PMR1027

PMR1027 specializes in LTC/Subacute Rehabilitation.

Latest Activity

1. Mandatory Overtime Agreement in New York!

   PMR1027 replied to 1199SEIU RN's topic in Activism

   In the LTC facility where I work on weekends, they are blatantly circumventing this law. They have a policy in effect that states that the nurse holding the narcotic keys has to stay for the next shift if they were short staffed on that unit (there a...

2. Lovenox Injections: SC, But Where?

   PMR1027 replied to lmz's topic in Medications

   EmergRN: TY for the info that it can be given in the arm, if necessary. The facility I work in forbids it through policy, though. Have you heard anything of this affecting the PT/PTT and INR? It may be the nurse giving the injections that caused the...

3. nurses accepting telephone orders from other nurses

   PMR1027 replied to ninsttmk's topic in Medications

   In the LTC where I work, Orders must be given by a Physician, PA, or NP. You have to be allowed by NYS to prescribe medication in order to give telephone orders, to my knowledge.

4. Lovenox Injections: SC, But Where?

   PMR1027 replied to lmz's topic in Medications

   Lovenox is a Low Molecular Weight Heparin. It should only be given in the abdomen, and only subcutaneously. I take care of alot of postop patients in my subacute rehab unit, and administer this drug daily.You cannot give it IV, but I do not know why.

5. Right thing to do or opening a can of worms?

   PMR1027 replied to Longtrmrn52's topic in Recovery

   I think you did the right thing. In our LTC/Rehab Facility, we had problems with a nurse abusing all kinds of opiates. Our suspicions started when entire supplies of non-narcotic meds were coming up missing, and patients were magically asking for all...

6. How do LPNs View themselves?

   PMR1027 replied to HotDrew's topic in LPN/LVN

   I work on a subacute rehab unit in new york state- I work under my own license and do weekend and relief charge, on top of my patient load. RN's typically are charge/NM during the week, and are in supervision. The problem in NY is that LPN's are not ...

7. *Weird* Patient Allergies

   PMR1027 replied to cherrybreeze's topic in General Nursing

   Coumadin - Causes Increased Bleeding (This woman was also convinced that the Gastroenterologist found a peice of stool in her colon that was going to kill her- She only drank half of her colonoscopy prep the night before and refused the other half be...