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Search Results Type: Posts; User: txredheadnurse

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  1. How would you transcribe this order?
    Treatment, nutritional supplement or medication any change in dosage or frequency should always discontinue the old order. This gets rid of the confusion because, technically, if the old order has...
    Dec 10, '14
    Forum: Geriatric Nurses / LTC Nursing
  2. What does "On Call" mean to you?
    I was a manager in a LTC for about two years. I and the other nurse manager alternated call every other week. We usually worked our normal 50+ hour week and two sometimes 3 additional shifts a...
    Nov 10, '14
    Forum: Geriatric Nurses / LTC Nursing
  3. Dying with dignity?  Can't everyone die with dignity?
    I, too, believe that the definition of a death with dignity is determined by the patient. The person that inspired this article wasn't afraid of unbearable pain or being alone. She was experiencing...
    Nov 3, '14
    Forum: Hospice Nursing
  4. I've been a nurse since.....(fill in the blank)
    This November marks my 40th year in nursing. Two thirds of my life. I remember being so thrilled when we were allowed to no longer wear uniform dresses but pantsuits.....yes double knit pantsuits...
    Aug 18, '14
    Forum: Nurse Colleague / Patient Relations
  5. "Right" way to pulls meds from cards?
    The problem with your method is in the popping pills from the blister packs while the packs remain in the drawers. Having audited literally hundreds of med carts for years as part of my job I found...
    Aug 14, '14
    Forum: Geriatric Nurses / LTC Nursing
  6. It's Already Gone On Long Enough
    Whenever I read a posting like this one I am eternally grateful that I was an only child and didn't have to contend with siblings who wanted to not follow my parents wishes or were convinced that...
    Aug 7, '14
    Forum: Nurse Colleague / Patient Relations
  7. Heat and LTC facilities
    I am a "fluffy" person so I already feel the heat plus I must wear pressure hose year round, I am in Texas and I take Synthroid so my heat tolerance is already impaired. So when I was doing audits in...
    Jul 4, '14
    Forum: Geriatric Nurses / LTC Nursing
  8. Open up....Spoonfed report
    If I was the manager I would be inclined to say that both the off going and the oncoming shifts would receive write ups for going beyond the allowed report time frame. Maybe a few write ups for miss...
    Jun 27, '14
    Forum: Nurse Colleague / Patient Relations
  9. Legend / Non-legend Drugs
    I meant to include this also. After a master ordering list is obtained then someone will need to amend the non legend drugs for each resident to reduce quantity etc. I suggest doing this whenever...
    Jun 22, '14
    Forum: LTC: Directors Nursing / Assistant
  10. Legend / Non-legend Drugs
    To expand on what a PP stated reduce the overall variety of non legend drugs stocked in each facility. By that I mean is it really necessary to have so many different strengths and types of calcium...
    Jun 22, '14
    Forum: LTC: Directors Nursing / Assistant
  11. Every time I work at my SNF there's an expired pain med order
    This happens when nurses refuse to look past their shift, their list of tasks and take a few minutes to think ahead. When I was doing consulting one of the things I preached and preached was making...
    Jun 16, '14
    Forum: Geriatric Nurses / LTC Nursing
  12. I Hope No One Hires You
    I want to preface this posting by saying thatI respect CCM & I understand her frustration with the abrupt leaving of her nurse without notice or a face to face. However I myself have twice in my...
    Jun 11, '14
    Forum: Geriatric Nurses / LTC Nursing
  13. PA-RN looking to relocate to Austin
    There are other threads on here in the Texas forum giving basically the same info as previous posters have stated above. Hopefully you will be able to stay with your family while job hunting because...
    Jun 7, '14
    Forum: Texas Nursing
  14. how to deal with an evil boss...
    I once saw a nurse manager pick up a PDR and throw it at a fellow nurse who was "sitting in my chair". She literally knocked the nurse off the chair, calmly walked over and sat down. I was standing...
    Jun 7, '14
    Forum: Nurse Colleague / Patient Relations
  15. What is the job market like in the Austin area?
    I echo the previous poster. Native Austinite here. We have both a community college and a BSN program here so there are 3 graduating classes every year hitting the hot streets looking for a job. ...
    Jun 3, '14
    Forum: Texas Nursing
  16. A&O x 3?
    I always used awake and reactive to their environment. IMO for the non verbal or lower functional clients this is a more accurate reflection of how they do interact and how the direct care staff...
    May 27, '14
    Forum: Developmental Disabilities
  17. Management of Personalities Question
    I have been in a few different management positions in my 30+ years. I find I tend to fall back on the management lessons I was taught in the Army way back in the day. I mention that because the...
    Apr 30, '14
    Forum: LTC: Directors Nursing / Assistant
  18. state survey med pass questions
    1. Maintain privacy when giving meds....curtain, door shut 2. You can bring everything at once into the room but you need to put the eye drops and inhalers on a barrier of some type (paper towel,...
    Apr 22, '14
    Forum: Geriatric Nurses / LTC Nursing
  19. Did I do the right thing?
    Sometimes in order to do the right thing you will find yourself making an enemy. You didn't fail to give the med as ordered the other nurse did. You researched the issue and then took it up your...
    Apr 18, '14
    Forum: Geriatric Nurses / LTC Nursing
  20. OTC medication one bottle-multiple participants
    I like this solution but the second section the OP quoted mentions labels with specific patient names, prescriber etc. so the individual dose packets wouldn't meet this requirement unless the entire...
    Mar 20, '14
    Forum: Nursing Issues On Patient Safety
  21. Possible Relocation-Austin
    Native Austinite here. If you want to live in the downtown area be prepared for condo living. If you want to live in the central area outside of but next to downtown you will have more choice in...
    Mar 16, '14
    Forum: Texas Nursing
  22. Austin State Hospital - To do or not to do?
    There are also several private pay psych hospitals in Austin which are more geared towards the therapeutic involvement of nurses beyond the "pill slinging" lol. Austin State Hospital is not that bad...
    Mar 13, '14
    Forum: Psychiatric Nursing
  23. Which drugs are you required to count?
    By DEA regs all Schedule 1-4 drugs must be counted at every shift change and documented and counted per dose. Most states have now moved tramadol into controlled drug status and Lyrica has been a...
    Mar 8, '14
    Forum: Nursing and Patient Medications
  24. Racial Refusals In Nursing
    "Quota clown" sigh. When will people learn that slinging hate makes the hater look like,dare I say, a clown and ignorant.
    Mar 6, '14
    Forum: Nurse Colleague / Patient Relations
  25. Racial Refusals In Nursing
    Yet these same prejudiced patients will never say a peep if their server or sales associate or repair person is a person of color. For some reason they feel it is OK whenever they are receiving...
    Mar 6, '14
    Forum: Nurse Colleague / Patient Relations