BackfromRetirement replied to S.Hughes's topic in General Nursing
Check into a compact license.........there are several states that recognize your license if it from one of those states. Nurse Licensure Compact (NLC)
BackfromRetirement replied to PRETTYODD's topic in General Nursing
Sometimes new nurses opinion's are not appreciated. What they don't tell you in nursing school is how to navigate through the sharks. You might consider asking one of the older nurses to advise you on things that you are still learning. Ask the NM of...
Request update on CNA's and skin creams....the laws. At one time, over-the-counter skin protectants were ok for CNA's to apply. Some places say no to CNA's using anything cream on a resident in LTC. Previously no therapeutic creams could be applied b...
BackfromRetirement replied to Leelee2's topic in Geriatric
Trust? Imagine what an attorney would do to that in a court of law? If LPN misses something and RN signs off on assessment, you already know the answer.
BackfromRetirement replied to malem's topic in Geriatric
LTC staffing has been an issue for all the 20 yrs I have worked it. I have learned to accept the things I cannot change. It may not be right, it may not be fair, but it's just the way it is. I stay because it's where i fit. I like the elderly, especi...
BackfromRetirement replied to rita.kumar83's topic in General Nursing
Many docs will write an order for "laxative of choice" every third day if no BM. Miralax and MOM are common. If pt is difficult to take meds PO, suppositories can be ordered.
BackfromRetirement replied to SweetLemon's topic in General Nursing
When I worked at the VA hospital back in the 80's this was a common diagnosis. I remember one pt that was ordered lactulose enemas q2h. The smell of the ammonia diarrhea is very distinct. Although most delirium cleared up in a few days, there were a ...
BackfromRetirement replied to Meraki's topic in General Nursing
Frustration is part of the LTC scenario. You can always consider hiring a private sitter/cna. Perhaps it may be best to look elsewhere for your GM. Sadly, call-offs and short staffing is a fact of life in ltc. Until healthcare corporate decides to pa...
BackfromRetirement replied to Meraki's topic in General Nursing
Wherehas, you don't seem to fully understand the nursing home side of the problem. CNA's have the most difficult and trying aspects of the facility. In order to keep the good CNA's from burning out, they rotate sections to have a different workload a...
BackfromRetirement replied to Meraki's topic in General Nursing
As i understand it, activities of daily living include detailed descriptions of toileting and dressing in the CNA duties and the Careplan.. Independent living? In a long-term care facility? Have heard of assisted living but that may be a private insu...