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Search Results Type: Posts; User: CapeCodMermaid

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  1. anxiety vs. agitation; Ativan vs. Haldol
    Eastside....we use Benadryl, Haldol, Ativan, and Reglan gel and suppositories for end stage agitation.
    Dec 9
    Forum: Hospice Nursing
  2. anxiety vs. agitation; Ativan vs. Haldol
    On our hospice residents in my SNF we usually use a combination of Ativan, Benadryl, Haldol, and Reglan for end stage agitation. It comes in suppository form and gel form. It has worked really well...
    Dec 8
    Forum: Hospice Nursing
  3. Am I Being Too Sensitive
    anne---no need to be rude. Maybe you're her? I am sensitive to the needs of my staff and I for one would be happy to have someone answer my phone and do some of my work.
    Dec 2
    Forum: LTC: Directors Nursing / Assistant
  4. Lessons on why not to "Assume" things.
    Yikes...my lab would have called to say they were coming out to do a redraw...I've never seen a BUN that high. We have alerts built in to our electronic medical record system....vital signs out of...
    Dec 2
    Forum: Geriatric Nurses / LTC Nursing
  5. recaps/changeover
    When I was a nurse manager, I used to take all the new and old MARs into a room, shut the door and bang them out in a day and a half for a 40 bed short term unit. Now, thank God, we are computerized...
    Dec 1
    Forum: Geriatric Nurses / LTC Nursing
  6. another new nurse swimming in ltc
    You don't really need to know someone's entire history to take care of them. 20-40 on an 11-7 is very doable. You do, however, need to make sure your CNAs are awake and doing what they are being paid...
    Dec 1
    Forum: Geriatric Nurses / LTC Nursing
  7. MVI tablet
    Doing "something" can be harmful and annoying to the resident. If a family really wants to do something, they should come in and spend time with their loved one. Giving a multivitamin thinking it...
    Nov 30
    Forum: Geriatric Nurses / LTC Nursing
  8. Am I Being Too Sensitive
    She is NOT the director of anything. She is a liaison between MY building and the hospitals. And, yes, since I am held responsible for everything that happens, it IS MY building.
    Nov 30
    Forum: LTC: Directors Nursing / Assistant
  9. Charting Help!!!
    You're not going to lose your license because of a charting error...and, since the person has a colostomy, technically they are continent.
    Nov 30
    Forum: Geriatric Nurses / LTC Nursing
  10. MVI tablet
    No one living in a nursing home even needs a multivitamin. The solution is ---get it dc'd.
    Nov 30
    Forum: Geriatric Nurses / LTC Nursing
  11. Salary for RN's working in Nursing Home
    Not in Texas but here in Massachusetts I start new grad RNs at $25. We pay 50 cents an hour more for BSN grads. More experience of course will get you more pay. To put things in perspective....my...
    Nov 29
    Forum: Geriatric Nurses / LTC Nursing
  12. Help new lvn in ltf
    Are you a new nurse? It's always a shock to go from school to real life. We have LPN students in my building and they are amazed at what nurses in SNFs are expected to know and how much work there...
    Nov 29
    Forum: Geriatric Nurses / LTC Nursing
  13. State Calls Floor Nurse at Home?
    The DPH in Massachusetts frequently calls people at home. When they come out to do an investigation, we make every effort to find all the staff members they need to speak to. I make several...
    Nov 26
    Forum: Geriatric Nurses / LTC Nursing
  14. Best time to remove an Indwelling catheter.
    We pull ours at 630AM....the orders are "remove foley catheter at 630AM. Due to void in 8 hours. If no void, scan bladder. If more than______ml, reinsert foley and call MD." Each doc has a different...
    Nov 23
    Forum: Rehabilitation Nursing
  15. How to handle a verbally abusive MD
    I've worked with doctors like that. I tell them politely that they will not speak to me (and now any of the nurses in my facility) in any other than a professional manner. If they continue, they get...
    Nov 23
    Forum: Geriatric Nurses / LTC Nursing
  16. Care plans in the LTC setting
    You're the DON and you're expected to do care plans? How big is your facility? Is the hypertension a problem or merely a diagnosis? I carry the diagnosis but it is NOT a problem for me so I wouldn't...
    Nov 20
    Forum: Geriatric Nurses / LTC Nursing
  17. Office Organization
    :roflmao: My office is awash in a sea of papers and we're mostly electronic! There is a method to my madness which only I know. My administrator is OCD and can't stand mess so he very rarely visits...
    Nov 18
    Forum: LTC: Directors Nursing / Assistant
  18. Interview Questions
    1. Why did you want to be a nurse? 2. What clinical experiences did you like? 3. What can you bring to my team as a new grad? 4. Do you have experience with IVs, wound vacs, gtubes? 5. Tell me...
    Nov 18
    Forum: Geriatric Nurses / LTC Nursing
  19. Credentials
    So I see the link where I can add my credentials but only the RN shows up after my name. My credentials are as important to me as someone's BSN is to them. I have a BA and the rest of my initials...
    Nov 15
    Forum: Geriatric Nurses / LTC Nursing
  20. LTC weekend on call
    I have on call nurses who very rarely get called. The staff usually calls me with any big issue. The on call nurse occasionally has to go in to fill a shift if they can't get anyone else to go in.
    Nov 15
    Forum: Geriatric Nurses / LTC Nursing
  21. What does "On Call" mean to you?
    At my building, I am on call 24/7 and get called for all sorts of important and not so important things. I have on-call nurses every weekend, in addition to the supervisors. These nurses are either...
    Nov 10
    Forum: Geriatric Nurses / LTC Nursing
  22. No meds on 11-7
    They dream it up and it becomes the stuff of our nightmares!
    Nov 10
    Forum: Geriatric Nurses / LTC Nursing
  23. No meds on 11-7
    It is possible but it will be a huge project. You can't just change med times. Unfortunately, manufacturers state some meds must be given on an empty stomach....Synthroid for example. So if you can't...
    Nov 9
    Forum: Geriatric Nurses / LTC Nursing
  24. Newer RN working in SNF/Rehab with low ratings.
    F and G tags are not good but that doesn't mean your license in in jeopardy. Don't believe everything you hear. Go to work, do the best you can and help make the place better. The survey process is...
    Nov 8
    Forum: Long Term Acute Care (LTAC/LTACH)
  25. Annual Skills Fair
    I've worked in places where there was a skills' fair every year. It was great. Where I'm at now, getting the SDC to do almost anything is very difficult.
    Nov 8
    Forum: Long Term Acute Care (LTAC/LTACH)


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