wyogypsy

wyogypsy RN

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About wyogypsy

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  1. New PDN; sent in papers now what?

    I have been a nurse for 20 years and have had a lot of great experiences. However, I have only briefly worked with trach patients and never vent patients, and would not consider doing so unless I had a LOT of training first. And I mean a LOT of tra...
  2. D.O.N. tells me NOT to describe wound???

    Good for you for giving the Roxanol. Yes you should describe what you see. I describe the dressing and wound, I just don't use what Stage it is as I am not a wound care nurse so rarely use the Stages, I would rather just document what I observe. T...
  3. Medication Errors....

    What I hate is that when I find a med error (or usually errors) because some nurses don't use their MARs, I am the one spending my time filling out the med error form because I 'found' the error. Then the nurse that 'made' the error gets a talking t...
  4. Medication Errors....

    In my years of nursing, many of them in LTC, I have found that most med errors are due to nurses not using their MARs. They pop the meds out of the blister packs, pop them out of the pre-filled packages for each med time, etc. The reason they give ...
  5. 3 days is not enough orientation for a new nurse. Talk to your DON, Staff Development Nurse, or Human Resources. Hopefully each day they are having you do more of the actual work and having the staff nurse supervise; but I know how easy it is for t...
  6. What do you think of 12 hour shifts?

    I much prefer 8 hr shifts with regular days off, I hate every other weekend to where the days off are split. In some areas 12 hr shifts might be OK, but I know in Hospice and LTC they are the pits. Falls and deaths and admissions happen at shift ch...
  7. Bringing kids to work?

    This is a liability issue for the facility, not to mention the employees are getting paid to take care of residents, ot their own children. Does your facility management know of this? Even if yes, I bet the corporate offices would not tolerate this...
  8. Corizon

    First of all, you generalize and say 'you all' call them offenders. If you would read the posts again, most of us call them inmates. Those that call them offenders call them that because that is what their state has told them to call them, it is no...
  9. DNS overruled MD?!

    I quit that facility. My license was on the line more often than not, and the workload was out of my control. The company is well known for having as low of staff as possible. Part of the problem could have been fixed by dividing the Medicare pati...
  10. tattoos/piercings

    One of the facilities that I worked at had a male CNA apply. Some of the people there had concerns re: his multiple tattoos and piercings. The administrator asked some of us what we thought. The clinicals for his CNA class were at our facility so ...
  11. DNS overruled MD?!

    Our residents deserve better than that. So the staff.
  12. DNS overruled MD?!

    Yes, we 'can' take care of more issues in-house, that doesn't mean we always should. There are many factors to look at before deciding to treat in house. What is the staffing like? What is the acuity like? Is it realistic that the nurse and CNA o...
  13. Hostile nurses- how do you deal with?

    The best revenge is to smile, be pleasant, and not let them know they are getting to you. Though they may not show it, that totally deflates their balloon. They only do this because they get something out of it.
  14. I am done with correctional nursing!

    If you think any area of nursing is not filled with the problems you face in corrections then you are fooling yourself. You have had issues from at least 3 jobs according to your post. You need to look in the mirror. I am not saying the places you...
  15. New wound care nurse in nursing home

    That workload, especially if you work 40 hours per week, is less than that of any wound care nurse that I have ever known. I would make a spreadsheet of the treatments, list each patient's room then name down the left side, then put the treatment t...