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Search Results Type: Posts; User: Plagueis

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  1. BID strictly every 12h or just twice a day?
    For PRN orders, our consult pharmacist discourages orders without a specific time frame. If an order is BID PRN, it should be written every 12 hours, or for TID PRN, every 8 hours. This is to prevent...
    Nov 4, '12
    Forum: First Year After Nursing Licensure
  2. Do you give meds without seeing the MDs order if he MAR has been checked?
    The midnight shift is responsible for chart checks where I work, and that is a 24-hour check. In LTC, nurses often have 30 or more residents. When do they have the time to check 30+ medical charts...
    Apr 19, '11
    Forum: Nursing and Patient Medications
  3. A signed contract in exchange for pain medicine?
    I found this article on the MSNBC website about how some MDs are requiring patients to sign contracts when they receive opioids. This is in order to prevent abuse of those pills. What do you think? ...
    Apr 7, '11
    Forum: Nursing News
    I've never heard of artwork being considered a state violation. :confused: Every LTC facility I've been in displays the resident's artwork. I would think there would be more serious things for state...
    Apr 4, '11
    Forum: General Nursing Discussion
  5. brilliant freaking idea - pull ALL CNA's. . .
    And I'm sure that at some facilities, the nurse who confronted the DON and wrote the complaint would be fired for insubordination, or for some other reason.
    Feb 19, '11
    Forum: General Nursing Discussion
  6. Hospitals Shift Smoking Bans to Smoker Ban
    I don't like the idea of banning smokers from working in hospitals (could this happen in LTC?), but smokers are not a protected group. Unless a state or city has a law that states it's illegal to not...
    Feb 19, '11
    Forum: Nursing News
  7. Sleeping on lunch break
    I was interested in the studies regarding taking a nap while at work that was previously posted, and how it can be beneficial. However, every place that I've worked (in LTC) at had rules that...
    Feb 19, '11
    Forum: General Nursing Discussion
  8. Confusing medication labels baffle many
    I read this article on Msnbc about new proposals to change the way medication labels are written in order to make the instructions more understandable: ...
    Feb 19, '11
    Forum: Nursing News
  9. How to admit new patients in LTC facilities
    I can also add the following assessment sheets that my old LTC used: Braden scale, pain, wander risk, and physical mobility. Also, we had to send the diet slip to the kitchen and weight the...
    Feb 17, '11
    Forum: General Nursing Discussion
  10. Why do night shift nurses get paid more when day shift clearly does MORE work?
    I work in LTC, and I've worked every shift. From a work standpoint, I would prefer to work the overnight shift over day shift anytime. I admit, I found it nearly impossible to sleep in the daytime,...
    Feb 16, '11
    Forum: Nurse Colleague / Patient Relations
  11. Am I in the wrong Nursing home?
    In my experience, most issues with meds involve the pharmacy not sending refills in time, even if they are ordered. Just yesterday, for instance, two meds I pulled the refill label for last Thursday...
    Feb 16, '11
    Forum: Geriatric Nurses / LTC Nursing
  12. Cough Syrup via PEG Tube
    Correct me if I'm wrong, but I'm assuming the Mucinex you're referring to are the granules, since the pills are extended-release. How well do the granules go through a peg tube?
    Feb 5, '11
    Forum: General Nursing Discussion
  13. Do we really need a MD's order for this?
    First, thanks to everyone who responded. And, no, our orders aren't computerized. Diet orders here, or so I thought, just list the kind of diet (ie. regular, puree) the resident is on. It just killed...
    Feb 5, '11
    Forum: Geriatric Nurses / LTC Nursing
  14. Do we really need a MD's order for this?
    I understand that resident's need a physician's order to apply ice, heat, or even for Vaseline, for instance. However, recently I've seen orders to D/C particular food items from a resident's diet. ...
    Feb 4, '11
    Forum: Geriatric Nurses / LTC Nursing
  15. Giving PRN at family request
    Unfortunately, I know a few nurses who were written up for not giving a PRN pain med at the family's request, despite the fact that the nurses assessment didn't warrant a PRN. So some places may...
    Nov 17, '10
    Forum: Geriatric Nurses / LTC Nursing
  16. Any other LPN's find LTC too much to deal with?
    Hmm. I think I worked with the clone of that guy you mentioned. The nurse I know would finish his two meds passes in less than an hour. However, when anyone else (including me) worked that section,...
    Nov 16, '10
    Forum: LPN / LVN Corner
  17. We only have one pulse oximeter for the facility, but we have flat-screen TVs!
    I've been hearing stories from my fellow nurses about not having enough equipment (or it goes missing) at work, so they end up buying their own, such as personal pulse oximeters or wrist blood...
    Nov 13, '10
    Forum: General Nursing Discussion
  18. Tips for preparing for surveyors @ work
    I've had pharmacy reps follow me and my coworkers (not state surveyors), and there were a few things that they flagged that may not seem like biggies, but were important to them: Make sure all...
    Oct 28, '10
    Forum: General Nursing Discussion
  19. Rant about ungrateful, demanding patients
    Yep. Same thing happens where I work. Some of my coworkers have been written up and suspended when they stood up for themselves, or tried to be firm with rude residents or visitors, because the...
    Oct 23, '10
    Forum: General Nursing Discussion
  20. Just wondering...
    The same thing happens in LTC, too, and it makes me very frustrated. I don't get it. :confused: When I've personally gone to a drug store with a script, and there is a question about what the...
    Oct 23, '10
    Forum: General Nursing Discussion
  21. Rant about ungrateful, demanding patients
    I'm sorry that this happened to you. However, in my experience, this type of behavior is not limited to the younger generation. I've seen older people (50 and up) go crazy with the call bell, demand...
    Oct 23, '10
    Forum: General Nursing Discussion
  22. Smart Nurse vs. Dumb Pharmacy, Round One. DING!
    We must have the same pharmacy at my LTCF that you have. Moreover, the we-already-sent-it line often applies to other refills that we faxed days ago, but still haven't received, despite numerous...
    Oct 14, '10
    Forum: General Nursing Discussion
  23. Nurses in their 60's or 70's
    Two of my coworkers in LTC are in their 60s; one has decades of experience, while the other is a newer nurse who graduated from nursing school a couple of years ago. They both work the med cart (plus...
    Oct 10, '10
    Forum: General Nursing Discussion
  24. Any hope for experienced LVNs in DFW area in LTC?
    I'm a newer LPN with one year of experience in nursing homes, and I was wondering how the market was in the Dallas-Fort Worth area for experienced LVNs. (I'm currently in high-cost New Jersey.) I...
    Sep 27, '10
    Forum: Texas Nursing
  25. Violence in hospitals common for staff-CNN
    This is an article from CNN about the increasing violence in hospitals against staff. Here's the link: Bitten, shot, spat on: Violence in hospitals common for staff -
    Sep 18, '10
    Forum: Nursing News