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Search Results Type: Posts; User: bluegeegoo2

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  1. Dealing With Death After Personal Tragedy
    I feel like one of the biggest obstacles I face is confronting death...again. I do agree that grief counseling is probably the best option. This whole situation is way bigger than what tools I have...
    Oct 15
    Forum: Geriatric Nurses / LTC Nursing
  2. Dealing With Death After Personal Tragedy
    I have struggled with how to word this, but I guess straight to the point is the best option. My mother was murdered over the summer, and ever since then I have had huge issues trying to deal with...
    Oct 13
    Forum: Geriatric Nurses / LTC Nursing
  3. The Right to Die
    I have taken care of a few resident's who have state appointed guardians. All of them have been Full Codes, to include feed tubes and trachs if necessary. I spoke with the state guardian of a...
    Sep 14
    Forum: Geriatric Nurses / LTC Nursing
  4. Murphy's law
    All residents would get all tx's/meds regardless of time issues. Someone with a higher education than me decided the resident needed this med or that tx and I lack the authority to decide otherwise....
    Sep 14
    Forum: Geriatric Nurses / LTC Nursing
  5. Nurses need an outlet to manage stress
    I take a 5 minute "power walk" outside if needed to prevent myself from imploding. I'm no good to anyone if all I want to do is crawl under the desk. Just 5 minutes of not hearing call bells, phones...
    Sep 8
    Forum: Health / Stress Management 101
  6. Fentanyl patch
    Visual check each shift and chart placement. (Which I think is an interesting "fix" to the problem. If the next shift were to remove it, they could easily say that it wasn't there which would make it...
    Sep 8
    Forum: LTC: Directors Nursing / Assistant
  7. Resource Help
    Honestly the only thing I can think of that will help is to thoroughly read and understand your facility's Policy & Procedure book. It's fine and dandy to know state regs, but if you're not following...
    Sep 8
    Forum: Geriatric Nurses / LTC Nursing
  8. Stethoscope? Type...
    I prefer the cheap, disposable ones. Seriously. I can hear anything I need to hear very clearly with those. Can't hear much out of the ones I've paid for. Go figure. :facepalm:
    Sep 7
    Forum: Nursing Scrubs / Uniforms / Gear
  9. Long-term care/SNF
    My unit census hovers around 66 (68 when full) with 2 nurses and anywhere from 4-7 CNA's and 1 med aide. On one hall the nurse passes all of the meds and does tx's. The other hall the nurse has a med...
    Aug 31
    Forum: LPN / LVN Corner
  10. Narc Count Disaster
    Agreed, but who counts what is based on facility policy. I worked in a facility that med aides were not allowed to give any narcotics. Those were on the nurses cart. In another state, med aides were...
    Aug 30
    Forum: Geriatric Nurses / LTC Nursing
  11. Is This Nursing?
    Speaking for myself, I approach my shift as a series of tasks and deadlines and often get my feathers ruffled if someone or some event derails my efforts to complete the tasks or miss the deadlines....
    Aug 30
    Forum: Geriatric Nurses / LTC Nursing
  12. Narc Count Disaster
    Follow up: The dust has settled and all involved are still employed. The only change is that 2 nurses must count the bottles of narcs, while the med aides are still allowed to count blister packs.
    Aug 30
    Forum: Geriatric Nurses / LTC Nursing
  13. Narc Count Disaster
    Our pharmacist happened to be on my unit when I came on and I suggested this option for all of the reasons stated. Too much time and energy are wasted on counting bottles. Not to mention the drama...
    Aug 27
    Forum: Geriatric Nurses / LTC Nursing
  14. Narc Count Disaster
    There has been a seriously confusing issue with the count on a bottle of narcs over the weekend. I will attempt to outline the issue. Keep in mind that the scheduled dose for this med is TID,...
    Aug 25
    Forum: Geriatric Nurses / LTC Nursing
  15. Unbearable heat
    "19.309 Other Environmental ConditionsThe facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public." This was pulled directly from the...
    Jul 26
    Forum: Geriatric Nurses / LTC Nursing
  16. is anyone else being laid off, reduced hours, etc?
    We have a full building as well with a waiting list. A bed is usually empty no more than a day or 2. For whatever reason, we only have a couple PRN nurses and no PRN CNA'S, so full time staff is...
    Jul 14
    Forum: General Nursing Discussion
  17. Post-Fall Neuro Exam
    I have them do AROM to all 4 extremities if they are able. If not, I'll do slow and careful PROM after a looking them over for any signs of obvious trauma. Of course I ask if they hurt anywhere while...
    Jul 13
    Forum: Geriatric Nurses / LTC Nursing
  18. Advice for a new grad starting on graveyard shift?!!
    Ear plugs. A really good set of comfortable ear plugs. Just as soon as you get to sleep your neighbor will decide that the tree nearest your window needs trimming...with a chainsaw. Get blackout...
    Jul 12
    Forum: LPN / LVN Corner
  19. Holiday Pay-- Anyone else heard of this??
    We have 2 paid holidays a year. (Christmas and can't remember the other one.) On the other major holidays we get paid straight time, but are offered the option to cash in PTO. Nurses get 19 (8 hr)...
    Jul 4
    Forum: General Nursing Discussion
  20. Heat and LTC facilities
    My area of the building happens to face west...in Texas. Therefore, the sun roasts my unit from around noon until sunset. The air is on, set at 67 degrees in most areas. It feels like 167 lately, and...
    Jul 3
    Forum: Geriatric Nurses / LTC Nursing
  21. New Grad RN- Being "Charge Nurse" over seasoned LVNs and CNAs
    I favor educating and giving a general "heads up" about what's going on for my CNA's. I have found that a great majority of CNA's that I have worked with really appreciate me taking a little bit of...
    Jun 29
    Forum: Geriatric Nurses / LTC Nursing
  22. What "isn't" on the MAR
    In some facilities I have seen 1st shift meds/tx highlighted in blue, 2nd shift green, and 3rd shift pink to make it much easier to pick out who needs to do/admin what and when. It helped to have a...
    Jun 25
    Forum: Geriatric Nurses / LTC Nursing
  23. To Treat or Not to Treat Unrelated Dx Hospice Pt.
    I have seen this situation far too often since moving to Texas and was curious if hospice pts are treated (or not) similarly in other areas. Case in point: Late 80's female admitted to hospice in LTC...
    Jun 19
    Forum: Geriatric Nurses / LTC Nursing
  24. New Nurse
    I still felt like that after 6 months. It takes at least a year of nursing to begin to feel like you might actually be something close to competent. It's perfectly normal to be scared to death and...
    Jun 14
    Forum: LPN / LVN Corner
  25. Did you work while in LPN school?
    My program was M-F, 7a-4p. I needed about 3 hrs/day after class to study and complete homework. The weekends were spent studying for the every Monday morning test and to finish up any homework that...
    Jun 14
    Forum: LPN / LVN Corner


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