One of my new patients has a severe oral aversion. There is no physical reason the pt can not eat PO. Any tips on getting a peds patient with severe oral aversion to eat? The child is 8 y/o and...
Thanks for all the replies. I still haven't decided what to do yet. Gonna see how much continued coverage through COBRA will be before I decide anything and also gonna find out when exactly my...
Main duty is keeping the pts comfortable and helping the family and pts cope. Pain management is a biggie. The skills I used in hospice weren't that different than LTC or other places; you just...
We have a younger res that acts out when you don't do what they want when they want. S/he sits down and then lays back in the floor. If we don't actually observe the res in the process of laying...
Wow, I think you are working at a place I recently left! I was determined to stay a year. I made it 10 months. I bought the supplies. I loved the residents. After buying barrier cream and other...
Hello all and happy New Year! So here is my situation: I went directly from one job to another at the end of December. I am not eligible for insurance through my new employer until February. I have...
tnmarie replied to Let's help out's topic in Geriatric, LTC
@Dana: that is why we do neuros after unwitnessed falls. It is safer to proceed as if they did hit their head since we don't know. As far as getting the nurse in the situation, I don't think I...
tnmarie replied to Let's help out's topic in Geriatric, LTC
We have a whole fall packet: pain assessment form, change of condition form, neurochecks, investigation report, ect. We do the same as everyone has said: CNA stays with patient and calls for nurse....
Back when I was living in a more rural area, I worked PRN at LTC to help offset some of the bumps in the PDN road. It had the added bonus of keeping more more marketable because in my area, facility...
They know what is happening and they also know that nurses are working for them FOR FREE because they don't know or won't fight for their basic rights as employees/humans. You know how much money...
My former employer took away the only other nurse in the building on my shift. This of course meant that I could not leave the floor and would not get lunch. I promptly called my state board of...
tnmarie replied to CloudySue's topic in Private Duty
I have rarely heard of an instance of a PDN doing "a little extra" that didn't end like this. Once they see you will do the little extra, they will expect more and more. Then when you put your foot...
tnmarie replied to northmississippi's topic in LPN, LVN Corner
The skills you use are going to depend on where you end up and even the shift (night shift did all the U/As, colostomy and PEG care in my last SNF). My last SNF didn't let LPNs do IVs but most SNFs...
What medications absolutely must be given daily? All medication MUST be given as ordered. Unless it is PRN, it must be given daily as scheduled. If it is not given, it is a med error....
It is hard to transition from HHC/PDN back to facility nursing. In my personal experience, it was hard to get any position outside of HHC/PDN since that has been my primary field of practice in...