abooker

abooker

LTC

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About abooker

abooker specializes in LTC.


Latest Activity

  1. Dear Pysch Nurses

    I tell them that the Airway, Breathing, Circulation hierarchy we are taught to focus on seems completely irrelevant to a patient who lacks the capacity to enjoy it. The traditional disciplines help them medically, but we help them make it all worthw...
  2. Why am I now the enemy?

    They're "flicking" you. I think flicking might be appropriate or even necessary if someone needed their egos deflated just a bit to keep the team functioning well and keep things safe. But some people don't do it correctly, or do it to coerce exce...
  3. I feel calm, but pts and coworkers say I look frazzled

    Hi. I'm an ADN -RN, and I'm only three months into my first job, so take my advice with a grain of salt. I wasn't going to post, but I don't want you to feel like your concern is being ignored. If you're receiving consistent feedback that you l...
  4. Tested Sept 1,8:00 am.When can i do Quick Results?

    Took mine September 1, 8:00am and found out I passed at 8:00am central time this morning. I checked at 7:52 central time, and it wasn't up yet.
  5. So, I have to be a bad nurse to be a good nurse?

    I feel your pain. Could there be such a thing as a "good enough" nurse? Winnicott from developmental psych class theorized the "good enough" mother. Good nurse, bad nurse is all-or-nothing thinking. Things appear in black and white categories, an...
  6. Just record it. The data does not flow anywhere, as far as I was able to determine. But the DON had about six inches of printouts so it goes somewhere. Maybe to the MDS? I think our entire eMAR was designed to feed the MDS. The clinical side see...
  7. I am a charge nurse in LTC, doing the medication pass, treatments, physician's orders, etc. We have an eMAR. So I'm in the middle of my med pass, and I discover that one of our nurse managers has suddenly edited a lot of medication orders. She set ...
  8. Can I still work?

    In Missouri, our school gave us a letter stating we were GNs so HR departments would let us work while awaiting the licensure exam. I take mine September 1st! :)
  9. confused...legal to not feed patients?

    You're correct - DNR means we will not intervene if this patient arrests / codes. That is one type of advance directive. There are others, that include non-treatment. Not putting a tube in this man is absolutely legal. He has a right to exercise h...
  10. Maybe it is one of those culture change initiatives, where offering the client anything but the cleanest, purest substances indicates a lack of client-centered care?
  11. Flu Vaccine for pandemic

    Flu vaccine time, for the seasonal flu. My nursing home offered it to staff first, then the residents, and in a couple of weeks, we'll be offering it to the general public. I've been thinking about pandemic flu ... surfing the World Health Organi...
  12. fake CPR cert.

    Here's a different point of view, blaming the hospital: http://www.sgvtribune.com/ci_10563882?source=rss_emailed About 50 out of 3,200 workers were caught. This post contains a comment by someone working for the hospital system. They wrote: I work...
  13. I managed to find three free flashcards claiming to help prepare for the HESI http://www.flashcardsecrets.com/hesi/samples.htm I couldn't find any public domain questions. There might be something at academic libraries or nursing school media cente...
  14. Psych pt. in long term care

    There don't appear to be any acute problems. She's been evaluated for lots of things, as she has been to the ER three times since Mother's Day. Good to know there are LTC behavior units out there. I was thinking she'd be sent back out to a hospita...
  15. Psych pt. in long term care

    I have new nursing home resident with a looooooong history of unstable interpersonal relationships. She has the usual physical problems you'd expect in LTC - mobility, ADL's, multiple meds, some dementia ... but the primary problem is IMHO her diffi...