CoffeeRTC, BSN 15,897 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,581 (23% Liked)
Resident requested 2 cigarettes and a lighter from this RN. This RN reeducated resident on the smoking policy and assigned smoking times. Resident raised his voice, kicked me and yelled "F@#$ You. I don't give a F@#$ about those rules. When I get out of here, I'm going to kill you and your babies!" This RN calmly told the resident that it was inappropriate behavior and again reminded the resident that the next smoking time is in 45 minutes.
.....as I slowly backed away and called the MD for an order for a U&A. This came from a little old lady in a wheelchair that had no means of killing me and was a long term resident.
yep...all depends on your setting. In a LTC setting, my answer will be different
i would retake the vitals first and assess . Really, this is an issue I'm working on with the staff. I was called to assess a resident who "is dying and turning blue." Resident had PVD and discolored lower extremities and was cool from being outside and couldn't breath because they were just smoking. Yes, really.
On the above.... call the md/ find code status/ grab our "code cart"/ 02/ 911 and then worry about the paperwork later.
Head on over to the LTC forum...lots of advice on time management in the rehab snf setting.
I've been in SNF for the last 20 years and wouldn't have expected you to do the incident report. Things like this happen. It is life. You are a new nurse and just getting the hang of things. It will take time. 18-22 people isn't bad, so the grass probably won't be greener. If you are still on orientation, you should have a preceptor or someone to help you/ train you. Where is that person?
Do you have a charge nurse or unit manager? When i work 7-3 I refuse to answer the phone unless it is paged to me. During the day, the office staff will answer the phone and direct it to other departments. This helps a ton!
I think it is a great idea and would go well with the team building you've been working on.
i don't see how this could be impossible. If she is working in home health or private duty, it could happen. I work at a small building and unless we lock everything up, including our cars, it has happened.
Such a sad story. Local to me too.
If someone is able to recognize the parents are addicts, then they should not be taking care of the kids. Get them out.
Is this in a hospital or free standing facility. What are the staffing ratios there? We get alot of the same type of patients in our LTC, but they are normally at post op day 2 or 3.
Hmm. My script did say Epinepherine Auto injector so the name brand Epi Pen wasn't prescribed. My insurance plan automatically subs with the generic. I searched for the Adrenalkick and found it not in the formulary so it wouldn't give me the cash price. From what a few of you are saying..it sound like with a coupon it should be under a $100 or so?
Knocking on wood, I've only had a few prescriptions over the last few years for me, hubby and 5 kids. So, not using my prescription benefits before, I didn't know that I had a deductable on meds. I also didn't know that we can turn in our copays for scripts into a third party that manages the benefits for my husbands work...we get 80% covered!!! (happy dance!)
So, this is much more managable. Just need to have the money up front.
So...bottom line with this situation....it is crazy to have to navigate all of this to get meds that your child needs.
Someone mentioned the school having pens...not at this high school.
A previous posted had mentioned it being a felony to use an other persons meds. Okay. Like I mentioned above...I get it. I've never borrowed meds, took meds from another person before. But wondering out loud...What makes this any different than him using a pen that the school has from the manufacturer? He has a valid prescription and order for it.
1). AdrenalClick . Essentially the same thing, only costs $100 and has non-withdrawing needle.
2). Canadian online pharmacies. Do not be afraid to use them, although you will have to shop around and wait for 6 weeks or so.
3). DIY from code Epi ampule, 0.3 ml/dose. Better prepared as needed.
4). One has to be ready to give 1 shot every 5 min till ambulance comes if no improvement. Adults with severe reactions are advised to carry AT LEAST 2-pack adult and 2-pack junior (low dose for case of HR >180, as SVT/VT can be caused even in the presence of hypotension).
Um...call your doctor.
Turns out my teenager has an allergy to tree nuts and now will need to carry the epi pens.
Of course we've all been watching the news stories and reading the stories on line but I never thought it would happen to me!
So, call the script in to the pharmacy. We will need 4 I think. Get a call from the pharmacy and they tell me to sit down...with my copay it will come to $1,200 or so.
Here it is....a friend mentioned she has 4 non expired epi pens that her child doesn't need/ never used. Still capped, in the package 100% untouched. She was looking for a way to get rid of them.
I've never "shared or borrowed" meds before nor would I in my nursing practice but..???
Lots of scenarios come to mind. I'm assuming if i go with these meds for home use, i will still need to get a script filled for school..so that would only be $600. I will be looking at the coupons out there, but I have a high deductable plan.
Our school has a nurse in the building once a month. This is common for all the Catholic schools in our area.
I work in an extremely busy LTC, often times understaffed. I've been in LTC for 20 years. I'm good at what i do and know what I need to do. Everyday is stressful, some day's I'd like to scream and actually do. I get paid a very comfortable rate. My point....I like what I do. I thrive on the stress and business at work. I manage the stress and probably wouldn't know what do do without it.
Is that crazy? Probably. I've been at the same place for those 20 years and have worked at other places PT and PRN. I get bored at the "less stressful" places.
Bottom line.....love what you do. At least have a strong like for it!
i'm not sure I will ever get out of LTC or if i do it would be for hospice/ home health setting. Its just different. When I see nurses with a goal of "working in a hospital" I tell them do it, but if you think you will give LTC a serious try...do it too! Realize that it is a "different world".
It all depends.
I'm a LTC nurse and some days I want to run for the hill. Head over to the LTC forum and read some of the posts to give you an idea how LTC has changed. 10 years ago, I would have said that LTC would be a gentle transition back to nursing, but now days, many of the LTCs are understaffed and have higher acuity residents with a high patient to nurse ratio.
If your goal is to get back into acute care, I think you should look there instead of a LTC. In the hospital setting you will be given and orientation and preceptor to get you back on your feet. LTC..maybe a few days of training if you are luck.
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