Donnagg123

Latest Activity

1. Curious

   Donnagg123 replied to Cart8289's topic in Medications

   We give IV vanco PO. The pharmacists swear it is cheaper to reconstitute and give PO than to give the PO pills.

2. probably a very basic med question.....

   Donnagg123 replied to onthemark's topic in Medications

   see if you can change to a crushable form of something similar. My pharmacy usually recommends senna.

3. Patient with Dementia's Right to Refusal

   Donnagg123 replied to oblivionenigma's topic in Safety

   What about a patient that has dementia and management is saying this person "has to" get up for day on night shift as therapy supposedly does this resident 1st when it is very obvious the person does not want up on night shift. Don't they still have ...

4. Family says resident in pain when resident says no

   Donnagg123 posted a topic in Geriatric

   I know the answer but want opinions. What to do when a patient family is insistent that the person is in pain, yet the patient consistently denies pain and no symptoms of pain when family says resident is. Here is what happened. A patient who is hosp...

5. Legally how many doses can a nurse hold?

   Donnagg123 replied to Donnagg123's topic in Medications

   Thank you for that. :) She implied it was a law and she said "legally" and I was like ??? I did not think it was.

6. Legally how many doses can a nurse hold?

   Donnagg123 replied to Donnagg123's topic in Medications

   I did not mean to imply that you would never use nursing judgement to decide when to hold or not. I was just curious where she came up with the "3 dose" rule. If that was just a standard or some law I had never heard of. Of course if I held say colac...

7. Legally how many doses can a nurse hold?

   Donnagg123 replied to Donnagg123's topic in Medications

   Even with parameters you can only hold so many days / doses then you have to notify md right?

8. Legally how many doses can a nurse hold?

   Donnagg123 posted a topic in Medications

   In a discussion today it was brought up about holding meds. A nurse said legally you can hold 3 doses without notifying MD. I thought you have to let MD know asap if you are going to hold meds? Legally how many doses can a nurse hold (if there are no...

9. snf duties at night?

   Donnagg123 replied to northmississippi's topic in Geriatric

   Besides passing midnocs meds (frequently) and 5-6 am meds lots of nebs sometimes accuchecks in the AM if they get no coverage. In the meantime finishing up everything 2nd did not get done in regards to processing orders and finishing admissions. Mont...

10. Want to hear your pet peeves in LTC nursing

    Donnagg123 replied to mondkmondk's topic in Geriatric

    I know this is old, but ...do you work where i work?? It sounds awfully familiar... LOL

11. Frustrated With New Narcotic Rules

    Donnagg123 replied to Donnagg123's topic in Geriatric

    Never assume things because it does not work that way where i work. For CII they have to have a copy or the original valid script or you are not allowed to get into the EDK. It is illegal. period. They used to be able to send us a 3 day supply withou...

12. Frustrated With New Narcotic Rules

    Donnagg123 replied to Donnagg123's topic in Geriatric

    you are correct! so you don't know they do not have the script till too late. OR if someone has increased pain at noc (even for established residents) if you do not have a script you still cannot get into narc edk. So yeah these new rules may be help...

13. Frustrated With New Narcotic Rules

    Donnagg123 posted a topic in Geriatric

    I just need to vent. I am very frustrated with the new narcotic rules. The rule is now even Norco's we have to have a valid script and a code before getting into the E-box. Some may say well that is not unusual. BUT when you work nocs and new admits ...

14. When entering orders, please remember....

    Donnagg123 replied to RNBearColumbus's topic in Geriatric

    how about "shortness of breathe" ..... it is shortness of breath!

15. No fleets! The sky is falling!

    Donnagg123 replied to garciadiego's topic in Geriatric

    How many people are you guys responsible to give the lax to and how many do you usually leave for her? Depending on how many I would say that she probably feels like you are doing it on purpose at 1300 so then she is responsible for the next step at ...