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Search Results Type: Posts; User: laderalis

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  1. Oral pain med alternative
    We are not entirely sure where the pain is because she is non-verbal and has dementia. From her body language it appears to be in her hip/leg. She will not take much by mouth. I'm guessing either due...
    Jul 13
    Forum: Hospice Nursing
  2. Oral pain med alternative
    We have a resident that often refuses anything oral. She has some pain in her hips/legs that was are treating with Lortab elixir. We cannot use a fentanyl patch because of an allergy. Is there...
    Jul 12
    Forum: Hospice Nursing
  3. Flexible med times
    I tried searching for this topic and didn't come up with much. If you know of an existing thread already, let me know.<br><br>Our facility is going to be implementing a more flexible med time...
    Jan 2
    Forum: Geriatric Nurses / LTC Nursing
  4. I hate being a Nurse
    Sounds like a bad facility. I work in a LTC/SNF and we have 17-24 residents on days/afternoon and 36 on NOC. Not all facilities are bad. Look around if you can. Give it a second chance. I love my...
    Nov 22, '13
    Forum: Geriatric Nurses / LTC Nursing
  5. Would you accept this call out excuse?
    And what if she really was too tired? Would you want someone with no sleep working? That just isn't safe. If its habitual, then there is a problem, but habitual call-ins happen for a number of...
    Nov 3, '13
    Forum: Geriatric Nurses / LTC Nursing
  6. DNR help?!?!!
    DNR means, in my facility which is a rehab/LTC, I'm not going to hook them up to the AED, should they be found not breathing with no pulse. It has NOTHING to do with treatment before that point. I...
    Sep 11, '13
    Forum: General Nursing Discussion
  7. Is 2 weeks enough orientation new grad?
    Haha cape cod. That reminds me of something a nurse said to me that doesn't pertain to this but is funny. I was off almost a week and when I came back I asked the reporting-off nurse "so, is there...
    Sep 11, '13
    Forum: Geriatric Nurses / LTC Nursing
  8. Orders.
    I would not have dc'd the order. She should have written out a proper order instead of dc'ing it. If that's what the prescriber wrote on the lab sheet that's the order they want. We would still need...
    Sep 11, '13
    Forum: Geriatric Nurses / LTC Nursing
  9. What can I do to prepare for a hospice job?
    You could apply at a LTC place. They are all not bad (I work at a good one). You would certainly get adult experience and even some hospice experience. There are usually openings available, too.
    Jun 26, '13
    Forum: Hospice Nursing
  10. Narcs sent home with wrong resident
    Two of the three cards were brought back but I don't know exactly how and I don't know what was said. Assuming the DON called and they were retrieved by an employee. I don't know if the nurse...
    May 23, '13
    Forum: Geriatric Nurses / LTC Nursing
  11. Narcs sent home with wrong resident
    My question is about sending a controlled substance home with the wrong person! We send home narcs often, just not to the wrong person. At the minimum it's a HIPAA violation!
    May 21, '13
    Forum: Geriatric Nurses / LTC Nursing
  12. Long story...need to vent ...
    I hand people their inhalers all the time. I don't think that was the reason. I think they tried to make you the scapegoat.
    May 21, '13
    Forum: Geriatric Nurses / LTC Nursing
  13. Narcs sent home with wrong resident
    We only send home narcs and opened items, like inhalers, insulin vials etc because we can't send them back to pharmacy for the resident to get credit. All other meds go back to pharmacy and the...
    May 20, '13
    Forum: Geriatric Nurses / LTC Nursing
  14. MARS:  electronic or paper?
    Sounds like LTC is exempt. Darn it! We use paper MAR/TAR and charts. We do incident reports online though. I wish we did more online. I can type much faster than print!
    May 20, '13
    Forum: Geriatric Nurses / LTC Nursing
  15. Narcs sent home with wrong resident
    I work in a LTC facility that also does rehab. Recently I noticed that a fellow nurse had sent three cards of Norco home with the wrong resident. Our narcs are kept in a locked drawer in our med...
    May 20, '13
    Forum: Geriatric Nurses / LTC Nursing
  16. 12 hour shift question
    I work 7p to 7a and like working 3 in a row. I feel like crap the last shift, but its easier to switch my sleep around when they are grouped.
    Apr 22, '13
    Forum: General Nursing Discussion
  17. NOC nurse
    Our paperwork is much more streamlined. No extra books. Just the main TAR/MAR book. All pain follow up and behavior things are charted in those books. All insulin is in that book. I have 35...
    Apr 22, '13
    Forum: Geriatric Nurses / LTC Nursing
  18. NOC nurse
    I work NOC and like it for the most part. I spend a lot of time following up on paperwork and labs. I try to update care plans when needed (new skin issue, new infection, etc). I make sure admit...
    Apr 17, '13
    Forum: Geriatric Nurses / LTC Nursing
  19. Weepy arms
    I work in LTC and take care if a resident that is morbidly obese with DM, a fib, probably CHF and has a pacemaker. Recently her arms have begun to weep clear fluid. We just put her on a fluid...
    Apr 8, '13
    Forum: Cardiac Nursing
  20. Gero NP dreams vs. experience
    Why wouldn't you work as an RN on the floor? I'm an RN in LTC/Rehab. I love it. I would have more respect for someone who had been in my shoes, but then again our MD has never worked the floor and...
    Mar 17, '13
    Forum: Geriatric Nurses / LTC Nursing
  21. discolorations
    Are you talking about bruises? If so, it depends on how bad a bruise and nurse/patient history. I doubt someone could lose their license over a bruise.
    Mar 17, '13
    Forum: Geriatric Nurses / LTC Nursing
  22. What meds to keep
    How do you (with the Dr of course, if applicable) decide what meds to keep and what meds to discontinue? I have two patients on hospice who are still on thyroid pills. Is this common? They are both...
    Mar 13, '13
    Forum: Hospice Nursing
  23. Destroying medications
    We use the Drug Buster too. It reeks, but is safer and easier. We mostly put used fentanyl patches in them.
    Mar 13, '13
    Forum: Geriatric Nurses / LTC Nursing
  24. Barrier ointment
    We use EPC and PO, both by Secura. EPC is like traditional diaper cream and PO is an ointment. Both come off easily. I HATE the scent if PO though, smells like cloves.
    Jan 30, '13
    Forum: Wound / Ostomy / Continence Nursing
  25. Medication & treatments on midnight shift
    Out of 36, I have about 8 that get 0600 meds, otherwise not much goes on. Treatments are done on days or afternoons unless its something that we can't get to on that shift. I have one skin tear...
    Jan 18, '13
    Forum: Geriatric Nurses / LTC Nursing


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