Latest Comments by michelle126

Latest Comments by michelle126

michelle126, BSN 12,193 Views

Joined Jan 22, '03. michelle126 is a RN. Posts: 3,466 (22% Liked) Likes: 1,469

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  • 2
    Cattz and Farawyn like this.

    I don't go to night clubs either, LOL. I'd love to try school nursing but getting the certification isn't in my budget now

  • 1
    Farawyn likes this.

    Help me understand school nursing or lack there of. (I'm a LTC nurse)

    It is a small Catholic grade school. We have a school nurse from the local school district. She is only there once a month and it isn't to see children but just complete paperwork? I think she goes to all the local Catholic schools in the district.

    So, what happens when the children get sick? What should happen?

    Right now, only inhalers and epi pens are permitted and in the absence of a RN or LPN, the child is only permitted to administer the medication. It doesn't say anything about insulins (we haven't had diabetic children than needed insulin....we did have a child with a pump a few years back)

    So...no more cough drops at all. A letter came home stating that parent can send in 2-3 cough drops that the home room teacher will keep for the child. The child must take them on their own. This will be fazed out because cough drops are used as "crutches". I get the fact that cough drops, even Ludens non menthol, are considered meds...in LTC we need an order for them too.

    I guess I have an issue that we really don't have a school nurse. We had a child that had a seizure once. I think they were told "we can't handle him" I'm assuming this is where the parents would need to get a nurse to go to school with the child?

    Do you have the secretary call the parents to come in to give cough drops? Tylenol? Tums?

    What suggestions do you have for kids with a cough? Sip on water? Cough med at home before school (not really effective)? Keep the kids home for the week or so until the cough subsides?
    Petition the school to become the school nurse in exchange for free tuition? ....if only this was an option! I have my BSN but no school nurse cert!

  • 4

    I think we've all worked with someone like this. Try and get in a few minutes early, read thru your 24hr report to see if she missed some thing during verbal report. After you get your verbal report, do a quick round of your patients.

  • 1
    AmeliaBe likes this.

    Quote from AmeliaBe
    The National Labor Relations Act says that employers cannot prevent employees from discussing wages and working conditions among themselves.
    That's good to know. I guess since said nurse is a supervisor that might make it different. Talking with other staff, I think our big issues isn't about the talking about it but how they came about the information. If it was looking thru employee files, I think it would be a breach of confidentiality. I don't need this person getting a hold of my SS number with my address and other information there.

  • 0

    Quote from TheCommuter
    When I accepted an employment offer for a new job three months ago, the recruiter specifically told me not to divulge my salary to others.

    There's a reason for this: in spite of equal opportunity mandates, two different employees with similar experiential levels can be earning drastically different salaries. And, as usual, the employee who earns less money becomes resentful and stirs up issues with management.

    The best way to keep the peace would be to pay everyone the same. However, since this will never happen, the next best thing is to avoid discussing pay or finances.
    And that is why most places have a policy for this.
    Hubby works in car sales as a manager. There are 20 different pay plans for just as many sales persons. It is crazy!

  • 0

    While I generally agree, weekends can tend to be crazier because there are less staff.

  • 0

    Your right. It really doesn't change the way I do my job, but when you have people that want to get nasty and make comments "let her do it, she gets the big bucks" or "i don't get paid enough do do that" (who does, lol) It will get old.
    I guess I got my panties in a bunch over the fact that the only way this person would have the information would be to have gone thru employee files. (I have nothing to hide in mine....its rather boring!) If you don't like how much you are getting paid, 1. don't take the job 2. talk to your manager 3. let your feet do the walking....quit complaining.

    I'm clueless to what the other nurses are making. I've been there so long I don't know what the new nurses get or new hires. Aint none of my business, I'm happy with what i do get paid. Now...that said, sometimes I wonder if I'm short selling myself especially on those super crazy days.

    Eh...small facilities are grand!

  • 0

    Its been years since I really looked at the regs, but could it follow under protecting personal property?

    I have to agree with Capecod...PITA but the inventory sheet is necessary. I always make sure we try to complete them within the shift or next day or so. Clothing always goes missing but things like glasses, teeth, walkers, electronics....at least the family has proof. I only have one family that actually updates it or lets us know when they change items on the inventory.

  • 7
    LadyFree28, LTCNS, 4boysmama, and 4 others like this.

    I work LTC and all I do is assess. Is it a head to toe every time? No. In my role as supervisor or floor nurse I do complete head to toes on admission and get a heathy history with the 10 million questions done. Ever other time I interact it is a focused assessment. We assess with our eyes and ears every time you have an interaction. Just because I might not be using my stethosocope it doesn't mean we are not assessing.

    In LTC, there rarely are drs in house (unless they are doing rounds) so we are also formulating a diagnosis too. If I'm calling a dr, I better have a good idea why and wil most often be asked "what are you thinking about this?"

  • 0

    Am I over reacting on not?

    I work in a small facility so the gossip and rumor mill is always in full swing.

    A nurse aid mentioned to me that one of the nurses was a bit angry with her salary and was talking about other nurses and ancillary staff (including department heads) salaries and hourly rate. She was very specific with what we are all making. The union staff..no secret since it is posted. I think the new hires have a basic rate too, so I guess not a secret but department heads (salaried) and older staff??? Shouldn't be public knowledge.

    I guess my issue is that, yes, it is actually in our employee handbook that salaries are a private matter and should remain that way. We all know that it talked about but I'm some what perplexed on how the information can be so specific on so many people non nursing. I'm confident that they wouldn't be sharing their salaries and it makes me wonder who exactly is sharing this information? The administrator? DON? (why would she know that other departments make).

    WWYD? Compliance issue? Bring this up with the administrator who might be the leak, blow it off and only bring it up if it becomes an issue?

  • 2
    bluegeegoo2 and amoLucia like this.

    I've never ever seen vital sign equiptment callibrated in LTC. The only thing I've seen checked are the scales.

  • 1
    loveschoolnursing likes this.

    All of the above!!!

    It has been years since I did clinical in a nursing home but I have years of experience in the nursing home

    If you have free time..buddy up with a CNA. You will help them and they will help you!! Just watching them and how they interact with the residents you will learn a ton. For most students this can be your first time to practice on real patients the skills you have been learning. Basic vitals and assessments..learning how to interact and interview patients and the baiscs like transfering someome from a chair to a bed, walking with someome with a walker, basic adls....then there is the med passes!

    Lots to learn, just be open to learning and ask questions!!

  • 2
    IowaKaren and SororAKS like this.

    We had a resident that would urinate in the lobby. He loved the fake trees, trash cans, and the water fountain. We ruled out UTI, did q 2 hour toileting, everything. 1:1 was the only thing that worked. Frustrating.

  • 0

    Stop sign? or some type of sign or diversion?

  • 0

    Before I reinvent the wheel....

    We seem to be running out of supplies, alot. Anything from Kleenex to body soap, gloves and treatment supplies. Does anyone have a general formula on how they order these?

    I'm trying to be part of the solution and think this through and help come up with some suggestions.

    I haven't done the ordering in years but when I did...we would look at the census trends. When ordering wound care supplies, I would review the orders to find out what was popular...did we have any residents with a large amount of wounds or who needed extra supplies (ex..a resident with a huge stage 4 that needed packed with 4 rolls of kerlix 3 times a day and also required 4 abd pads with each change)....I would consider upping my kerlix and abd order.

    What about personal care supplies? Body soap..average one bottle per resident per week? Assuming they would get 1-2 showers a week, washed daily and inct care prn.

    Maybe it is just using common sense? (it is to me)


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