longtermcarern

longtermcarern

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About longtermcarern

20+ years in nursing, mostly in long term care

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  1. Venting...Hosp pts coming from skilled nursing facilities

    in my 25 years in the ltc field, I have only seen a couple of patients like this. In this day and age, no one should ever get this bad. Being tube fed, they had the ability to give her the proper nutrition she needs to help maintain her skin integrit...
  2. Dilemma with Narcotic Med Count

    Our individual sheets have an area for date/time, number of pills dispensed, signature and remaining pills in packet. so I always do it this way: 3/5/5 1800 one (1) longtermcarern twentynine (29) Our pills come in a packet of 30 so if I give on...
  3. Dilemma with Narcotic Med Count

    a couple years ago, I had the nurse who followed me change the numbers on the count sheet to reflect differently from what we counted together. When the DON called me I was able to remember exactly how many pills were left in a particular residents p...
  4. What does your spouse do?

    my husband works as a roughneck... that is oilfield term for working the floor of a drilling well. For the price of gas and oil you would think he would make big bucks but he hasn't had a raise in 8 years and he only makes 4$ an hour more then when h...
  5. Tube feeders and the state inspectors

    follow the P&P for your facility exactly. in our facility, we flush between each med with 10cc, off for 1 hour before and after dilantin etc. every facility has their own policy and that is what the surveyors are looking for.
  6. cheapest place to get a littman (other than ebay)?

    I paid $50 for my cardiologyII from a DR at our facility. The sales reps always give them to him and as he gets them he sells them to the nurses.
  7. Neurontin

    I have been using it myself for about 4 years now. 300mg tid for peripheral neuropathy. it worked good for 3 1/2 years, the last 6 months it takes up to 1 hour for the effect to start and only lasts about 4 hours. I think I need an increase in the do...
  8. chickenpox and hep B

    The second shot can be given one or 2 months after the first. You get a better response if it is one month. The studies I did when I was infection control nurse stated the the series could also be completed over an 18 month period. If you have a tite...
  9. Sad story 480-pound woman dies after six years on couch

    As a child I grew up next door to a woman who stayed in bed all the time. She was a stepmother to my best friend and I often played over there. We each had a number assigned to us and she would ring the bell however many times depending on which one ...
  10. CHEMO: peripheral or portacath?

    I know just how you are feeling. I lost my 56 year old sister in Dec.97 and my 53 year old sister in Feb.98 from cancer that had mets to the liver. just 3 months apart. Keep focused on everything positive, I think it can be the most powerful medicine...
  11. Long term care nursing

    The pay around here is the same or more then the hospital. A typical day? No such thing!! For instance on Tuesday of this week I started work at 3pm, took report on 20 patients, 5 with scheduled HHN treatments, 6 diabetics with scans and insulins, 1 ...
  12. NOC Patient bathing

    It should be what ever the pt normal home routine is. If this person was in the habit of getting up everyday at 4am and taking their shower then that is ok, but to bathe a person at night just for the convenience of staff it is never ok, even if they...
  13. latex allergies

    Be sure to read the fine print on packages. We are a latex free facility but every now and then it sneaks in disguised as something so different you would never think it contained latex. our latest was versalon nonadhesive telfa pads, in the fine pri...
  14. Lantus insulin use

    Lantus can be given anytime. But if blood sugar is not controlled on it, it is probably not right for that person. Myself for instance. I was taking 82 units of lantus every evening and one night my dementia crept in and 20 minutes after I injected, ...
  15. What are some common concerns with geriatric patients?

    Have you looked at this site http://www.eldercare.com ?