Rach823RN

Rach823RN has 3+ years experience and specializes in LTC, Veterans SNF.

Latest Activity

1. I am not Superwoman

   Rach823RN replied to WldChrry's topic in Geriatric

   Although I cant speak for how the orders were handled in your case, Tamiflu for everyone is actually quite common. We treated all 350 of our facility's residents with it prophylactically when we only had a few confirmed cases. No they don't swab ever...

2. PEG tube replacement

   Rach823RN replied to Anne36's topic in Geriatric

   Also, just remembered... Tube clogging could be due to decreased peristalsis. But really there are many variables about the specific resident... Check that bowel movements are frequent enough. If the resident is end-stage, like mine, we do rectal tub...

3. PEG tube replacement

   Rach823RN replied to Anne36's topic in Geriatric

   I have a resident who constantly pulls his out. The RN does replace it, then we must send him to the ER (literally across the street) for a gastrograph aka X-ray to check for placement BEFORE feelings resume. But please CYA and double check your poli...

4. Affection to residents and still professional?

   Rach823RN posted a topic in Geriatric

   First and foremost I'd like to say, I really do love my residents! But I often wonder, what is considered professional and what is not, where do we draw the line? I give hugs often when one of them is feeling down, a pat on the shoulder/back/arm (can...

5. Drug seeking residents?

   Rach823RN replied to Rach823RN's topic in Geriatric

   Thanks for the responses... I'm not quite sure of the cause of his pain, he reports it's in his back, but I haven't discovered anything more than osteoarthritis in his history/md assessment (if he did have something like ca, i wouldnt feel this way)...

6. Drug seeking residents?

   Rach823RN posted a topic in Geriatric

   Hello, Long-time reader/first-time poster here... I am a new grad (May '11) RN, but have been a CNA at my job for 3+years prior. I work in a Veteran's LTC SNF. I am the 3-11 FT charge nurse for my unit, so luckily I don't float and have a great rela...