HippyDippyLPN 4,099 Views
Joined Feb 18, '12.
Posts: 354 (30% Liked)
Lmao at dick flicker! That's just awful really
oh and you know what? You didnt try to hide it, you had a resident check him over and were owning up to what you did even if it meant resulting in a write up because you cared more about the patient then about yourself in the situation. Thats a pretty damn good quality in a nurse if you ask me.
You save time when you finally get all you residents special likes memorized. Like Mr. Jones hates taking pills but if you offer it with OJ he is a lot more willing to take them or Mrs. Williams likes her meds right after breakfast otherwise she tends to get a grumpy stomach before she eats and then won't eat anything at all. After awhile you just get it down. I have a couple do not do's that some people may tell you saves time. Don't sort out meds in a med cup ahead of time, even if you initial the cup with the residents name it always is a catalyst to a mistake. Always check the MAR even if you have had the same resident with the same meds for 5 years. Unless your on duty 24/7 you never know when a med may change. And if someone's advice seems wonky follow your gut because chances are its not a good idea.
I always stayed on track with flow sheets I made at work and leave at work to not violate any privacy laws. Eventually I was able to complete morning meds for 30ish patients in the time frame given.
She didn't punish herself...you know how long term care goes, blame the person below you. It taught me a very valuable lesson though, always always cover your own ass
we get this all the time at my clinic, I love the pt's that call at 4:30 pm on a Friday after the docs have left needing a RF on their BP med that they ran out of yesterday. Thankfully we have EMR so we just task the md's and text them to grant it if they are out of the office on these occasions. Our policy is if its a b/p or DM med we havta rf it so they dont run out. We do however though only give a 30 day w/o rf and we tell them if they do not make in an apt int he next 30 days they are SOL and we will not RF again but this is for people who havent been in for their check ups. For reg run of the mill meds we just task it and the md will grant it when he does his tasks. The major issue we have is getting pts to come in for labs a few days before an appt, they do not have to pay a co pay and literally you are here for 10 minutes at most, you wouldnt believe the fits people throw! The md's prefer to have the BW in hand to discuss any med changes that may need to be done instead of trying to explain it over the phone after the fact. I try to explain time and time again its for better patient care, its for YOU the patient so that you are informed. But no we are just a blood sucking md's office who wants their money lol.
Wow when I was a CNA 2007-2008 before graduating LPN, I had the opposite experience. The STNA's were treated very poorly. I thought we had a pretty good team going. We had too many patients of course but worked together...but we were just constantly crapped on by management. So much so that I didn't even try to get a nurse position once I received my license. The floor nurses were fine from what I can remember just never saw them because they had two halls.
There are bad apples of course just like nurses... I worked with a lot of power tripping aides who felt like they had to take possession of "their" halls because I think it made them feel a bit important after basically being told your are not time after time. But now I have been a nurse for a bit, the STNA's do need to realize the huge amount of tasks we are expected to get done and that is why us floor nurses have no time to answer call lights. I tell my aides that the med cart (unfortunately) is my first job and that I could get in serious trouble if not being within certain med times and that my very next job after that is helping them with patient care if they are overwhelmed. It seems to create a positive work environment for both of us..,they know I will help when I can but they also know they can't get ***** with me when I have 3 admits and a ratio of 1:20 on a skilled/rehab unit...I can't even pee at that point let alone put a resident on the toilet.
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