, particularly when C/A's just pull on a pair of shoes over knee to toe bandages without care to ensure the bandage stays on the toe!

6. Rounds, Falls, and Skin issues

   marjoriemac replied to handyrn's topic in Geriatric

   Geez, 2 hourly toileting, unless anyone has been identified as always soaking every 2 hours, we generally do 4 hourly toileting, plus the continence nurse only gives each resident a quota of 5 pads a day! At night, they do hourly room checks, not wak...

7. The life of a guy nurse in LTC

   marjoriemac replied to PsychNurseWannaBe's topic in Geriatric

   The women in our home are man daft (not just the residents!!!), it is great to have male staff!

8. Do your residents get a lot of visitors?

   marjoriemac replied to Lovely_RN's topic in Geriatric

   We have families that visit regularly and those that don't and those that you never see! I think it is hard to judge why people do or do not visit. I also think spending 10 minutes visiting and talking with a resident is far more worthwhile than visi...

9. LTC Smell?

   marjoriemac replied to michael79's topic in Geriatric

   I have never worked in an LTC that smelled. To me it is a sign of poor housekeeping. Yeah, there are always times when Mr X has stunk the toilet out, but a good odour neutraliser and ventilation should solve that.

10. Split days off?

    marjoriemac replied to eldragon's topic in Geriatric

    We get every other weekend off but always have days off together. It just means you have a long week and a short week. I like having days off together as then I don't get too tored doing overtime.

11. most common meds on night shift

    marjoriemac replied to rosepetls's topic in Geriatric

    May be different names in the states, but common night meds in my facility are simvastatin, trazadone, paracetemol and other analgesia, zopiclone, nitrazepam. Mainly night sedation really.

12. Nails

    marjoriemac replied to michael79's topic in Geriatric

    I dont think we are supposed to wear any nail polish nor have long nails as there is the infection control risk and the risk of scratching patients who already have very fragile skin.

13. How do I manage difficult CNAs?

    marjoriemac replied to MegRyanGirl's topic in Geriatric

    Make your complaints formal and if nothing is done, go to your inspection authority. Poor care cannot be ignored or you risk your own license.

14. Having the "Right to Fall"

    marjoriemac replied to TheCommuter's topic in Geriatric

    I think it is a term that can be interpreted in many ways. If we are talking about risk involved, then sure, someone who is mbile but may be a 'high' risk of falls has the right to continue to mobilise if they are aware that risk is present. If they ...

15. Security

    marjoriemac replied to CapeCodMermaid's topic in Geriatric

    We have key codes known by competent residents and relatives. Night shift bolt the door too!