One Flew Over

One Flew Over

CV Surgical, ICU

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About One Flew Over

One Flew Over specializes in CV Surgical, ICU.


Latest Activity

  1. Horizontal Violence in LTC

    Hello all! I have been working in LTC for 7 years now, 6 as a CNA and 1 as an LPN. I have seen a lot of management changes, and staff turnover. During the staffing and budget cuts we have lost a lot of really amazing CNAs and nurses. Over the pas...
  2. Health Care Proxy Dilemma/Question

    I'm in Massachusetts
  3. Health Care Proxy Dilemma/Question

    I haven't really had a patient of this nature; it's always been easy to define whether they are competent or not. I guess that's why I was asking. I definitely see why he was seen in the first place, but I feel that other interventions such as counse...
  4. Health Care Proxy Dilemma/Question

    Hello all! I'm a long-time lurker and haven't posted in a while but I have an issue that's really been bothering me. So let me give you a background.. Pt has Parkinson's disease, AAO to person place and time, occasionally forgetful (but who isn't?). ...
  5. Do I give the med or hold?

    I believe it also comes in a liquid suspension form- obviously not time released so he would just have to get it more often. I agree though, don't hold.
  6. The Patient I Failed

    Absolutely heartbreaking.. and working in LTC, it hits so close to home..
  7. Certified Nursing Assistants - The Nurses think we have it so easy.

    I was a CNA before I became a nurse, and let me tell you, most days I wish I was a CNA again. While the physical demand is much less, the stressful MD/family calls, changes in patient condition and constant worrying when I go home at night are extrem...
  8. Why Is It That Everyone Thinks They're A Good Nurse?

    I don't consider myself a great nurse and I don't expect anyone to describe me as such. That's not to say that I am completely inadequate or foolish.. I've been a nurse for about 8 months and I think I consider myself adequate, an average new nurse, ...
  9. Reporting a Fall???

    You document what you saw, it's not your job to document what you assume happened. Like a previous poster said, I've had residents in LTC that sit themselves on the floor, crawl, slide.. etc.. so not every patient you find on the floor has necessaril...
  10. Do nurses have to clean up vomit?

    And if your patient begins to complain of nausea/stomach ache.. etc.. make sure that basin is front and center! And I mean a real basin (label it for 'oral use only'), not one of those tiny emesis basins, the elderly simply cannot aim into those litt...
  11. Concerned about work environment

    Leave ASAP! And then after you've left and have a new job, blow the whistle on that other facility- it sounds like they need to be shut down.
  12. CNAs deserve more appreciation in nursing!

    I'm not at all bothered when a patient mistakenly calls a CNA a nurse.. it's when that CNA answers to 'nurse' and does not politely correct the patient/resident, that's when I get bothered because its deceiving. In addition, and just as an aside, wh...
  13. Why can't you write people's names in your note: Rationale?

    The only time I was told that it is inappropriate to use a name is when you are referring to another resident/patient (as in a patient-to-patient altercation) and I believe in that instance it's acceptable to use 'roommate' or room number if I'm not ...
  14. Anyone ever ask for more orientation?

    Not all LTCs. It definitely depends on the facility and region because I am on week 5 of my orientation and I will be finished next week which adds up to a total of 6 weeks of orientation. About 1 week of following a nurse and 5 weeks passing meds wi...
  15. Slipper Socks question

    I agree with the poster above, dry the floor as best you can and then put them on. Slipper socks should definitely be on in the hallways/rooms at all times, not only as a safety issue, but I shudder to think of the things that have been on those hall...