laderalis

laderalis has 4 years experience and specializes in LTC.

Latest Activity

1. NH Residents without ID bands

   laderalis replied to JustAdmitToObs's topic in Geriatric

   We use pictures too, but they are in color. We only use name bands on new admits before we get a picture. It was weird for me to have someone else ID the resident, but you will learn them in no time.

2. Oral pain med alternative

   laderalis replied to laderalis's topic in Hospice

   We are not entirely sure where the pain is because she is non-verbal and has dementia. From her body language it appears to be in her hip/leg. She will not take much by mouth. I'm guessing either due to the dementia or because of the taste. One time ...

3. Oral pain med alternative

   laderalis posted a topic in Hospice

   We have a resident that often refuses anything oral. She has some pain in her hips/legs that was are treating with Lortab elixir. We cannot use a fentanyl patch because of an allergy. Is there another non-PO pain med option out there? She has some mi...

4. Flexible med times

   laderalis posted a topic in Geriatric

   I tried searching for this topic and didn't come up with much. If you know of an existing thread already, let me know. Our facility is going to be implementing a more flexible med time schedule pretty soon. We currently have traditional med times lik...

5. I hate being a Nurse

   laderalis replied to Runninonempty's topic in Geriatric

   Sounds like a bad facility. I work in a LTC/SNF and we have 17-24 residents on days/afternoon and 36 on NOC. Not all facilities are bad. Look around if you can. Give it a second chance. I love my job, even the busy days.

6. Would you accept this call out excuse?

   laderalis replied to motherof3sons's topic in Geriatric

   And what if she really was too tired? Would you want someone with no sleep working? That just isn't safe. If its habitual, then there is a problem, but habitual call-ins happen for a number of different reasons.

7. DNR help?!?!!

   laderalis replied to vaLPN757's topic in General Nursing

   DNR means, in my facility which is a rehab/LTC, I'm not going to hook them up to the AED, should they be found not breathing with no pulse. It has NOTHING to do with treatment before that point. I would do the same for them as I would for a patient...

8. Is 2 weeks enough orientation new grad?

   laderalis replied to eelise11's topic in Geriatric

   Haha cape cod. That reminds me of something a nurse said to me that doesn't pertain to this but is funny. I was off almost a week and when I came back I asked the reporting-off nurse "so, is there anyone new here?" I meant new residents that I didn't...

9. Orders.

   laderalis replied to lauriepat's topic in Geriatric

   I would not have dc'd the order. She should have written out a proper order instead of dc'ing it. If that's what the prescriber wrote on the lab sheet that's the order they want. We would still need to write the order out on a telephone order sheet.

10. What can I do to prepare for a hospice job?

    laderalis replied to Elle23's topic in Hospice

    You could apply at a LTC place. They are all not bad (I work at a good one). You would certainly get adult experience and even some hospice experience. There are usually openings available, too.

11. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric

    Two of the three cards were brought back but I don't know exactly how and I don't know what was said. Assuming the DON called and they were retrieved by an employee. I don't know if the nurse that signed for them was disciplined.

12. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric

    My question is about sending a controlled substance home with the wrong person! We send home narcs often, just not to the wrong person. At the minimum it's a HIPAA violation!

13. Long story...need to vent ...

    laderalis replied to blessedmomma247's topic in Geriatric

    I hand people their inhalers all the time. I don't think that was the reason. I think they tried to make you the scapegoat.

14. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric

    We only send home narcs and opened items, like inhalers, insulin vials etc because we can't send them back to pharmacy for the resident to get credit. All other meds go back to pharmacy and the resident gets a credit for the unused med. These were t...

15. MARS: electronic or paper?

    laderalis replied to hope3456's topic in Geriatric

    Sounds like LTC is exempt. Darn it! We use paper MAR/TAR and charts. We do incident reports online though. I wish we did more online. I can type much faster than print!