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Search Results Type: Posts; User: CapeCodMermaid

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  1. Advice about liability insurance?
    It's never too late to get coverage. It's worth the peace of mind to know you're covered.
    Aug 22
    Forum: Geriatric Nurses / LTC Nursing
  2. Unavailable meds
    Seems silly doesn't it? The hospitals are always sending us patients whose MARs state Med Not available. What good does it do to call the DON? Does she have an ekit in her car? We try to get the med...
    Aug 22
    Forum: Geriatric Nurses / LTC Nursing
  3. Tikosyn
    The Pfzier web site has a wealth of information on Tikosyn.
    Aug 22
    Forum: Cardiac Nursing
  4. Drowning in LTC
    I've changed most things in my facility so people sleep at night. The 6am med pass is very busy but there isn't as much hands on to do on the 11-7 shift as there is on the other 2 shifts.
    Aug 21
    Forum: Geriatric Nurses / LTC Nursing
  5. CardioPulmonary Rehab
    My SNF is starting a Cardio/Pulmonary Rehab program. I'm really hoping not to have to start from scratch. Any of you have a program outline you'd like to share? Thanks.
    Aug 21
    Forum: Pulmonary Nursing
  6. Falls at shift change...
    Here lies the beauty of nursing? Surely you can't be serious. You only help the nurses you want and the residents you like? Don't ever come apply to work for me....you're a bully pure and simple. I...
    Aug 19
    Forum: Geriatric Nurses / LTC Nursing
  7. Drowning in LTC
    Really? She bullied you into punching back in? Everyone has choices. YOU chose to punch in and stay. And for you to say "I figured out a way to get her back for that' makes YOU sound like the...
    Aug 18
    Forum: Geriatric Nurses / LTC Nursing
  8. "Right" way to pulls meds from cards?
    If you have someone who gets Lasix twice a day you have two cards of lasix? It seems the med carts would be overloaded.
    Aug 16
    Forum: Geriatric Nurses / LTC Nursing
  9. Drowning in LTC
    I said she wouldn't do admissions on 11-7---there is a difference. Most of my admissions come on 3-11 but only twice in 32 years have I gotten an admission on 11-7.
    Aug 16
    Forum: Geriatric Nurses / LTC Nursing
  10. Drowning in LTC
    You won't be doing admissions or discharges on 11-7. You won't be changing wound vacs, doing dressing changes, g-tube feedings, or IVs on the 11-7. People are supposed to sleep on 11-7 so there is...
    Aug 15
    Forum: Geriatric Nurses / LTC Nursing
  11. Drowning in LTC
    You cannot give 4pm and 8pm meds at the same time. You can ask for more orientation. Night shift is easier as far as the med pass goes because there are fewer meds given then, but you won't learn as...
    Aug 15
    Forum: Geriatric Nurses / LTC Nursing
  12. Is this kind of DON the norm in this profession
    You were hired to work for the FACILITY not a specific unit. No one likes to float but the DNS's main concern is always the needs of the residents. I care about my staff but I need to make sure the...
    Aug 13
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  13. Who's using Neudexta in their facilities
    One resident was put on it....she died. OKAY she was in her late 80's with multiple comorbidities, but now no one else wants to suggest it.
    Aug 13
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  14. Refusal of drug test reportable?
    Reportable or not, if he's using and coming to work, he needs to go.
    Aug 13
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  15. Meds
    You need an MD order to hold a med. Not all BP meds require a BP to be taken before it's given. We no longer hold digoxin simply because the apical pulse is less than 60.
    Aug 12
    Forum: Geriatric Nurses / LTC Nursing
  16. INAs in the chart?
    Most facilities consider incident reports to be INTERNAL CQI documents and not part of the medical record. If it's mentioned in a note, an attorney can have access to it. We are electronic so we do...
    Aug 12
    Forum: Geriatric Nurses / LTC Nursing
  17. Don't You Just Love It?
    "Nursing is not a calling, itís a career. When Iím sick, Iím not looking for Florence reincarnated; Iím looking for someone competent. If all you have to offer is compassion and a calling, no...
    Aug 10
    Forum: General Nursing Discussion
  18. Affecting Change in Care of Geriatric Population
    We have changed plenty in the years I've been in the business. Getting more staff however will always be a problem until the system of reimbursement for long term residents changes.
    Aug 8
    Forum: Geriatric Nurses / LTC Nursing
  19. Trouble with MAR
    The proper way is: in one box Cymbalta 30 mg tab. Give one tab orally with Cymbalta 60 mg to =90mg daily The next box: Cymbalta 60 mg tab. Give one tab orally with Cymbalta 30 mg to = 90 mg daily....
    Aug 8
    Forum: Geriatric Nurses / LTC Nursing
  20. Do Nurses Earn Big Money? You Decide.
    I'm not sure if I've already chimed in, so.... Do nurses make big bucks? You tell me what your life is worth because we hold it in our hands. You tell me what it's worth for me to be responsible for...
    Aug 5
    Forum: General Nursing Discussion
  21. Written up for refusing to work on days off
    The post of which I took offense was penned by virgojd. I apologize if it wasn't clear.
    Aug 4
    Forum: Geriatric Nurses / LTC Nursing
  22. Admissions Nurse
    Chime away...I'd welcome your opinion.
    Aug 3
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  23. Admissions Nurse
    On Fridays, 4 admissions on one unit is not uncommon. A 4 hour shift wouldn't get it all done. I'm thinking that I'll take the extra hours they want to give me in the nursing budget and use them...
    Aug 3
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  24. Written up for refusing to work on days off
    I take offense at your post. I worked in the hospital...there was mandatory overtime there. There were lazy nurses and stupid doctors there yet I am not going to slander the entire medical system...
    Aug 3
    Forum: Geriatric Nurses / LTC Nursing
  25. Admissions Nurse
    There is talk in my facility about creating a new position..an admissions nurse position. I am not sure I think it'd be a good thing. I already have problems with my team nurses thinking their job is...
    Jul 31
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)


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