psychgeribuff replied to Donnagg123's topic in Geriatric
At my facility the doctor can speak directly to the pharmacisit to gain the order for weekend/nights. Then they can give you the code to get into the e box or send the medication. I assume your pharmacy is the same way and they have not notified th...
psychgeribuff replied to hayley87breanne's topic in Geriatric
I have worked with many dementia patients in ltc and psych. Another way to handle the situation in the future is to look at the patient state there name and say "please do not hurt me" once they let go or you are able to remove there hand gently w...
psychgeribuff replied to garciadiego's topic in Geriatric
I am not sure what is running through the tubing and where it is going- iv, gastric tube,?? If you look in our policy manual at work it will give you a set limit of time to change tubing. Every facility is different. Also last resort you could c...
psychgeribuff replied to garciadiego's topic in Geriatric
Awe I am sorry, I was trying to be cute not mean. I did not understand the post because of all the abbreviations. If you clarified some of them I would love to try and help!!!
psychgeribuff replied to psychgeribuff's topic in Geriatric
I have liability insurance and have had it since I passed my exam 4 years ago. I appreciate all your input and I will take everything into account. The lawsuit has been made very public and I read about it in the paper it blames the ltc facility fo...
The ltc facility that I am employed with has a lawsuit filed agianst them. I have worked for them for 3 years and this is the first lawsuit since I have been there. We have always done well with state, have won many awards, and have had a good repu...
psychgeribuff replied to Sbrewster's topic in Geriatric
First off hugs because it is difficult to deal with patient that are combative/confused/ and med seeking behavior. What you are in need of is empathy, the ability to be in their shoes. And this is made so difficult with the time constraint put on ...
psychgeribuff replied to garciadiego's topic in Geriatric
I have the same issue, and I have been at the same place for 2 1/2 years. I think it is how my brain works. The way I get what I need is ask another nurse to help me find it or the medical supply person that stocks the unit. And I always try to ...
psychgeribuff replied to arodgz's topic in Geriatric
Awe first off hugs to you, what a mean nurse!! I fill out the incident and ask for a statment after a fall if the cna saw the fall. I am also doing neuro exams (which include vitals) every 15 mins the first hour and every 30 mins the second hour ec...
psychgeribuff replied to shorescharlotte's topic in Geriatric
I believe that the MD ordered the fluids for the time it was wrote. So if I were the nurse the IV fluid would be running by 1215 all medications must be given within an hour of the order in my state including IV fluids. Now if I have difficulty ga...
psychgeribuff replied to anashenwrath's topic in Geriatric
Is the patient on sinemet or another antiparkinson medication? Mabe he is in pain bc his medication needs adjustment and at dinner/toward the evening his muscle ridgitiy is more significant.
psychgeribuff replied to dorselm's topic in Geriatric
The only thing I would have done differently would be to speak to the health care surrogate. Did they want him sent to the hospital? I personally think you did the right thing. His cancer wasnt diagnosed yet and you had the post form with limit...