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Joined May 27, '05 - from 'Tortuga, with Capt'n Jack.'. SitcomNurse is a Inservice Education Coordinator. She has '22' year(s) of experience and specializes in 'Geriatrics and Quality Improvement,'. Posts: 280 (31% Liked) Likes: 243

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  • Mar 24

    I love this topic, and recetly attended a seminar by Susan Luparell on this. You all here make many many good points, and I am in agreement with your actions, and ideas. I am just seeking my masters, and will be keeping an eye out for situations lilke this, as I am sure it is not just in the preliminary educative years that it occurs. People think they are the boss in all kinds of situations.

    Being loud dosent make you right, it just make you loud. Talking over me dosent make you right, it makes you obnoxious. Calling my superior dosent scare me, I have already been to that office and anticipated your "I'm telling mom!" behavior. We are on the same page, my boss and I. The next appointment I have is next month to discuss this. Feel free to come back then, or discuss it now, calmly.

    When we did a little role play on it, an experienced educator who has been through this many time with multiple bahaviors was actually backing down from my calm even tone, distinct answers, and directness.
    I hope I can still apply these lessons you have here to my charm bag!

    Definatley a topic Id love to know more about too!

  • Mar 4

    Morning report on 30 people(average number), You will either do the meds for the day, all 30 people, or you will run the desk.
    Meds have 2 hours to get completed, and it can be done.
    But never think you are just doing meds, being the front line eyes for the nurse at the desk(if you are on days) eves or nights you are usually the only nurse.
    GT set ups/ running time. ( calc by dietary)

    If you run the desk:
    Report, get from nights, and give to your CNAs.
    Treatments and dressing changes.
    MDS completion
    Care plans(on computer - much easier)
    IDT meetings
    pre-screening all bumps bruises scratches and falls doe the MD ( so you know what to report)
    Charting for medicare, medicaid,
    Pick up all md orders,
    run admissions and discharges
    oversee the entire staff on the unit.
    PICC lines, & their care
    Tracheostomy care
    and so much more.

    Ther eis little difference between a med Surg Unit and a Geriatric Unit, those differences are pronounced..but of you too away the "ouliers" for each type of job, theya re the same
    We run codes, We start IV's, we dischrge people to homes.
    Now this all seems daunting, but if you have organizational skills...not the ones you think you have, but the ones people tell you that you have.... then it can all be done.

    I have been doing it for 17 years, started in a Nursing Home, did evenings and nights, then days, then back to eves and nights, back to days. I think the only thing I missed was doing open heart massage.

    Its not a slow job by any means, and we hav new grads here who could tell you the same thing. You stay busy and need all of your assessment skills.

    good Luck.

  • Dec 14 '16

    If you have been in geriatrics, then you should be fine. Its what we do everyday, working in this population, and being prepared for every contingency that applies to geriatrics. there were a few questions on culture change and enviornmental factors affecting the overall wellbeing of a person, but it looks like you have a pretty comprehensive study program already! Good luck!

  • Oct 14 '16

    Working the nih shift always puts one in the range of seeing ghosts...or feeling them.

    I just finished reading a book by Chris Moore titled A Dirty Job. Well, the jist of the story you will have to read, but there is a charachter called Minty, and he is a 6 foot tall black man, who is a death merchant, helping souls of those who die.

    Well, I am at work 2 days after finishing the book, and one of my patients says... who is that tall black man at the desk? I look. Nobody. I say, where is he? and ask all the appropriate questions about what else he sees behind the desk. That is all normal. When he is insistant, I say, his name is Minty! He is a good guy, you can talk to him. But if he actually comes in the room, you gotta let me know.
    I tell the rest of the staff, and they are cracking up(and now want to read the book)

    Well, I have off for a few days, cant wait to get back and see... if Minty helped this man.