KrisV27

Latest Activity

1. Significant Changes

   KrisV27 replied to gizzy81's topic in MDS

   First of all, be sure to check J5a, conditions/diseases make resident patterns unstable. I always make a note in the chart describing that the resident has been reviewed for a significant change-- "Resident reviewed for significant change. ADL patte...

2. Teachable Moment form

   KrisV27 posted a topic in Management

   I am looking for a "Teachable Moment" form or something similar to use with staff as an alternative to a write-up or verbal warning. Something that allows the CNA's, nurses to evaluate on their own what their mistake was and what they can do to preve...

3. do staffs have a right not to send pt to hospital?

   KrisV27 replied to Ms.RN's topic in Geriatric

   Give her the phone and tell her to call away.... For the nurse to have this arranged, don't you need a dr. order? If he says, no, chart it, and that's all of your responsibility. right?

4. Are we slowly poisoning ourselves with meds when we crush them?

   KrisV27 replied to Jubei's topic in Geriatric

   I know a patient who gets thalidamide. And of course, it's to be crushed. Perhaps the nurses can babysit each others' "flipper babies".

5. Bigotry/Racism in SNF's

   KrisV27 replied to CapeCodMermaid's topic in Geriatric

   Where I work, we have many nurses and aides (mostly men) from other countries, mostly in Africa. I find that the families of the residents and the residents that are cognitively intact are the worst when it comes to racism. As it is impossible to ass...

6. Does Pnc Have The Worst Rn Program?

   KrisV27 replied to kara411's topic in Indiana

   No. I went there. They have on of the best nursing programs around. There were recently granted a 10 year accreditation (which means they are really good) and it is hard to get. It is one of the hardest schools. They expect a LOT from you. Most hospi...

7. LTC and constant alarms

   KrisV27 replied to Blackcat99's topic in Geriatric

   Yes. I'm glad someone agrees with me. I work in a nursing home with many combative/behavioral residents. Being almost illegally understaffed, it is almost impossible to get to the alarms on time. Not to mention, EVERYONE has one, whether they need it...

8. Tube Feeding Question

   KrisV27 replied to kasi's topic in Geriatric

   CNA's are not allowed to touch the pumps where I work. They will be fired and the nurse will be fired for asking the CNA to do this. It is not in their scope of practice. I don't turn off the pumps during care. The order says 45 degrees at all times,...

9. Was I wrong to say anything?

   KrisV27 replied to lil_miss_attitude's topic in Safety

   It is not necessary to use alcohol pads if the hands have just been washed. But that's not always practical. Most facilities require you to use an alcohol pad since, especially in LTC, you never know where your patients hands have been. As long as yo...

10. BSN requirement for all RNs

    KrisV27 replied to cindylousmith's topic in General Nursing

    No, I am very serious. The people I work with are idiots. Could be just Indiana. You can be caring all you want, but if you can't even read... The NCLEX ought have a spelling test or something. If my coworkers passed the test, probably anyone could.

11. BSN requirement for all RNs

    KrisV27 replied to cindylousmith's topic in General Nursing

    I am an (nursing home) ASN nurse and believe NO ONE should be allowed to touch a pill without at least a BSN. I work with LPN's and ASN's. None of them can even spell. My DON had to ask a doc what rhonchi was because she was reading my charting and h...

12. Advise about G-tubes

    KrisV27 replied to debbiemig's topic in Geriatric

    I have a resident with the same problem. After we had placement verified, we figured it might be from too much air from frequent placement checks. Sucking the air back up after giving an air bolus seems to work. And we always wrap paper tape around t...

13. how much Indiana nurses make

    KrisV27 replied to nurseluv9's topic in Indiana

    An RN should NEVER take a job that pays lower than $15. That would be ridiculous, no matter what state you live. Average RN, new grad, $16 for LTC, $18 for hospital. Plus a shift diff. if applicable.

14. Med not available

    KrisV27 replied to dotter's topic in Geriatric

    I have discovered that though you may put your initials and "med not available", when the monthly MAR sheets go down to Medical Records, they write ME (mistaken entry) and "med found" and are pretty good at forging your initials and signature. This i...

15. New grad, LTC job offer...advice?

    KrisV27 replied to tiona's topic in Geriatric

    At times, LTC is very rewarding to me. I am not frustrated for myself, but for all of the residents that must suffer because I only have two hands. I love working with the residents, but it is disheartening that I can't give them the time they really...