OnlybyHisgraceRN 13,374 Views
Joined Mar 29, '12.
Posts: 755 (52% Liked)
Faith has been more than enough for me. With faith plus your effort, mountains truly move.
Thanks guys for posting. I know I'm not the only one. I have another funny for you all.
Last week I offered a nurse and a doctor a mint. The nurse accepted the mint, the doctor stated " no thanks" .
Me: " It is always the people who really need a mint that refuses"
I honestly made a general statement, but since the doc refused a mint, I hope she didn't think it was directed towards her.
I'm sure her breath smells fine.
I'm going to pick on myself for a moment. I have to admit that sometimes I blurt things out without truly thinking about it. Today I said something ( without thinking) to a patient that was purely stupid.
Long story short: My patient had to drink a medication that did not taste so good. She had to drink a whole cup and the only thing I could do to make it bearable was to add a little ice.
Patient: "This taste horrible"
Me: "Just imagine it is a magarita on the rocks"
Patients' husband: " That is not a good idea, since we are both recovering alcoholics"
Me: " Oh you are right...bad idea, never mind.( then I proceed to use more therapeutic interventions)
Needless to say I learned my lesson, never assume anything.
I now except my award for blurting out the most stupid thing ever!
OP you will be getting flamed, just wanted to warn you. However, I guess I'm going to get flammed too because I LOVE being a christian nurse as well. I don't push my beliefs on my patients. I simply enjoy promoting healing in my patients. Every day I pray for my patients and myself. I pray that God works through me to provide competent and quality care to them.
First, let me say that I acknowledge your feelings and understand your need to vent.
Now for my two cents: There are two sides to a story. If it was neglect I don't codone it at all. In LTC the resident to nurse ratio ranges from 1:20 to 1:60. CNA's are expected to take care of up to 10-15 patients a peice and these residents require total care.
Are some residen'ts neglected in LTC, yes. I've seen it. The reasoning behind it is either due to lazy staff or just because there is not enough staff to go around.
I've worked in LTC for 2 years and I can say it is soul crushing. In this gentleman's case, it could have been much worse. Thank God he got to the ER just in time to be placed in your care.
Just know that there are crappy and excellent nurses in every specialty, including LTC.
Seriously. I'm the nurse who does her very best each and every shift. I'm the nurse who prays for my patients, staff and family members. I'm the nurse that has the upbeat bubbly personally on a unit full of uptight, ICU nurses. I'm the nurse that makes mistakes but learns from them. I may appear like a chicken little at times, but I'm truly doing the best that I can. I'm not the best nurse in the world but certaintly not the worse.
I shared this one before. One time I was walking my blind patient to the dinning room.
As we got to the table she bumped into the chair. I stated : " I'm sorry, I guess this is like the blind leading the blind".
LTC can be very overwhelming, especially for a new grad. One thing that helped me when I was in LTC was having a list of the residents' names and writing down how they took their meds. That is a battle in itself. Some meds need to be crushed, some taken with certain beverages, you will have to know how the resident takes their meds so it will save you time from running back and forth. Ask the previous shift to quickly give you this information.
Make sure your cart is stocked before you start, once again can save you time. Ask your CNAs to get vital signs for you, for your patients that take BP meds. Once again, a time saver.
It will take time to have a routine. Some meds can be grouped together as well. If you have 5 and 7 pm meds give them both at 6, you have an hr. window, use it.
Jot every thing down as you go. Cluster your tasks. It will take time, hang in there.
due to documented evidence of increased risk of infection, real nurses who do patient care do not wear nail polish or acrylics. no nail polish or acrylics in patient care. try not to swoon over this.
Since I'm a total girly girl, I do wear nail polish. I get gel manicure. The gel polish does not chip like regular polish does. It lasts for 2-3 weeks ( no chipping). Even though I wash my hands a thousand times a day the polish is still shiny. Best 40 bucks I've ever spend.
why does everybody come to an and ***and moan about staffing in snfs and ltc and i don't ever see anyone saying what they did about this? is there anybody out there who has promulgated some sort of action to effect change in these situations? please, i wanna hear about it! everyone wants to hear about it!
you know, when you make out a variance report ("meds for south wing given two and one half hours late due to new admission assessment," "no weights done on first of the month, insufficient staff," "mds done 4 days early as i will be away on vacation and there is no one to cover me," "foley catheter care on five residents not done this shift, no time due to extended med pass.") it goes to your risk manager. if you are part of a corporate structure, it goes to the corporate risk manager.
risk managers get very cranky about this sort of thing, because they realize that when there are a lot of these, they indicate system-wide risk exposure, and that means money (fines, judgments), and that gets management's attention. if everyone does them, especially if you are in touch with colleagues from the other facilities in your network, you could <gasp> have an effect for the better.
if you are really ripped about the situation you're in, and you get no response from the risk manager maneuver, you could make anonymous reports to the state. but do something. act like professionals, the professional advocates you are. it's for the residents, see.
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