etaoinshrdluRN

etaoinshrdluRN

LTC, OB, psych

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About etaoinshrdluRN

etaoinshrdluRN has 2 years experience and specializes in LTC, OB, psych.


Latest Activity

  1. Do Not Send to Hospital From Nursing Home

    I do wonder about some DONs . . . had one rip up a repeat telephone order for eye drops because they were not on some formulary. Never would I want to work in a for-profit LTC place, ever again.
  2. Ever lost a job offer because of your reference?

    Employers do check references and I've heard back when references weren't reachable. Also got asked to offer supervisors as references because "I know the people you've listed will say you're a good joe." Don't know that I've lost a job offer because...
  3. Bedside hand-off/report?

    Been doing bedside report for almost a year, and it's the rule in my hospital. I love it. The reports are concise, the pt. feels he is more involved, and anything sensitive (work in psych) can be done at the nurses' station. I appreciate laying eyes ...
  4. Do Not Send to Hospital From Nursing Home

    Well done. I have sent pts to the hospital for needful things, and sometimes there have been pretty specific occasions when the POA does want pt. to be sent. Am also reminded of the time my DON dressed me down for getting hospice orders for a pt. "T...
  5. Nurses with ADD/ADHD?

    Carol, I appreciate your post, especially the bit about needing to know all aspects of a topic in order to integrate it. I've often felt that way about different paperwork procedures. I deeply need to know why I am doping what I am doing. Might be pe...
  6. When someone else gets terminated

    In the days when I worked as a charge, one of the first things we had to do when someone was hurt on the job was to send them out for a drug screen. I never had anyone refuse . . . not sure what the consequences would have been, had they. Seems to me...
  7. medication to dry up breast milk?

    Seems a bit over the top to give anything, considering the lengths they go to to prevent DVT postpartum. And the mother may change her mind early on and want to nurse. I nursed my second one, but my first was born still, very preterm, and as I recall...
  8. Nurses with ADD/ADHD?

    I went from LTC to acute care. Found myself faced with much of what you seem to be faced with. A couple things helped in my case: 1) got a diagnosis and stimulant meds, because there was a "ditz" factor that scared me, when I would do something carel...
  9. Nurses with ADD/ADHD?

    The dose for Concerta can vary, depending on the individual. I began taking it a few months into a new job, after being frightened by what I call my "ditz factor." 27 mg. wasn't enough for me, so I doubled up (made my doctor frown!) and that worked r...
  10. payscales are secrets huh?

    I did not learn until I was given a job offer. Later, I found that our pay scale was lower, but in return, so was our nurse/pt ratio. I consider myself lucky, to the extent that the buck less and hour is immaterial.
  11. Pre-spiking IVF

    "LEAN" is a philosophy of simplifying operations in order to save time, errors, money. etc. "Kaizen" being the buzzword of the LEAN philosophy. But God help me, I have no idea how pre-spiking IVs is lean. Wouldn't that waste at least a few more IVs...
  12. Body jewelry/regular jewelry policies

    Everywhere I've worked it is confined to no showing tattoos and only ears pierced. In my job in mental health, necklaces and large, rippable earrings are verboten.
  13. Favorite "Lay Terms" For Diagnoses

    I've heard it described as "sommmathetimers."
  14. How many fetal demises in a month?

    Before I was a nurse, I lost a mid-term boy from incompetent cervix, and the nursing care I received ranged from awful to bad (they were all clearly upset and unprepared to deal with my grief). Except for the one nurse who took care of my baby after...
  15. issues in specialization in nursing

    Sorry, but your question is so general, I'm pretty sure no one knows what to address.