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Search Results Type: Posts; User: CapeCodMermaid

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  1. Do you need a doctors order for this?
    We usually write discontinue orders: Remove foley catheter at 6am. Due to void in 8 hours. If no void, may reinsert foley #_____French with____cc balloon. That way we don't have to call the doctor...
    Jul 26
    Forum: Geriatric Nurses / LTC Nursing
  2. Do you need a doctors order for this?
    It is NOT necessary to change a catheter every 30 days. You're more likely to develop an infection if you change a catheter that is functioning well.
    Jul 25
    Forum: Geriatric Nurses / LTC Nursing
  3. First Job as new grad.
    I tell my nurses I don't care hiw fast they are and I stand behind them, but I am not a surveyor. We changed our daily meds so they can be given any time between 6am and 11:59pm.
    Jul 20
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  4. First Job as new grad.
    "Despite the strong feeling of pressure, the state does not march in and start interrogating you if your 10 AM colace, celexa, norco, and iron were given at 1145."...hmmm, well, yeah you can get...
    Jul 20
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  5. Implementing "Systems" into current chaos
    Prioritize your systems. Falls are usually a good place to start. Do you have a process to review every fall, care plan interventions, and make sure they are followed through? Anti-psychotic use is a...
    Jul 20
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  6. First Job as new grad.
    There are literally hundreds of conversations on here that cover this topic. Try to be organized from day 1. Some people take notes on everything. Do what works for you. Ask questions but not when...
    Jul 20
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  7. LTC facility trying to fire me over refusing to take on 50 residents
    I believe it's only abandonment if you accept the assignment and then leave. If you didn't take the keys, you didn't accept the assignment. Yikes...sounds like an awful place. I reported a nurse for...
    Jul 20
    Forum: Geriatric Nurses / LTC Nursing
  8. Critical lab
    Our docs know that many of the residents are difficult sticks. They assume we'll start the IV fluids when we get the line started. That said, the day shift should have done more than they did.
    Jul 20
    Forum: Geriatric Nurses / LTC Nursing
  9. LTC facility trying to fire me over refusing to take on 50 residents
    What shift is this? 50 on the 11-7 seems okay to me. Impossible for the other two shifts.
    Jul 20
    Forum: Geriatric Nurses / LTC Nursing
  10. acute care nurse looking into ADON position
    A DNS or ADNS needs EXPERIENCE in long term care. If you don't know the regs and the ins and outs of working in a skilled facility, you wouldn't be an effective leader. I've hired acute care nurses...
    Jul 16
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  11. Problem with current job
    1. There is no such thing as 'reverse discrimination'. Discrimination is discrimination. 2. What in the world is 'somebody of black persuation'? 3. What 'State' are you going to report this...
    Jul 16
    Forum: Geriatric Nurses / LTC Nursing
  12. Abuse swept under the rug
    Really? Are you sure of your facts? I've worked in no less than 9 nursing homes and NEVER saw anyone sweep abuse under the rug. I report everything to the DPH, including an allegation of a nurse...
    Jul 15
    Forum: Geriatric Nurses / LTC Nursing
  13. Probably getting fired from ICU...how can I move into full-time LTAC from prn status?
    If you are fired, they are breaking the contract, not you. Something doesn't sound right about that
    Jul 11
    Forum: Long Term Acute Care (LTAC/LTACH)
  14. Facility closing
    I'm very sorry to hear this. The government needs to wise up and reimburse us for the care we give. This is just the beginning.
    Jul 10
    Forum: Geriatric Nurses / LTC Nursing
  15. Geriatric magazine
    Last time I read an article in the magazine of the National Gerontological Nursing Association there was an article on how to best give a bed bath. I kid you not, the article suggested we need hot...
    Jul 5
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  16. Medical staff warned: Keep your mouths shut about illegal immigrants or face arrest
    The big deal is these people are coming here illegally and bringing diseases with them that we had mostly eradicated. Measles on the rise...TB...nasty nasty diseases.
    Jul 5
    Forum: Infectious Disease Nursing
  17. Heat and LTC facilities
    We have central air in the halls. Every other room has a P-TAC so each room can be a different temp. In my office the heater is more efficient than the air conditioner. We make rounds constantly to...
    Jul 5
    Forum: Geriatric Nurses / LTC Nursing
  18. Health Care and Contraception: Did the Supreme Court Get It Right?
    Hobby Lobby provides birth control as part of their benefits package. What they objected to was being mandated to pay for the morning after pill which is not birth control but an abortificant. There...
    Jul 2
    Forum: General Nursing Discussion
  19. Nursing Supervisor salary
    Someone with only two years of nursing experience should NOT be in a supervisory position.
    Jun 25
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  20. The aging population.
    Sounds like a home work question.
    Jun 25
    Forum: Geriatric Nurses / LTC Nursing
  21. Charting on Dementia/Alzheimer's
    If the resident has dementia why chart their mental status? Do you chart A &O x 3 on every cognitively intact resident? I see nurses writing things just to write something.
    Jun 25
    Forum: Geriatric Nurses / LTC Nursing
  22. Teaching Health Education to Dementia/Alzheimer's Pts.
    Are you sure these people have enough cognitive ability to learn and retain new information? Will they be going home? Your time might be better spent teaching their family members if they will be the...
    Jun 22
    Forum: Geriatric Nurses / LTC Nursing
  23. What's up with this?
    I read every resume before I call to make sure the person has the qualifications...why waste my time and yours?
    Jun 21
    Forum: Geriatric Nurses / LTC Nursing
  24. Had a patient fall
    People fall. If the woman was independent what else could have been done to prevent the fall? Please don't beat yourself up over this. I do, however, find the term 'walkie talkie' to be disrespectful...
    Jun 20
    Forum: Geriatric Nurses / LTC Nursing
  25. New Grad Home Health Possible or Impending Doom?
    I think you're crazy to take a home health job as a new grad. You'll be on your own with no experience? You worked hard for your license....it sounds like it will be in jeopardy.
    Jun 19
    Forum: Home Health Nursing


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