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Search Results Type: Posts; User: Chris81

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  1. The Cons of Working in Long Term Care
    My use of the word incompetence arises from the basic floor- nursing checklist for skills all nurses are expected to perform,sometimes on an hourly basis,sometimes once every 5 years(vital signs to...
    Dec 5, '13
    Forum: Geriatric Nurses / LTC Nursing
  2. The Cons of Working in Long Term Care
    Funny-the crisis when I was a year-old nurse was the introduction of DRGs-veteran nurses were warning us we'd get "fresh radical necks","chest tube with glass bottles on the floor,grab your...
    Nov 30, '13
    Forum: Geriatric Nurses / LTC Nursing
  3. The Cons of Working in Long Term Care
    Spot on,Commuter.Have also followed your posts regularly and agree. SNF 34+ yrs myself(started at the starry-eyed age of 19) and have recently(thankfully) had the opportunity to continue in LTC in...
    Nov 30, '13
    Forum: Geriatric Nurses / LTC Nursing
  4. Questioning the nurse during clinical
    Bravo! You grew your judgement that day-don't feel like a moron,feel like your nursing education(classroom content+clinical rotationsxREAL LIFE EXPERIENCE= a well rounded nursing student,who will be...
    Nov 17, '13
    Forum: General Nursing Student
  5. New RN with attitude...
    This may be one of those rarely seen" probationary period" Do Not Hire situations. She sounds like she really doesn't want to be working there,despite many efforts to address real concerns. OR-give...
    Nov 10, '13
    Forum: Geriatric Nurses / LTC Nursing
  6. Therapeutic fibbing..?
    Research validation. The core of this very humanistic approach to cognitive impairment(acute or chronic) is to accept an invitation into someone else's heart and mind for awhile. Accept that this...
    Nov 8, '13
    Forum: Geriatric Nurses / LTC Nursing
  7. Medications 6x a day question
    At our facility,we've made a concerted effort to:reduce/eliminate waking elders from sleep to administer meds. MDs are completely on board with this,and nurses will ask if something ordered q4/6/8...
    Aug 16, '13
    Forum: Nursing and Patient Medications
  8. Skilled Notes
    Our MDS coordinator laminated heavy copies of these and PERSONALLY handed them out to all nurses in our facility to guide our charting. After years of SOAP,narrative,checklist and general meandering...
    May 1, '13
    Forum: Geriatric Nurses / LTC Nursing
  9. Medical Marijuana
    In our LTC located in Colorado where MMJ is legal on the state level,we do not permit the (state) legal possession,consumption or self-medicating of MMJ on our non-smoking campus because we receive...
    Apr 29, '13
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  10. Post Fall Neuro Checks
    VS immediately with grips,speech,pupils,mentation. Repeat q 15 minx1hr,q30minx2hrs,q4hrsx24hrs,q shiftx72hrs. restart sequence c each fall(even when multiple falls occur within this time frame. Labor...
    Dec 8, '12
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  11. Any good LTC/nursing home magazines??
    Medscape-Geriatrics is also excellent resource.
    Aug 11, '12
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  12. Any good LTC/nursing home magazines??
    Agree c RingaLing-the all help explain WHY you have to do WHAT you have to do in LTC. Ours in one of the most regulated areas of healthcare. As more directives and documentation are...
    Aug 11, '12
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  13. EMARS
    NOTE-[this is from a LTC perspective] I did the end of month recaps for a 59 bed facility on paper for the past 8-9 yrs,noting every order,d/c,edits(time...
    Dec 9, '11
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  14. Holy Wound Batman!!
    Don't see too many of these anymore(thankfully!) I'd try to manage exudate first-alginate rope for packing-loosely!-foam as secondary. This will help odor as well. Karaya paste as perimeter to secure...
    Dec 7, '11
    Forum: Wound / Ostomy / Continence Nursing
  15. Anti-Intellectualism/Autonomy in nursing
    LOVE how you think! Though not a newbie,practicing 30 yrs.,LTC, I'm grateful that I've been able to work in a field that encourages critical thinking every shift. My mind has been sharpened year...
    Apr 14, '11
    Forum: General Nursing Discussion
  16. Cutting VAC foam
    Just had visit from our V.A.C. rep yesterday,good to get refreshers/updates/tips! You can cut more than one piece of foam for a wound, if you're not good at eyeballing the shape. Better to have 2...
    Apr 14, '11
    Forum: Wound / Ostomy / Continence Nursing
  17. The Final Word on IV Certification for LPNs
    As scope of practice varies from state to state,so does the elusive and much sought "IV Certification" for LPNs. I was certified in Colorado in '80,at the urging of my administrator in my newish job...
    Mar 12, '11
    Forum: LPN / LVN Corner
  18. What wound care journals do you subscribe to?
    WCC-Wound Care Certified 6/10-through Wound Care Education Institute (wcei),exam through National Alliance of Wound Care. I fine "Advances in Skin and Wound Care" relevant,up to date, and...
    Oct 4, '10
    Forum: Wound / Ostomy / Continence Nursing
  19. Describe your dream LTC
    Luckily for me,and the elders whose home I work in(yes,it's a LTC/SNF),what you all are describing is at the heart of the Eden Alternative. I began working at a traditional(institutional) LTC 21...
    Sep 24, '10
    Forum: Geriatric Nurses / LTC Nursing
  20. Kudos to my staff!
    ::up::up::::yeah::yeah::::bow::bow::hug::hug::balloons::balloons::clpty::clpty::clpty::dancgrp::hpygrp::w00t::redpinkhe:redpinkhe:redpinkhe:redpinkhe:redpinkhe Thanks to you for recognizing your...
    Sep 9, '10
    Forum: Geriatric Nurses / LTC Nursing
  21. use of liquid adhesive with wound vac drape?
    Wondering if anyone is using liquid adhesive ie Mastisol,et al, to additionally secure Tegaderm drape with KCI V.A.C.? Problem isn't air or fluid leak, but corner of dressing is in a rather mobile...
    Sep 7, '10
    Forum: Wound / Ostomy / Continence Nursing
  22. Ideas for non healing 1 cm coccyx tunnel?
    Don't forget pain management. During a survey, we had a PT/WCC perform a dressing change on a pt. who stated "OUCH", with the surveyor present. Needless to say,we recieved a MAJOR citation,which...
    Jul 30, '10
    Forum: Wound / Ostomy / Continence Nursing
  23. Get it off your chest!  What's the rudest thing a doctor ever said to you?
    Well, while I was fully aware that the only people who get to put their hands on my body are those who are invited to, or are falling over, I didn't really take it as a sexual harrassment thing...
    Jul 13, '10
    Forum: General Nursing Discussion
  24. Get it off your chest!  What's the rudest thing a doctor ever said to you?
    WAAAAAYYYY back in the earyl '80's,before those lovely mechanized lifts, I was attempting to manually transfer a resident from his very low comfy swivel chair to his bed for our medical director to...
    Jul 13, '10
    Forum: General Nursing Discussion
  25. Why aren't nursing homes doing 12 hour shifts???
    Agree c assessment that 12 hrs.LTC is 4 hrs. TOO much! Physically and emotionally demanding, whether slinging med cart for ENDLESS med passess, assisting CNAs c direct care,responsibility for care...
    Jul 13, '10
    Forum: Geriatric Nurses / LTC Nursing


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