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Yeah I have a few ideas but I'm sure you wont like them. Some questions, is everyone else really leaving on time or are they punching out and staying late? Is everyone else really completing...

I don't say this to discourage you at all but to be honest your experience sounds pretty typical. First of all, 16-20 patients in LTC is wonderful. In many places you have 30. Secondly, the...

I see it all the time. It's like an epidemic in nursing homes. It seems many DONs travel around with a gang of friends from facility to facility. The new one comes in (because I think we've all...

That is great! I wish all nursing homes would go for this model of care for 99 percent of elderly LTC patients. There really isn't any rationale for keeping them on these restrictive diets. At...

I think it's great that you did that. I just find it ridiculous that the facility maintained stringent dietary restrictions on a hospice patient. What could possibly be the rationale for that? ...

I'm a floor nurse on a subacute unit. I can have anywhere from 15-25 patients depending on staffing and census. I would never in a million years have time to do all my patient's care plans. My...

Everyone above is right. Tell him very firmly that his comments are totally inappropriate, make you uncomfortable and will not be tolerated. This is an alert and oriented individual, only in his...

That's pretty funny. In seven years in several different facilities I've never once had an RN do an admission assessment of a new patient or begin the initial plan of care; both duties have always...

Am I the only one that finds that in LTC/rehab "strict" I and O is a joke anyway? Getting anything resembling an accurate I and O seems impossible. I know the CNAs basically make up what they put...

Certainly nurses can and do make all of the above errors BUT...maybe places should use actual nurses for med administration instead of med techs? I know, I know med techs are cheaper. Plus the...

I totally agree with this. I'm a SNF nurse but I can easily see the other side. Outpatient dialysis facilities are simply not set up to handle ADLs. They are outpatient offices. If we send Mr....

My facility we do an assessment of the pts ability to maintain and tolerate the neb treatment without direct nurse supervision. It is very quick basically if they can hold the thing or tolerate the...

WIA provided about 1000 for each semester of LPN school for me (three semesters). I paid the balance. There was a long process for getting the WIA grant. First, I had to apply for every other...

Oh well thank goodness you're an RN so you can "assess" if your med combining is safe. Do you mean to imply that an LPN should never combine because they aren't able to determine which meds are safe...

I certainly have. I learned the former in A@P one and two and the latter in medical surgical nursing.

I agree that it would be beneficial to talk to your nurse manager/DON and doctor and get these med times changed to something more workable so you can be in compliance and get the meds passed. ...

Oh hell no. That's my reaction, and I can almost promise that will be the reaction you will get if you implement this without speaking to your nurses first. At my facility we are all (from the...

Well just not giving many narcotics is not a good solution at all. I work primarily rehab and these people are wanting their PRN narcs Q4hrs esp during the day, they want to be medication before...

Just know it goes both ways. I also sometimes get ticked off when a LTC patient we've been tending and kept with intact skin, no behavior problems, continent etc. for years goes out to the hospital...

The thank you card esp. if personalized would mean more to me than anything. My place doesn't celebrate nurses' week, they do celebrate "national nursing home week" whatever that is, and there's...

Raise, what's that, bwahahaha! Ahem, sorry. Let's see, we got our evals one month and were told raises were being capped at 2 percent. I got my few cents from that. THEN a couple months later...

I'm a nurse in a facility. I love taking care of hospice patients and I work very well with the hospice nurses that come in. Anyhow, I have a huge issue with some of the nurses I work with...

I get your point but honestly...when the end of shift rolls around the CNAs will be history, while I'll still be sitting there hours later trying to finish my charting. If I get a few minutes here...

In rehab the report I give (we tape report) depends on who the oncoming nurse is. If it's a regular who knows all the pts. my report is much briefer than if it's someone I know is new or doesn't...

That place sounds like a hot mess. I have never even heard of keeping insulin in a "treatment" cart. I can't believe the supervisor didn't bring a spare set of keys (if they don't have one...that's...